DixyCrat: This would be a wonderful world, where the remuneration was tied to how much physical anguish it costs to undertake the work.
M: It would be a step in the right direction, I would say, if it were at least not inversely tied to it. We have this thing called hunger and a structure that insures enough of it to also insure masses of people who will do any kind of work to survive.
DC: It may well be; but it may well be that too many people get through such programs. I know the latter is the case for Lawyers, who for the most part make much less than the public perception of the profession.
M: People dream.
DC: I've heard that too.
M: Well the point is that those who have are protective of what they have and do what they can to prevent a true market system.
DC: I hear that there are actually a number of options for those properly motivated; for example being a DO which will allow you to fully serve as a general practitioner or even a specialist. Further, the limitations of nursing are very low, with only a 2 year degree needed to enter the profession, but it is still in stark need of people and sees ever growing pay for the profession.
M: There may be psychological factors involved in people's interest in health care, but there is also a big cost to surmount before there is any reward. That is a problem many can't address.
DC: I agree. But perhaps the real problem isn't legitimate structure (i.e. I just can't get in even though I'd do a good job) but social-structural (i.e. I can't see myself being a Doctor or Nurse, I don't care enough about people).
M: Personally, I don't think you can have winners without those who lose, that one creates the other. But if what you say is the basic fact then perhaps it adequately explains why people go into medicine, for the money, and not to serve. That's great for the doctor, but maybe not so good for people who are sick.