Good for you, UK

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This seems like a product of removing incentive for "senior" docs to work nights. Of course they're going to unload those crappy shifts onto the junior docs. Subsequently, of course the junior docs strike.

Reminds me of that quote by Hayek "The curious task of economics is to demonstrate to men how little they really know about what they imagine they can design."

(And I'll just leave this here... http://www.bma.org.uk/support-at-work/pay-fees-allowances/pay-scales/general-practitioners-pay)
 
This seems like a product of removing incentive for "senior" docs to work nights. Of course they're going to unload those crappy shifts onto the junior docs. Subsequently, of course the junior docs strike.

Reminds me of that quote by Hayek "The curious task of economics is to demonstrate to men how little they really know about what they imagine they can design."

(And I'll just leave this here... http://www.bma.org.uk/support-at-work/pay-fees-allowances/pay-scales/general-practitioners-pay)
I'd strike too. They're making less than my plumber
 
I'd strike too. They're making less than my plumber
Your plumber makes 81-123K a year? That's also the pay for GPs. Yes its lower, but only ~60k less than the average starting salary for FM in the US, plus they don't have the loan burden US students do.

Edited for dumbs.
 
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Your plumber makes 81-123K a year? That's also the pay for junior GPs. Yes its lower, but only ~60k less than the average starting salary for FM in the US, plus they don't have the loan burden US students do.

Loan burden has absolutely nothing to do with income.
 
Loan burden has absolutely nothing to do with income.

It has a significant impact on what you can do with your income, such as investments - which can ultimately contribute to your total income in the present and/or future...
 
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My bad - that was a typo I left in while editing.

That said, I still feel that's a reasonable salary for GPs once you factor in the differences between the US and UK, and one with which most could live fairly comfortably. It also doesn't account for the incentives that UK GPs can receive, or that they can go the "private practice" route to earn more if they desire.

you think no more than 70k a year for a high paying specialty 7-9 years after graduation is reasonable?
 
you think no more than 70k a year for a high paying specialty 7-9 years after graduation is reasonable?
GP = FM, one of the lower paying specialties. The minimum is 81k not 70k (US dollars), and max 123k - not sure how you couldn't live rather comfortably with that. You also ignored incentives, which aren't factored in the links above, the option to go the "private practice" route to avoid the BMA pay system, and much lower debt burden on UK physicians compared to US.
 
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GP = FM, one of the lower paying specialties. The minimum is 81k not 70k (US dollars), and max 123k - not sure how you couldn't live rather comfortably with that. You also ignored incentives, which aren't factored in the links above, the option to go the "private practice" route to avoid the BMA pay system, and much lower debt burden on UK physicians.

Private practice in England is not that popular. Most people do not pay for private insurance, In fact the private hospitals in the UK see much less volume of people so the top Drs usually stay in the NHS hospitals . Most people see the GP who is assigned to their area. the Max pay in for a GP in the NHS is roughly 85k GBP. You would typically get that type of pay in London. London is a super expensive city. Raising a family of 4 on 125k in NYC or San Fran wouldn't be as comfortable as you think. Just a 1 bedroom flat in London is going to run you nearly 1700-2000 pounds a month, which would be almost 30% of the Max GP salary.

Also if you clicked the link the salary I was referencing was to the junior doctor and registrar years. In order to be a specialist consultant or surgeon in the UK the GME is longer than it is in the US. It takes a minimum of 8 years in the UK to become a specialist consultant and roughly 5 years to be a GP, and that is post graduation.
 
GP = FM, one of the lower paying specialties. The minimum is 81k not 70k (US dollars), and max 123k - not sure how you couldn't live rather comfortably with that. You also ignored incentives, which aren't factored in the links above, the option to go the "private practice" route to avoid the BMA pay system, and much lower debt burden on UK physicians compared to US.
Because the tax rate in the UK is going to take almost half that number. Why go to medical school for a take home pay of 50-70k?
 
Medicine in Europe is more like any other job almost than medicine in the US. Medical school is very cheap and their residents work fairly normal hours. They get overtime pay at night and over 40 Hrs a week. It's not like the US where you work brutal hours for a fixed salary and have 200k debt
 
Medicine in Europe is more like any other job almost than medicine in the US. Medical school is very cheap and their residents work fairly normal hours. They get overtime pay at night and over 40 Hrs a week. It's not like the US where you work brutal hours for a fixed salary and have 200k debt
This is what I'm trying to get at, but probably did a crappy job of addressing. Comparing medicine in Europe to medicine in the US is an apples v. oranges scenario. There's no such thing as a perfect system and both have their pluses and minuses.
 
