> most people

don't say that

If the doc paid for his education he should go wherever he wants, if the state did I want to see a loyalty cause in the contract

@Jes i've advocated in the past for us putting a binding term on doctors, they work for the NHS for 10 or 20 year mandetory before they can leave, and the state swallows the education burden

We already do it for teachers

Certain subjects at least

but we stagger the "pay-back" of the tuition in such a way that after x years a % is paid back, so that people can choose to leave early and own the cost personally

to be fair, i wouldnt expect that in other areas... like if british people got a grant for IT courses...

so for example, say we go with 20 years for free education: after the 10th year each additional year brings your debt 10% down

I'm down with that.
Say it's 1 mil in education. You leave before year 20 it's 50k a year you owe

Now there is a down side

@wacka this is talking to make it free

so society prioritises doctors

Doctors are already a free course in the uk

sweeping reform

The doctorate part at least

it would be politically painful

but we need to sort out the incentives here

is that still the case though? I thought brown ended education grants... or might have been DC

Abolish the GP system, it's a quasi-private system

i'm ok with a mixture of public and private

what's the argument that this implamentation is bad?

I'm okay with it if it's planned - not if it's a hold back from 70 years ago

Docs get paid per seen patient

right, so is it a remaining part of pre-nhs?

Yeah

ok, then yeah, it needs to be reconsidered

Hence why a go practice is officially a 'private practice'

Go is gp lol

again, i'm fine with private practices

even if they provide NHS service

hmm apparently the average wait time for a knee replacement is longer under private insurance than NHS

@wacka here in the UK?

yeah

I'm all for private. Just it was how we roped doctors in a the birth of the NHS

@wacka what's the root cause of that? is it some delay in getting the bone replacement? or is it a backlog?

because not all doctors practise privately on top of the nhs work they do

ah hang on... Im just reading this weird graph wrong 😛

So like, 2 local practices merged so they didn't have to rent 2 buildings - now people have to travel further and get less time with a doc to maximise profit

@Jes i've worked with many bottom feeders from the nhs in my job

one line is NHS wait time, one bar is private cost