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mnealtx

Here's why healthcare is not a 'right'....

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Ever have a look at the caliber of students who become doctors in the USA, and the amount of training our doctors have, compared with that in the UK or Australia?

I'm not that familiar with Australia, but do you know what the English call the smart, motivated, hard working people--the ones who become doctors in the USA?

Bankers.

Which society is "better"? The one that steers it's best and brightest toward the practice of medicine, in which they help heal the sick and injured on a daily basis? Or the one that steers it's best and brightest toward generating paper fortunes? Seriously--what's your answer?



I have read through this entire thread and don't seem to able to find someone who has responded to these comments with a 'What the Fuck?!'.

Is this the standard US arrognace that everything that is done there is better than in the UK/anywhere else or is it based on some extensive piece of research?

The mindset for someone going into banking and someone going into medicine is entirely different. Do you think that people sit there and think - "What should I do with my failed high school exams - flip burgers or become a doctor?". Medicine is a very tough course. You need top grades from school to get in . You need to work incredibly hard for 5 years in Uni plus 2 years in hospital and you keep working hard all your life. Yet Medical schools are still over subscribed because it is considered a highly respected profession in the UK. I don't know of a single person who has weighed up the two different options as their two potential career paths. Medicine is still considered only for the best.

Please avoid making unfounded blanket statements about other countries in an attempt to make your own seem better and stick to the constant in-fighting within your own. It's what Americans do best.

CJP

Gods don't kill people. People with Gods kill people

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Please avoid making unfounded blanket statements about other countries in an attempt to make your own seem better and stick to the constant in-fighting within your own. It's what Americans do best.



Fucking spare me... care to count how many posts there are from the Euros, Aussies and Kiwis about American gun laws, social systems, medical systems etc etc etc?

I'll bet a quick search would find more than one by you yourself - get off your high horse.
Mike
I love you, Shannon and Jim.
POPS 9708 , SCR 14706

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Medicine is a very tough course. You need top grades from school to get in . You need to work incredibly hard for 5 years in Uni plus 2 years in hospital and you keep working hard all your life.



Have you done any comparisons to the US?

US doctors need 4 years in Uni, 4 years in medical school, and 4 (or more) years in the hospital. That's 12 years of training (compared with 7 in the UK).

In the US, the closest equivalent to the UK "doctor" is a Nurse Practitioner (4 years of Uni plus a Master's degree taking 1 or 2 years).
-- Tom Aiello

Tom@SnakeRiverBASE.com
SnakeRiverBASE.com

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Yeah, I'm still looking in the Bill of Rights that specifically states that health care is a right... ...nope... ...nothing there.



Health care will be a right in the US when enough Americans decide that it is through the democratic process - and that includes public debate, such as off-the-wall blogs like this Forum - and it is formally codified into law.



Like that "right to schooling", you mean? You know, that's a pretty sweet deal. I'll have to go sign up at the State college for my free education - after all, you DID say it was a right!!



Like it or not, you DO have more rights than just those listed in the BoR.



Universal Declaration on Human Rights, binding on ALL members of the United Nations - co-authored by the US delegate and voted for by the US in 1948, and approved by the General Assembly:

Article 25.
•(1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.
•(2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.



Binding?!

Are you kidding?

I guess that is the kind of thing you can get when a bunch of politicians come together for the sake of looking good & correct & all; with no actual intention of eveer living up to it.

Nothing to see at the UN other than a bunch of positioning, manipulating, and deceit.
" . . . the lust for power can be just as completely satisfied by suggesting people into loving their servitude as by flogging them and kicking them into obedience." -- Aldous Huxley

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Universal Declaration on Human Rights, binding on ALL members of the United Nations - co-authored by the US delegate and voted for by the US in 1948, and approved by the General Assembly:

Article 25.
•(1) Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.
•(2) Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.



Binding?!

Are you kidding?



No. It becomes binding when national implementing legislation is passed by the US Senate or corresponding body in other nation-states. For the UN Dec of Human Rights, that occurred principally when the US ratified the International Covenant on Civil and Political Rights in 1992.

In 1977, the US signed other main protocol underlying the UN Dec of Human Rights - the International Covenant on Economic, Social and Cultural Rights but has not ratified it. 160 other nation-states have.

/Marg

Act as if everything you do matters, while laughing at yourself for thinking anything you do matters.
Tibetan Buddhist saying

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Our system tends to select the best, brightest, hardest working and most motivated to be doctors.



