Marxists value all labor equally. As such, they should always get a neurosurgeon assigned from the local janitorial service. Recruit heart surgeons from the local plumbing supply house. Blood pump/water pump...what's the difference?
I could see this sort of crap on the horizon when I graduated from UCSD in 1976. That is one reason I decided against med school.
When we adopted our kids from Russia, our driver between two towns near the Ural mountains was a doctor. His salary was about $50/month (this was about 10 years ago). He earned more driving us on that 3 hour trip than he had earned in one month of his medical practice. That tells you about how the communists value medical training (at least for the doctors who treat the commoners).