An Idea for Real Healthcare Reform

One of the many flaws of the Affordable Care Act is that it increases demand for healthcare but does nothing to increase the supply of healthcare providers i.e. doctors.

An important metric of the strength of a country's healthcare system is physicians per capita which is usually given as the number of physicians/1,000 of the population. According to the CIA World Factbook and similar references, the U.S. had 2.45 physicians/1,000 population in 2011. The left loves to point to European countries as examples for the United States to emulate. For example, France has a physicians per capita of 3.19, Germany 3.89 and Switzerland 4.05. America's number is even less than Uzbekistan's 2.53. Obviously, physicians/1,000 of the population is only one indicator and doesn't tell the whole story but it is significant. 

An important factor in the shortage of doctors in the U.S. has to be the high cost of medical school. Typically, a new American doctor starts his or her career with hundreds of thousands of dollars in student loan debt. To help alleviate this problem, I propose the creation of the Civilian Medical Training Corps which would be modelled after the Reserve Officer Training Corps or ROTC.

CMTC would offer promising American students a full scholarship to a civilian medical school in exchange for five years of service in an underserved region of the country or perhaps a VA hospital. After that, the doctor would be free to practice medicine anywhere they chose but would still be required to donate their time one weekend a month and 2 weeks a year just like a military Reservist. An additional benefit would be they would also be available during times of crisis such as natural disasters. The students would be selected through a national competitive exam. So how much would this program cost? A quick check of the numbers follows.

In order to increase the physicians per 1000 to 3 it would require an additional 170,500 doctors. To do this in 10 years means 17,050 doctors per year at a cost of $3.41 billion which is a little less than 4% of the U.S. Department of Health and Human Services (HHS) $87.4 billion annual discretionary budget. To raise the physicians per 1000 to 4, the cost would be $9.61 billion or about 10% of the annual discretionary budget. This seems to me to be a worthy use of HHS funds.

Would this proposal significantly improve the healthcare system in America? I guaran-damn-tee you it will have a more positive effect than Obamacare's fiddle farting around with the insurance system!