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Which society is "better"? The one that steers it's best and brightest toward the practice of medicine, in which they help heal the sick and injured on a daily basis?



How did you measure that?

Now since you’re (assumedly) happily married to a physician, it’s completely understandable & probably a sign of a good relationship that you might be subjectively influenced. That’s not necessarily a bad thing; it’s just an understandably not completely objective standard.

Otoh, imagine if [kallend] had written physics professors (or professors of any kind) are the best & brightest.
Or [billvon] had written MIT engineers are the best & brightest.
I strongly suspect they would have been challenged readily, on an understandably not completely objective standard (*caveat, unless they provide some metric on which to make that assertion.)

The one that I find interesting, for all kinds of reasons, who use “the best and brightest” meme – & some really seem to believe it – is the CIA, especially in hiring and recruitment, which im-very-ho, has on occasions led to pernicious isolated ‘group think.’

My point isn’t that physicians aren’t smart and hardworking. It’s more an observation of how this one category seems to get an exception or pass when a more frequent criticism that I observe in this forum is more akin to criticizing anyone who pursues higher degree, e.g., “I'm an alumnus of Life U - I escaped the brainwashing 'societal indoctrination' early.”

Why is there an exception for physicians to the anti-higher degree/anti-education behavior?
For you, it’s commendable, imo, that you effectively defend your wife. For [kbordson], it is her chosen profession.

Last week, the National Association of Colleges and Employers released its “2009 Salary Survey, which details the Top 10 starting salaries by degrees. At the top: petroleum engineering. Next chemical engineering. Have to get to #5 to find one that isn’t an engineering field – computer science. Only 3 of the top 15 were non-engineering degrees. Depending on how one measures “brightest,” choosing to pursue a degree that one can earn in 4 years without student loans in some/many cases, might be a candidate for “bright” choice based on some folks’ metrics, i.e., readily earning cash.

Physicians have traditionally ranked very high or at the very top of polls of most-respected careers. Along with firefighters, nurses, teachers, religious leaders, scientists, and members of the uniformed service. One might speculate that at some level, there is a great deal of respect for those who commit to serving others, in various forms … even if monetary reward does not necessarily correlate with general perceptions of respect.

And if the goal is a "better" society, shouldn't childcare workers be getting paid *a lot* more? After all they take care of the future of society. (And selfishly, I like my job much better, wouldn't want to work with kids under 10 all day for almost any amount of money.)

One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.

/Marg

Act as if everything you do matters, while laughing at yourself for thinking anything you do matters.
Tibetan Buddhist saying

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One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.

/Marg



Interesting thought. But I wonder if it discredits the males that have chosen that field. I do agree that there was an artificial trend for females to become teachers and with that release, there have been less of the "best and brightest" females in that role, but there has been no such bias for males in that field.

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One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.



Interesting thought. But I wonder if it discredits the males that have chosen that field.



Unless you're suggesting that teaching is somehow a "lower" career (?), it doesn't. I don't think that. And just to be explicit: it also doesn't discredit the women who have chosen that field because they really want to be teach.



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I do agree that there was an artificial trend for females to become teachers and with that release, there have been less of the "best and brightest" females in that role, but there has been no such bias for males in that field.



Which would suggest that one likely already had men who chose teaching as a profession out of a wider pool of possible opportunities rather than a narrower range of choices.

What has been observed is a among the already low numbers of male teachers is a decreasing number of men entering teaching: "The number of male teachers in the United States is at a 40-year low. Out of the 3 million teachers in the United States, only one-quarter are men, according the National Education Association."

/Marg

Act as if everything you do matters, while laughing at yourself for thinking anything you do matters.
Tibetan Buddhist saying

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Medicine is a very tough course. You need top grades from school to get in . You need to work incredibly hard for 5 years in Uni plus 2 years in hospital and you keep working hard all your life.



Have you done any comparisons to the US?

US doctors need 4 years in Uni, 4 years in medical school, and 4 (or more) years in the hospital. That's 12 years of training (compared with 7 in the UK).

In the US, the closest equivalent to the UK "doctor" is a Nurse Practitioner (4 years of Uni plus a Master's degree taking 1 or 2 years).



No offense but you're talking out of your arse.

In the UK its 6 years just to pass the MBBS/BSc/MBChB. Then you have to get on to a foundation course for 2 more years. Following that there is specialist training which is typically another 5 years but depending on speciality can be upto 10years if a PhD is required (Neuro for example).
Nurse practitioners are exactly that and whilst they maybe good in their role they are Nurses and not Doctors. To start working in a UK hospital a Dr has therefore had two years more medical training than their US counterpart.
When an author is too meticulous about his style, you may presume that his mind is frivolous and his content flimsy.
Lucius Annaeus Seneca

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One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.

