India's medical schools are usually called medical colleges. Medical school quality is controlled by the central regulatory authority, the National Medical Commission, which inspects the institutes from time to time and recognizes institutes for specific courses. Most of the medical schools were set up by the central and state governments in the 1950s and 60s. But in the 1980s, several private medical institutes were founded in several states, particularly in Karnataka. Andhra Pradesh state allowed the founding of several private institutions in the new millennium. Medical education in a private institute can be expensive if not subsidized by the government.