@ranjit_buttar,
@ConfusedChemist is right. They're being rude about it, and that's not okay, but it's true what was said. In Canada there is a doctor shortage in areas that people tend to not want to live and put down roots in. These are mostly rural areas. The shortage is because the Canadian government (through funds sent to the provinces) pays for the salaries of the doctors and more importantly, the cost of the actual tests, medicine etc that the patient needs. One of the greatest fears of any socialized government paying for the healthcare of its people isn't just
more doctors that the government might not afford. It's
idle doctors. Canada was introduced to this problem in the early 90s (or maybe 80s I'm not sure). There were plenty of doctors at this time, and the average family physician had a roster of far fewer patients than the family physician of today. However, what happened wasn't that the doctors worked less since they had fewer patients; rather, they simply ordered
more tests,
more investigations that lead to more or less safe, however unnecessary costs to the government that had to foot the bill for all those extra investigations. This was because doctors then and still, now to a substantial extent, get paid via "fee-for-service". This means that as a physician, the more things I do to a patient the more I get paid. So doctors at that time were incentivized to do more even though it might not necessarily be needed. So, to cut costs, the government decided to restrict the number of doctors practicing in Canada to make sure that they are so busy they can only afford to spend the minimum amount of time per patient that results in safe care, even if it means ordering fewer tests and catching a few less diseases. It sounds cruel and it kinda is, but at the end of the day its a cost/benefit analysis that every government has to make. Where
@ConfusedChemist is wrong is to assume that because someone was a second rate medical school applicant which forced them to go outside of Canada to train to become a doctor that makes them necessarily a second rate doctor.
@ConfusedChemist might have a point if we lived in a world without electives, reference letters, or board scores so all we have to go off of regarding one's qualification is their perceived mediocrity in their early twenties but that isn't the world we live in. So take what she says with a grain of salt; but also understand that she does have an admirable understanding of the competitiveness and difficulty it takes to get a job in a market that functions to maintain high salaries for those with a job by ensuring only a select few get that job and we are all very lucky to have her on these forums, honestly.