OnTheIce OnTheIce:
So you have no problem with them moving to the US to make more money?
I would say given the level of assistance given for education I would feel somewhat cheated, but not enough to want to make my own health care costs rise so we can pay the few that do want to leave more to stay.
$1:
Many do get into medicine because it's been a lifelong dream. Billing and such aren't a concern when going through med school. Once you get into the system, you start to see what it's all about.
Realy someone that is 20-25 has no idea how the health care system, the profession they are studying to join, works? I doubt that.
$1:
And many of them do, they get into specific fields or move to the US. It's hard to compete when in some cases, doctors are being paid double in the US. And when they do that, we cry about it and ask why.
The brain drain arugment was old 10 years ago. If they want to 'get paid double' then I guess they think the money differance makes up for having to live in the USA. If people got hopping mad about this, we could restucture how the education system pays for stuff to leave ship jumpers on the hook, but it's likely a small number.
Also are you sure about the differance in ability to earn money? Doctors in the USA might gross double the amount, but do they keep double the amount?
$1:
Walk into a doctors office in the last 20 years? It's hard to push the envelope of efficiency when you have 4 doctors working in a clinic with 2 people answering phones, shitty old toys and books. Pretty efficient these days.
And nothing at all in anyway could be improved to make it more efficenct, or profitable. That's funny because it would require technology to have stood still, and the state of the medical art to be static. Over your suggested 20 year period.
Well if a private practice isn't profitable enough, then give up on being your own boss and find employement with the government. Working for the government isn't a terrible paid day.
$1:
All some of us want is the choice to pay for our own insurance and visit private clinics. Keep my taxes the same, but give me the choice to opt for private care and insurance.
And you can't see how your suggested private system would end up hurting the public system in any way do you?