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My stepfather grew up in an Asian country. He was a C student over there but interestingly enough, he graduated at the top of his highschool/college here in the US and later went on to study medicine at a school in the north east.
He explained that the way it's set up in Japan is kids are regimented since day one to adhere to very high expectations and are constantly having to undergo high stakes exams that determine which middle school and high school they get into which then determines what type of career and/or higher level education (i.e. med school) is available to them.
Compare this with the American system where you can do poorly on the SAT and graduate from an a lesser funded high school/college and still have a very real chance of going to med school rather than having that door shut at such a young age. I know a guy who was a screw off in high school, graduated with a trash GPA and even came close to getting expelled but now studies at Harvard Law just by being allowed the opportunity to go to a community college, transfer to a prestigious four year University and destroy the LSAT. For what it's worth, my step dad has told me that he prefers the American system because it allows you to have this type of mobility in choosing a career at any point of one's academic journey.
The reason I point this out is not to necessarily change your mind about how sh*tty the status quo is here. FWIW I do agree with a lot of your points but my aim is simply to question the line of thinking that the grass is greener in other countries just because they churn out doctors at a younger age when the reality is that they may have it harder than us in a lot of other ways that may not seem obvious.
Furthermore, I'm of the opinion that having time to discover for yourself some sort of passion for medicine before making the plunge is ultimately to your benefit and the system here in the US allows for this type of exploration. That in and of itself is something you shouldn't take for granted.
Just my two cents.
True, they have more rigorous school system based on people just competing and gunners while they are still in school... Private schools in US are very similar if not better... most of my med school friends were in private schools where competition was fierce....
I do understand that public schools are not great... but I did not have a lot of public school students with me as my colleagues.