Does anyone know if the single payer models we use in the US keep Dr. salaries on par? I've only heard of savings from negotiated drug prices, and insurance overhead; but, if Dr. salaries are also decreased, OP's got an interesting point.

From my understanding of Bernie's "Medicare For All" bill (S. 1804) [1] payment to providers would be fixed at the, well, Medicare rate. Medicare rates are about 40% lower than private insurance (about 56% of national healthcare spending is private), but it's also higher than Medicaid and obviously higher than what the uninsured pay. All-in-all, from the figures I've seen [2], this specific single-payer plan would lead to about a 10.6% [3] overall reduction in payment to providers (some of which will be ameliorated by a reduction in costs that maintain complicated insurance administration work at hospitals) but I imagine providers will generally take some percent hit to payments which would in turn affect physician salaries (albeit not drastically)

[1] https://www.congress.gov/bill/115th-congress/senate-bill/180... [2] https://www.mercatus.org/system/files/blahous-costs-medicare... [3] https://www.peoplespolicyproject.org/2018/08/15/provider-pay...

I don't think doctor salaries are substantially lower in Canada.

I couldn't find the original study that these articles are based off of..

"Canadian doctors still make dramatically less than U.S. counterparts: study" https://nationalpost.com/news/canada/canadian-doctors-still-...

US doctors earn much more than peers, study says https://bangordailynews.com/2011/09/09/health/us-doctors-ear...

>Because who in their right mind wants to sacrifice 16 years of earning potential, take on 500K of debt only to become an MD with long work days and now prices that are fixed with no other form of negotiation leverage in sight.

Asians/Indians make most MDs in the US because being a doctor is valued a lot in their communities even if you've infinite debt, you still get respect.

Second, most doctors come from doctor families. They've already transversed the path once, and their kids can reuse the knowledge and connections.

So yea, my father is MD and he can easily support 16 years of MD education for me. If you don't have a family with similar resources, obviously either you can take debt which comes with enourmose stress/worries which decrease your chance to complete or not compete at all!

Individualistic people aren't going to find it easier to compete with community backed people.

What if you want to do something your community doesn’t value?

Then the community does not value you untill you achieve success in the said profession. So it's very risky. Most guys don't choose it because then you've to hide in all family gatherings....