They're fighting for their rights and they have even better conditions than current U.S. residents so I'm not sure what you two are going on about...

If anything you guys should be embarrassed.
We have it much better post-training. Junior doctors over there are juniors for a much longer period than we are, and are paid much less if they ever manage to land a consultant spot (which requires a consultant spot to open and is completely independent of their time in training, unlike here, where three to seven years and we're done and allowed to be attendings).
 
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We can always spur up the discussion that medicine shouldn't be about the money, blah, blah, w/e. In actuality we know it is about the money because that's one of the most powerful motivating forces in this world. Not a bad thing... It promotes progress and growth in societies. Otherwise we would still be relying on railroads and horse drawn carriages to get us from point A to point B


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i.e.: the fruit of socialized medicine! More work, less money, crappier care.
Please don't twist the event. Read this article for more info: http://www.telegraph.co.uk/news/201...doctors-paid-and-why-are-they-threatening-to/

The avg. starting pay for interns in the UK is 27k pounds which is $40k - similar to what our residents are paid now. British interns are limited to 50h/week work (although I think hospitals do find ways around that just like US hospitals do). However, they are paid overtime rates for working more. Yet they are striking because they feel free enough to do so - because the new contract does NOT protect them from hospital abuse (eg, making them work worse hours).

Our residents' work hours are much worse than theirs for the same salary. Our doctors work worse hours, too. Nowhere in the world are residents made to work as hard as in the US. You gotta wonder why OUR students don't strike like they do.

FYI, British students also went on strike against 9k/year tuition last year. And 9k is the maximum limit that British uni are allowed to charge.
In another EU country, Vienna students protested against 400 euro/year tuition 3 years ago! As a result, uni in Austria are now FREE.
Are you gonna say that THEIR college/tuition/condition is "worse" than ours just because they went on strike but we don't?! If anything, WE are too accepting toward our abusers, unlike the Europeans.
 
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We have it much better post-training. Junior doctors over there are juniors for a much longer period than we are, and are paid much less if they ever manage to land a consultant spot (which requires a consultant spot to open and is completely independent of their time in training, unlike here, where three to seven years and we're done and allowed to be attendings).
No, we don't. Have you heard of ANYONE in the EU who works more than 40h/work? Such is an American thing. http://www.eurofound.europa.eu/observatories/eurwork/comparative-information/overtime-in-europe

They pay no malpractice insurance and their patients are not as litigious. They have longer PAID vacation, PAID parental leave, generous pension, and they pay zero tuition for their children's education.
And please don't buy into the myth that EU doctors get paid less. http://www.bma.org.uk/support-at-work/pay-fees-allowances/pay-scales
Also, most EU GPs work at their private practice which enables them to earn more + much more if they incorporate a pharmacy into their office.
 
No, we don't. Have you heard of ANYONE in the EU who works more than 40h/work? Such is an American thing. http://www.eurofound.europa.eu/observatories/eurwork/comparative-information/overtime-in-europe

They pay no malpractice insurance and their patients are not as litigious. They have longer PAID vacation, PAID parental leave, generous pension, and they pay zero tuition for their children's education.
And please don't buy into the myth that EU doctors get paid less. http://www.bma.org.uk/support-at-work/pay-fees-allowances/pay-scales
Also, most EU GPs work at their private practice which enables them to earn more + much more if they incorporate a pharmacy into their office.
First off, you realize that after 19 years, the average CONSULTANT is making only $148,290.93, right? I mean, I know a guy who works two weekends a month in a rural area and makes 200k not even five years out of school, in addition to 250k for his regular job. And that is BEFORE taxes, which are significantly higher there.

I'd rather work harder (10 hours a week) to make substantially more- if you want to have a nice 9-5 life and a meh salary, feel free to hop the pond. As to paying for their children's education, their schools charge tuition as well- Oxford, for instance, is 9k GBP per year and rising, without cost of living and such factored in.
 
First off, you realize that after 19 years, the average CONSULTANT is making only $148,290.93, right? I mean, I know a guy who works two weekends a month in a rural area and makes 200k not even five years out of school, in addition to 250k for his regular job. And that is BEFORE taxes, which are significantly higher there.

