A good argument can be made that individual States should create their own medical schools, to provide “second tier” public medical care parallel to the private health care system.
To start with, medical schools and nursing colleges produce high quality graduates, but far too few of them. If they were solely for private practices, this would be adequate, but using them as well in public medical care spreads them too thin.
At the same time, much of the public health care system has a different medical orientation than private practices. This is based both on a greater emphasis on preventative care, and limitations on the degree of care provided by the willingness of the taxpayer.
As one example, a public care physician specializing in OB/GYN spends far more time with prenatal instructional care, as their patients are far more likely to have troublesome pregnancies. But this is not the best use of the time of a fully qualified OB/GYN.
In another example, a private dentist could go to great lengths to save a damaged tooth with fillings, caps, implants, etc. A public care dentist is more inclined to just remove the tooth entirely, as the loss of a single tooth is not functionally limiting, just less aesthetically attractive.
Since their practices are different, giving them different training in a “Second Tier” medical school makes sense. And this applies not just to doctors, but to nurses and other practitioners as well. As well, there would be no need to limit the number of graduates from these schools.
In some ways, State medical schools would be like the training of Doctors of Osteopathy, which are also trained on a private system parallel to Medical Doctors.
The end result of State medical schools would be that there would be far more qualified personnel serving public institutions, not just County hospitals, prisons and other institutions, but rural areas as well.
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