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In certain Asian countries, medical education is 100% covered but you must work at a public hospital for X years. I honestly think it’s very fair. If tax payers

In certain Asian countries, medical education is 100% covered but you must work at a public hospital for X years. I honestly think it’s very fair. If tax payers full funds your education, it should be mandatory to work in public services for X amount of years.

mrtksn 3mo ago
Yep, that's common in many countries for doctors. Not much for anything else(maybe teachers too) and how much X is good enough is debatable. Certainly common resources are very vulnerable to incorrect pricing and profiteering. In the past there are many cases where local populations were deprived from their vital needs because some king/queen/sultan/khan etc needed that more.
carbocation 3mo ago
That is essentially how it works in the US as well thanks to public service loan forgiveness for physicians.
hx8 3mo ago
This is common for teachers in many US states too -- spend X years teaching where we need you the most and we cover your degree. In the US a teaching degree might be $50,000, and medical degree might be $500,000. I'm not sure I want my state government covering half a million in education costs for one person... I know that we need doctors but I'd want to see some ROI numbers to justify such a high expense.
- nradov 3mo ago
  The National Health Service Corps (NHSC) Scholarship Program and Indian Health Service Scholarship Program will pay for medical school in exchange for agreeing to work in underserved areas for several years. Some states have similar programs. I'm not sure how you would even begin to calculate ROI for that. https://www.congress.gov/crs-product/R44970 https://www.congress.gov/crs-product/R44970
  - hx8 3mo ago
    It's complex and imperfect, but in this situation the most direct ROI would be the cost of recruiting a newly graduated doctor by increasing the salary until someone accepts compared to the cost of providing the scholarship.
- gravypod 3mo ago
  There was an article posted on HN recently about the asymmetry in cost of providing an ambulance service vs the cost of the per-ride service. The cost of a medical degree, and the training on top of the degrees, may seem waaay too high but I am sure that when you need the service you want it to be there. I think if I break a leg, need an emergency surgery, etc I will be okay with $0.00001 of my taxes going into the pile needed for paying off those $500k loans.
  - rogerrogerr 3mo ago
    At least in the US, the dudes who pick you up in the ambulance do not have medical degrees. They have various certifications that are far less than med-school levels of debt.
    - gravypod 3mo ago
      I think part of this is the organization of the training. Cuba trains doctors for likely much less than $500k USD. Also, the training we give to a US solider is very expensive but we have "productionized" the process. The people who provide the training are employed by the military, the training is standardized, etc. Maybe a similar approach could work for other skills. Remember, our military trains surgical assistants and nuclear engineers! These are expensive degrees but they manage to do it.
- grogenaut 3mo ago
  One of the teachers I know had to pay for 7 years past their forgiveness date of 10 years teaching because of the student loan shenanagains in the early 202's and then the shutdowns. Luckily finally she got the loan closed ans is still waiting on the 10% back for paying over.
HDThoreaun 3mo ago
There are programs that work this way in the US too. Most doctors arent interested because the pay cut you take working for the poor hospitals/military for a decade arent worth the paid off loan.

mrtksn 3mo ago

Yep, that's common in many countries for doctors. Not much for anything else(maybe teachers too) and how much X is good enough is debatable. Certainly common resources are very vulnerable to incorrect pricing and profiteering. In the past there are many cases where local populations were deprived from their vital needs because some king/queen/sultan/khan etc needed that more.

carbocation 3mo ago

That is essentially how it works in the US as well thanks to public service loan forgiveness for physicians.

hx8 3mo ago

This is common for teachers in many US states too -- spend X years teaching where we need you the most and we cover your degree. In the US a teaching degree might be $50,000, and medical degree might be $500,000. I'm not sure I want my state government covering half a million in education costs for one person... I know that we need doctors but I'd want to see some ROI numbers to justify such a high expense.

nradov 3mo ago
The National Health Service Corps (NHSC) Scholarship Program and Indian Health Service Scholarship Program will pay for medical school in exchange for agreeing to work in underserved areas for several years. Some states have similar programs. I'm not sure how you would even begin to calculate ROI for that. https://www.congress.gov/crs-product/R44970 https://www.congress.gov/crs-product/R44970
- hx8 3mo ago
  It's complex and imperfect, but in this situation the most direct ROI would be the cost of recruiting a newly graduated doctor by increasing the salary until someone accepts compared to the cost of providing the scholarship.
gravypod 3mo ago
There was an article posted on HN recently about the asymmetry in cost of providing an ambulance service vs the cost of the per-ride service. The cost of a medical degree, and the training on top of the degrees, may seem waaay too high but I am sure that when you need the service you want it to be there. I think if I break a leg, need an emergency surgery, etc I will be okay with $0.00001 of my taxes going into the pile needed for paying off those $500k loans.
- rogerrogerr 3mo ago
  At least in the US, the dudes who pick you up in the ambulance do not have medical degrees. They have various certifications that are far less than med-school levels of debt.
  - gravypod 3mo ago
    I think part of this is the organization of the training. Cuba trains doctors for likely much less than $500k USD. Also, the training we give to a US solider is very expensive but we have "productionized" the process. The people who provide the training are employed by the military, the training is standardized, etc. Maybe a similar approach could work for other skills. Remember, our military trains surgical assistants and nuclear engineers! These are expensive degrees but they manage to do it.
grogenaut 3mo ago
One of the teachers I know had to pay for 7 years past their forgiveness date of 10 years teaching because of the student loan shenanagains in the early 202's and then the shutdowns. Luckily finally she got the loan closed ans is still waiting on the 10% back for paying over.

HDThoreaun 3mo ago

There are programs that work this way in the US too. Most doctors arent interested because the pay cut you take working for the poor hospitals/military for a decade arent worth the paid off loan.