/Marg



Interesting thought. But I wonder if it discredits the males that have chosen that field. I do agree that there was an artificial trend for females to become teachers and with that release, there have been less of the "best and brightest" females in that role, but there has been no such bias for males in that field.



Well, let's suppose that in the past 40 or 50 years, the sampling of female teachers overall (i.e., grades K-12) who are the "best and the brightest" has reduced by, say, 35%, while the male sampling has remained basically stable. So while that might only reduce the overall sampling of "best and brightest" by around 10-15% at the high school level, where there are roughly equal numbers of male & female teachers, the corresponding reduction is considerably greater at the elementary school level (grades K-6) where, even today, the overwhelming majority of teachers are female. So, logically, the biggest decline in education might be felt in the earliest grades. (This is all guesswork on my part; I'm just following the discussion.)

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Thats funny we have univeral health care in Australia.... strange people still want to become Doctors and they still earn a good living.



Ever have a look at the caliber of students who become doctors in the USA, and the amount of training our doctors have, compared with that in the UK or Australia?

I'm not that familiar with Australia, but do you know what the English call the smart, motivated, hard working people--the ones who become doctors in the USA?

Bankers.



Good job too otherwise the worlds economy would be in shit street.... Oh , hang on a minute..:S:S:S
When an author is too meticulous about his style, you may presume that his mind is frivolous and his content flimsy.
Lucius Annaeus Seneca

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To what stage does this take you? My sister in law is 34 and has just reached consultant level and the end of exams after starting uni at 18 years old.

Your point in your post earlier was that the best candidates in the UK go into banking and not medicine. Exactly what does that have to do with the length of the course? I'm not arguing who is a better doctor at the end of it.

CJP

Gods don't kill people. People with Gods kill people

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Exactly what does that have to do with the length of the course?



I don't know. You were the one who brought up the length of study. I was just comparing the two different systems in that regard.
-- Tom Aiello

Tom@SnakeRiverBASE.com
SnakeRiverBASE.com

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Medicine is a very tough course. You need top grades from school to get in . You need to work incredibly hard for 5 years in Uni plus 2 years in hospital and you keep working hard all your life.



Have you done any comparisons to the US?

US doctors need 4 years in Uni, 4 years in medical school, and 4 (or more) years in the hospital. That's 12 years of training (compared with 7 in the UK).

In the US, the closest equivalent to the UK "doctor" is a Nurse Practitioner (4 years of Uni plus a Master's degree taking 1 or 2 years).


No offense but you're talking out of your arse.

In the UK its 6 years just to pass the MBBS/BSc/MBChB. Then you have to get on to a foundation course for 2 more years. Following that there is specialist training which is typically another 5 years but depending on speciality can be upto 10years if a PhD is required (Neuro for example).
Nurse practitioners are exactly that and whilst they maybe good in their role they are Nurses and not Doctors. To start working in a UK hospital a Dr has therefore had two years more medical training than their US counterpart.


:)
If we want to continue this discussion lets talk apples to apples instead of "ours have more" or "ours are better."

GENERALLY -
US System.
13 years basic schooling. (K through 12)
4 years undergraduate
4 years Medical School
Residency (Family Practice/Internal Medicine 3 yrs + fellowship; OB/Gyn 4 yrs; Surgery 5 years +)

GENERALLY -
UK System?

(I'm not being snotty. I really don't know.)

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One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.



Interesting thought. But I wonder if it discredits the males that have chosen that field.



Unless you're suggesting that teaching is somehow a "lower" career (?), it doesn't. I don't think that. And just to be explicit: it also doesn't discredit the women who have chosen that field because they really want to be teach.



I wasn't in any way stating it was a "lower" career. I was just wondering if your theory did a disservice to the males in the career by saying now that the "best and brightest women" are gone that the quality has declined.

Not that your theory might not have merit... but just wondering about the implications of that statement.

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I do agree that there was an artificial trend for females to become teachers and with that release, there have been less of the "best and brightest" females in that role, but there has been no such bias for males in that field.



Which would suggest that one likely already had men who chose teaching as a profession out of a wider pool of possible opportunities rather than a narrower range of choices.

What has been observed is a among the already low numbers of male teachers is a decreasing number of men entering teaching: "The number of male teachers in the United States is at a 40-year low. Out of the 3 million teachers in the United States, only one-quarter are men, according the National Education Association."