I'd rather work harder (10 hours a week) to make substantially more- if you want to have a nice 9-5 life and a meh salary, feel free to hop the pond. As to paying for their children's education, their schools charge tuition as well- Oxford, for instance, is 9k GBP per year and rising, without cost of living and such factored in.
You're being inconsistent with your reply with respect to purchasing/buying power: you acknowledge it in some instances and not in others. The matter of fact is that it isn't a meh salary when you include everything else that has been mentioned in this thread already.

It's also really hard to put a value on free time. And freedom. Good luck getting residents anywhere in the U.S. to strike in the fashion demonstrated in the UK for better pay/hours.

It is also really hard to go to medical school in the UK. I've tried, and failed miserably. Something about not having taken chemistry in high school; crazy, I know.

(I hate to scrutinize posts so carefully cause I make a ton of ridiculous statements, but you're also going from reported averages to anecdotes. It really weakens you're argument. )
 
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You're being inconsistent with your reply with respect to purchasing/buying power: you acknowledge it in some instances and not in others. The matter of fact is that it isn't a meh salary when you include everything else that has been mentioned in this thread already.

It's also really hard to put a value on free time. And freedom. Good luck getting residents anywhere in the U.S. to strike in the fashion demonstrated in the UK for better pay/hours.

(I hate to scrutinize posts so carefully cause I make a ton of ridiculous statements, but you're also going from reported averages to anecdotes. It really weakens you're argument. )
Every single person in my FM residency class started out making more than a UK consultant, and that is 8-5 M-F, no inpatient, limited at-home call. SO with charting and the occasional call, we're still likely only talking 50 hours/week which when you consider our shorter training time is pretty good to out-earn specialists over there.
 
Every single person in my FM residency class started out making more than a UK consultant, and that is 8-5 M-F, no inpatient, limited at-home call. SO with charting and the occasional call, we're still likely only talking 50 hours/week which when you consider our shorter training time is pretty good to out-earn specialists over there.
Oh, I believe it. But this was when? 10 years ago? I don't think I need to clue you in on tuition costs and student debt today.

Shorter training time? Also, 50hrs/week is 10 more hours than 40hrs/week, or 20% more time at work. You're getting paid about 20% more, the price/hr doesn't seem so different. And again, we're not talking buying power, so obviously a UK GP is going to make less dollar for dollar.
 
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Oh, I believe it. But this was when? 10 years ago? I don't think I need to clue you in on tuition costs and student debt today.

Shorter training time? Also, 50hrs/week is 10 more hours than 40hrs/week, or 20% more time at work. You're getting paid about 20% more, the price/hr doesn't seem so different. And again, we're not talking buying power, so obviously a UK GP is going to make less dollar for dollar.
That pay table is from 2015- the 2004 date on it denotes when they shifted from the old pay system, which was more generous, to the new one. As to "what you get for your money," after taxes you're making about half what a typical non-specialist in the US makes. I can certainly provide literally all of the benefits the UK does for far less than half of my after-tax paycheck. As to the value of free time, the physicians on the lower end of the pay scale here are typically putting in 45-50 hours. Hardly soul-crushing, it's a mere extra hour or so a day over our foreign colleagues to double our pay.

Financially, the US is far ahead of the UK for physicians, hands down. And that's if we neglect the differences with specialists, which earn FAR more. If you're from a US school, specializing isn't all that hard to do, and can in some cases nearly double your salary.
 
i.e.: the fruit of socialized medicine! More work, less money, crappier care.


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We're not seeing this in America either? More work and less compensation, especially considering the fact that education costs in the US are much higher than the UK or any European country.
 
We're not seeing this in America either? More work and less compensation, especially considering the fact that education costs in the US are much higher than the UK or any European country.
You're seeing this as a result of increased regulations from the government, not because of the free market.
 
You're seeing this as a result of increased regulations from the government, not because of the free market.

This. Fee for service is what keeps the pay checks high for physicians. That's already in the first stages of being phased out which is dangerously close to socialized medicine (the inevitable path to health care innovation decline)


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Oh, and let's not even get started with the fact that the majority of UK doctors are GPs, which get paid a mere $123,634.12 MAXIMUM after several years, and start at $81,920.45. After taxes that amounts to $82,638.74 net after a few years, with a starting salary of $58,450.00 post-tax. Compare that to their US counterparts that would earn $148,164.75 post-tax without factoring in anything but the standard 2 single deductions. That is a HUGE difference, and is magnified many times over a lifetime via compounding interest and lost investment opportunity. It's more than enough to pay for your kids' education and fund your own retirement, and hell, to even let you retire early if you want. Imagine if you socked away the 90k early career difference between yourself and your British counterpart- every year you work, you're making as much as they do in 2.5 years.
 
