Medical training should be free. Paid 100% by the government. It should also be extremely selective, with both an IQ test and a knowledge test before admission and rigorous knowledge tests every year after.
The reason why this is impossible is the Civil Rights Act. Instead of gatekeeping into the medical profession through IQ tests and knowledge tests, which would violate the Civil Rights Act, we gatekeep through extremely high costs of medical school.
People who decide to take on the exorbitant burden of debt to attend medical school are either supremely confident or mentally unwell. Often, these two groups intersect. We end up with a shortage of doctors because many people don’t want to take on the risk of saddling themselves with gigantic loans without the certainty that they can be successful in the medical profession. The field is attractive to foreigners who finance part of the medical journey overseas at a much lower cost but God knows in what conditions and with what degree of rigor. Many gifted Americans who want to be doctors never try going into the field because their afraid of ruining their lives by taking on huge amounts of debt.
This issue can be solved very easily by adopting the measures I listed above. But it’s not going to be solved because these measures will create disparate impact. We are willing to sacrifice our lives, literally, to avoid disparate impact. That is very, very crazy.


