Medical school debt isn't a major factor (speaking as an MD with medical school debt who doesn't even practice). Great to get rid of it, but I don't think it wi

Medical school debt isn't a major factor (speaking as an MD with medical school debt who doesn't even practice). Great to get rid of it, but I don't think it will impact care either way. A better target would be letting student's start medical school earlier instead of after undergrad, and letting them pre-specialize into surgery and primary care. As is even family physician's have to go to medical school for four years and _then_ specialize in primary care. I think that's absurd. They should merge primary care into medical school and churn out primary care physicians by default, who could then optionally specialize. Also my wife is a Dentist. She works 4 days a week and does extremely well. If malpractice and costs were an issue for Dentist's in the US, they would work more. I know a lot of dentists but not a single one that works 5 days a week. And of course no residency required. Its got to be the best career choice in the US today. As for firing people... I agree probably not. But most Hospitals _do_ run on a tight margin (like 5% or less), and the majority of their costs are staff. But overall, if you've experienced the system at all, you know how utterly wasteful and unorganized it is. Its difficult to fathom a system with more waste, which is especially ironic since there's so many smart people running around. I think single payer, whatever the flaws, would absolutely be a major change in the right direction.