/Marg



And this would imply that not only have women left the field, but both sexes have chosen other careers. In that case, it would be very challenging to determine whether the loss of the females or the males were the significant variable in the decline.

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One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.



Interesting thought. But I wonder if it discredits the males that have chosen that field.



Unless you're suggesting that teaching is somehow a "lower" career (?), it doesn't. I don't think that. And just to be explicit: it also doesn't discredit the women who have chosen that field because they really want to be teach.



I wasn't in any way stating it was a "lower" career. I was just wondering if your theory did a disservice to the males in the career by saying now that the "best and brightest women" are gone that the quality has declined.

Not that your theory might not have merit... but just wondering about the implications of that statement.



As I explicitly noted, it's a hypothesis not a theory.

There's everything right with asking the question of how does that hypothesis account for the role of male teachers. (And the role of the "best and brightest" women who elect to pursue teaching too.)
You made/implied the assumption about "discrediting" one group or another.



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I do agree that there was an artificial trend for females to become teachers and with that release, there have been less of the "best and brightest" females in that role, but there has been no such bias for males in that field.



Which would suggest that one likely already had men who chose teaching as a profession out of a wider pool of possible opportunities rather than a narrower range of choices.

What has been observed is a among the already low numbers of male teachers is a decreasing number of men entering teaching: "The number of male teachers in the United States is at a 40-year low. Out of the 3 million teachers in the United States, only one-quarter are men, according the National Education Association."



And this would imply that not only have women left the field, but both sexes have chosen other careers. In that case, it would be very challenging to determine whether the loss of the females or the males were the significant variable in the decline.



True to some extent - that what are the independent and dependent variables are not known, hence why it's a hypothesis. Also can't necessarily apply same cause or effect.

As [Andy9o8] explained magnitude of effect matters. I.e., one also would need to factor the significance of the change. If a pool of 10 previous high quality candidates was reduced to 9 that magnitude of that effect is likely to be less than if the a pool of 40 is reduced to 4. 10:40 ratio reflecting the average ratio of male to female teachers. 10% reflecting the reduced number of male teachers as an overall percent. And 90% of women choosing other careers as a back of the envelope calculation of alternative career path for women. (Suspect it's actually higher than that.)

Although the reasons for decline are not necessarily the same. Particularly given prior tacit limitations on one sex w/r/t choice of careers versus the other.

/Marg

Act as if everything you do matters, while laughing at yourself for thinking anything you do matters.
Tibetan Buddhist saying

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One of my personal hypotheses -- pure speculation -- is that part of the reason for the apparent decline in public education is that many of the 'best and brightest' women who used to have very few choices for careers (nurse, secretary, teacher) now become doctors, lawyers, etc.



Interesting thought. But I wonder if it discredits the males that have chosen that field.



Unless you're suggesting that teaching is somehow a "lower" career (?), it doesn't. I don't think that. And just to be explicit: it also doesn't discredit the women who have chosen that field because they really want to be teach.



I wasn't in any way stating it was a "lower" career. I was just wondering if your theory did a disservice to the males in the career by saying now that the "best and brightest women" are gone that the quality has declined.

Not that your theory might not have merit... but just wondering about the implications of that statement.



As I explicitly noted, it's a hypothesis not a theory.

There's everything right with asking the question of how does that hypothesis account for the role of male teachers. (And the role of the "best and brightest" women who elect to pursue teaching too.)
You made/implied the assumption about "discrediting" one group or another.

Marg



Obviously my question with respect to your hypothesis has offended. We are not communicating well. I'm done discussing this topic with you.

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I wasn't in any way stating it was a "lower" career. I was just wondering if your theory did a disservice to the males in the career by saying now that the "best and brightest women" are gone that the quality has declined.



It's hardly a disservice. It would be surprising if her guess is not correct. With the playing field much closer to equal, I expect women to follow the money much the way that men always did.

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Neither of these groups is going to do as well in any other endeavor...



I totally disagree. Our system tends to select the best, brightest, hardest working and most motivated to be doctors. You really think those people aren't going to succeed in some other line of work?



On the whole I'd like at least some of the best and brightest to become designers of airplanes, bridges, etc.
...

The only sure way to survive a canopy collision is not to have one.

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Medicine is a very tough course. You need top grades from school to get in . You need to work incredibly hard for 5 years in Uni plus 2 years in hospital and you keep working hard all your life.



Have you done any comparisons to the US?