This. Fee for service is what keeps the pay checks high for physicians. That's already in the first stages of being phased out which is dangerously close to socialized medicine (the inevitable path to health care innovation decline)


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The big difference between here and there is that we can just choose to stop taking insurance if the conditions become unfavorable.
 
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Oh, and let's not even get started with the fact that the majority of UK doctors are GPs, which get paid a mere $123,634.12 MAXIMUM after 19 years, and start at $81,920.45.
Don't GP's/physician's salary in the U.S. also stay pretty flat? Or even decline due to decreased compensation?
After taxes that amounts to $82,638.74 net after 19 years, with a starting salary of $58,450.00 post-tax. Compare that to their US counterparts that would earn $148,164.75 post-tax without factoring in anything but the standard 2 single deductions. That is a HUGE difference, and is magnified many times over a lifetime via compounding interest and lost investment opportunity.

It's more than enough to pay for your kids' education and fund your own retirement, and hell, to even let you retire early if you want. Imagine if you socked away the 90k early career difference between yourself and your British counterpart- every year you work, you're making as much as they do in 2.5 years.
No need to pay for kids' education in the U.K. Or worry about retirement. Or healthcare. Or <numerous other things>. At least no in the same way Americans have to worry about these things.

I don't doubt that in the past US docs made more, even accounting for 100 of things. Medical students starting today can't say the same, I think. Hope I'm wrong.
 
You're seeing this as a result of increased regulations from the government, not because of the free market.

If you look at what a physician earns in the UK and the cost for a British citizen to become one, the ROI for them is higher than for us, especially for those of us at schools geared towards primary care such as Osteopathic medical schools and community based MD schools. I even met a British born doctor in Boston several years ago and he told me the average doctor there only take 2-3 years to pay back their student debts. Some European countries education is completely subsidized by the government such as Denmark.
 
Please don't twist the event. Read this article for more info: http://www.telegraph.co.uk/news/201...doctors-paid-and-why-are-they-threatening-to/

The avg. starting pay for interns in the UK is 27k pounds which is $40k - similar to what our residents are paid now. British interns are limited to 50h/week work (although I think hospitals do find ways around that just like US hospitals do). However, they are paid overtime rates for working more. Yet they are striking because they feel free enough to do so. They are striking because the new contract does NOT protect them from hospital abuse (eg, making them work worse hours).

Our residents' work hours are much worse than theirs for the same salary. Our doctors work worse hours, too. You gotta wonder why OUR students don't strike like they do.

FYI, British students also went on strike against 9k/year tuition last year. And 9k is the maximum limit that British uni are allowed to charge students.
In another EU country, Vienna student protested against 400 euro/year tuition 3 years ago! As a result, uni in Austria are now FREE.
Are you gonna say that THEIR college/tuition/condition is "worse" than ours just because they went on strike but we don't?! If anything, WE are too accepting toward our abusers, unlike the Europeans.
Because lots of people would die if every resident went on strike.
 
If you look at what a physician earns in the UK and the cost for a British citizen to become one, the ROI for them is higher than for us, especially for those of us at schools geared towards primary care such as Osteopathic medical schools and community based MD schools. I even met a British born doctor in Boston several years ago and he told me the average doctor there only take 2-3 years to pay back their student debts. Some European countries education is completely subsidized by the government such as Denmark.

I have a couple of friends who are currently in med school over in England and its great that their school is much cheaper or free, but their education isn't nearly as intense as ours. There's a reason that when you go to an american MD school, pass the boards and get through residency you can practice virtually anywhere in the world, yet coming from anywhere else to america you're limited. Those countries also innovate and research drastically less than in the USA. With the exception of Cambridge, Oxford and maybe Imperial College of London there are not many UK schools that do the amount of research as even lower tier MD schools. Research comes at a huge cost that the government alone can not fund.
 
Oh, and let's not even get started with the fact that the majority of UK doctors are GPs, which get paid a mere $123,634.12 MAXIMUM after 19 years, and start at $81,920.45.
Don't GP's/physician's salary in the U.S. also stay pretty flat? Or even decline due to decreased compensation?
After taxes that amounts to $82,638.74 net after 19 years, with a starting salary of $58,450.00 post-tax. Compare that to their US counterparts that would earn $148,164.75 post-tax without factoring in anything but the standard 2 single deductions. That is a HUGE difference, and is magnified many times over a lifetime via compounding interest and lost investment opportunity.

