Quote:
Originally Posted by mykalberta
Per the first point, I would also make it mandatory for any medical student who recieves their training in Alberta, be forced to work for 10 years in Alberta because of the subisidized education recieved. Maybe I have a different idea of what a 2 teir system would look like than others but I dont think it would be this golden parachute for doctors that people think. Its like dentists - those with the entreapaneurial spirit would start their own practicies and reap the rewards, those who just want the "9-5" job would work public system. The only way I see doctors making more money than in the public system is either as buisness owners or non union doctors working say 60 hours a week - I dont see a regular "9-5" doctor making more in the private practice than in public on a per hour basis.
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I have several friends who are in the midst of their medical residency. All of them had multiple offers for med schools and facing a mandatory period of residency here would pretty much make the UofC and UofA dead last for recruiting candidates. Doctors are an extremely mobile group, and move around for residency and career opportunities often. We're trying to attract them here, let alone scare them off.
I see your concept of what two tiered heath care would look like but it falters on one simple point - there aren't enough doctors to support 1 system, let alone two. Even the "9-5er" as you put it would be smarter to work in a private clinic for those hours and make more.
It's funny you mention dentistry as a model for this. Dentists theoretically have a Rate Guide from the ADA for what they should charge. Most dentists however charge above that. Catch is that the insurance companies will typically only compensate you for whats in the rate guide. Who pays for the rest? You do. I guess you could shope around for a cheaper dentist but if it's your wife having a baby, are you going to cheap out on an OB?
Have you noticed the boom in cosmetic dentistry only practices lately? I can't go to a dentist that doesn't push tooth whitening or veneers on me lately. Bottom line, people go where the money is, and there aren't enough doctors and nurses to go around to keep two systems going.