US doctors need 4 years in Uni, 4 years in medical school, and 4 (or more) years in the hospital. That's 12 years of training (compared with 7 in the UK).

In the US, the closest equivalent to the UK "doctor" is a Nurse Practitioner (4 years of Uni plus a Master's degree taking 1 or 2 years).



Comparing apples to oranges?

We (in common with pretty much every other US university) find that incoming 18 year olds from Europe and the UK are generally AT LEAST one year ahead of their US counterparts, particularly in math and science. We also find that starting graduate students from Europe and UK universities are well ahead of their US counterparts.

So just comparing years of study is rather meaningless.
...

The only sure way to survive a canopy collision is not to have one.

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On the whole I'd like at least some of the best and brightest to become designers of airplanes, bridges, etc.



It would be nice to be able to force some of them into those career fields, wouldn't it? Couldn't we get superior bridges and airplanes declared rights of the people? Yes comrade.
The forecast is mostly sunny with occasional beer.

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On the whole I'd like at least some of the best and brightest to become designers of airplanes, bridges, etc.



It would be nice to be able to force some of them into those career fields, wouldn't it? Couldn't we get superior bridges and airplanes declared rights of the people? Yes comrade.



You DO have the right to be safe on a bridge or airplane, and can sue if a defective design caused injury. Very capitalist, in fact.
...

The only sure way to survive a canopy collision is not to have one.

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You DO have the right to be safe on a bridge or airplane, and can sue if a defective design caused injury. Very capitalist, in fact.



And then someone comes along and starts offering malspanery insurance to engineers...

...

...you see "span" works for both the bridges and the airpl- ah, forget it.

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Medicine is a very tough course. You need top grades from school to get in . You need to work incredibly hard for 5 years in Uni plus 2 years in hospital and you keep working hard all your life.



Have you done any comparisons to the US?

US doctors need 4 years in Uni, 4 years in medical school, and 4 (or more) years in the hospital. That's 12 years of training (compared with 7 in the UK).

In the US, the closest equivalent to the UK "doctor" is a Nurse Practitioner (4 years of Uni plus a Master's degree taking 1 or 2 years).


No offense but you're talking out of your arse.

In the UK its 6 years just to pass the MBBS/BSc/MBChB. Then you have to get on to a foundation course for 2 more years. Following that there is specialist training which is typically another 5 years but depending on speciality can be upto 10years if a PhD is required (Neuro for example).
Nurse practitioners are exactly that and whilst they maybe good in their role they are Nurses and not Doctors. To start working in a UK hospital a Dr has therefore had two years more medical training than their US counterpart.


:)
If we want to continue this discussion lets talk apples to apples instead of "ours have more" or "ours are better."

GENERALLY -
US System.
13 years basic schooling. (K through 12)
4 years undergraduate
4 years Medical School
Residency (Family Practice/Internal Medicine 3 yrs + fellowship; OB/Gyn 4 yrs; Surgery 5 years +)

GENERALLY -
UK System?

(I'm not being snotty. I really don't know.)


Its not a matter of more being better but 'the closest equivalent to the UK "doctor" is a Nurse Practitioner' is a stupid and uninformed statement.

As you ask, in the UK the education system is Primary school, secondary school (until 18/19) UK students start school one year earlier than US students do. (Thus, by the time they reach uni, they've had an extra year of school. But by the time a US or a UK student gets their bachelors degree, they've had the same number of total years of school.)
Then on to med school (The degree system seems to be different to the US system.) Candidates for Med school in the UK have to have A levels usually A grades in certain subjects to get in to Med school. In most Med schools they can also do a BSC Hons during the course in Biomedical science or related medical discipline before going on to complete medicine.

As we both know there are good bad and average doctors, regardless of where they trained.
When an author is too meticulous about his style, you may presume that his mind is frivolous and his content flimsy.
Lucius Annaeus Seneca

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On the whole I'd like at least some of the best and brightest to become designers of airplanes, bridges, etc.



It would be nice to be able to force some of them into those career fields, wouldn't it? Couldn't we get superior bridges and airplanes declared rights of the people? Yes comrade.



You DO have the right to be safe on a bridge or airplane, and can sue if a defective design caused injury. Very capitalist, in fact.



I believe you are using the wrong words here, and words ARE important, according to our new CIC. I have reasonable expectation of safety on the bridge and in the aircraft, but it's not a right, in the context of human rights and the Constitution. If I sue, its not for a violation of civil rights.
The forecast is mostly sunny with occasional beer.

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