It's more than enough to pay for your kids' education and fund your own retirement, and hell, to even let you retire early if you want. Imagine if you socked away the 90k early career difference between yourself and your British counterpart- every year you work, you're making as much as they do in 2.5 years.
No need to pay for kids' education in the U.K. Or worry about retirement. Or healthcare. Or <numerous other things>. At least no in the same way Americans have to worry about these things.

I don't doubt that in the past US docs made more, even accounting for 100 of things. Medical students starting today can't say the same, I think. Hope I'm wrong.
FM has had a salary that has outpaced inflation, historically. Ten years ago they were making an average of $146,000 per industry surveys- a 60k pay raise in ten years is pretty damn good, and far more than the average American has received lol. Let's say you have two kids, and put away 10k a piece every year for 18 years. Let's look what that comes to after investing with a 9% average return: $450,182.80. Just the return on that each year ($40,500 at 9%) is enough to pay down any college costs as they come (sure, college costs will increase, but even if they doubled, to let's say $80,100/year, you could just take out loans and allow your investments to pay them down over time, not only paying for your college but leaving them a nice nest egg to start their life with). And all of that falls under the gift tax limit, so it's all tax free.

Now you've got 80k left. Let's say you max out your IRA and 401k for your entire working life (36 years). That comes to $6,047,305.22, which would, at a 4% steady withdrawal rate, net you $241,892 that adjusts for inflation per year to live off of, in addition to social security. And you've still got an extra 60k over your British counterpart to buy real estate with or invest or whatever. Keep in mind that, so long as salaries and contribution limits continue to keep pace with inflation, all of these numbers will automatically adjust for inflation.

Basically, socialism only makes sense for physicians if you don't know how to save, invest, or do math. I don't need the government to take care of me because I'm an adult that can manage my own finances and make better decisions with my money than the government ever could.
 
Not everyone is comfortable investing in the stock market, and for good reason. You're far better off talking about interest from savings account or our ridiculous 3%+ home loans and not some 9% "average". Cause I've seen what a 9% "average" looks like. It's not a fixed average and it does little to predict the future. It's an average based on the past (obviously). I wonder how many OPEC investors "averaged" +9% this year.
 
Oh, I believe it. But this was when? 10 years ago? I don't think I need to clue you in on tuition costs and student debt today.

Shorter training time? Also, 50hrs/week is 10 more hours than 40hrs/week, or 20% more time at work. You're getting paid about 20% more, the price/hr doesn't seem so different. And again, we're not talking buying power, so obviously a UK GP is going to make less dollar for dollar.
I graduated residency in 2013, nice try though. Plus, most of my classmates were DO/carib grads and so had higher than average loans anyway (over half the class owed over 300k).

I was comparing specialists in the UK to FM docs (GPs in the UK parlance). If we do a straight GP-FM comparison we come out starting at around double their salary. You bet your ass I'll work an extra 10 hours/week for double the money.

Let's say, just for the sake of argument, that your loan payment is 4k/month (my wife's is 2k on 200k of loans). That's 48,000/year. The difference between UK starting and US starting is about 80k/year, so even with a pretty damned high loan payment that's still an extra 40k/year.
 
Not everyone is comfortable investing in the stock market, and for good reason. You're far better off talking about interest from savings account or our ridiculous 3%+ home loans and not some 9% "average". Cause I've seen what a 9% "average" looks like. It's not a fixed average and it does little to predict the future. It's an average based on the past (obviously). I wonder how many OPEC investors "averaged" +9% this year.
Yeah, that is just awful advice. The 9% average over the course of a career. The only time this doesn't work out is if you want to retire right during a downslope in the market (a la 2008).
 
I graduated residency in 2013, nice try though. Plus, most of my classmates were DO/carib grads and so had higher than average loans anyway (over half the class owed over 300k).

I was comparing specialists in the UK to FM docs (GPs in the UK parlance). If we do a straight GP-FM comparison we come out starting at around double their salary. You bet your ass I'll work an extra 10 hours/week for double the money.

Let's say, just for the sake of argument, that your loan payment is 4k/month (my wife's is 2k on 200k of loans). That's 48,000/year. The difference between UK starting and US starting is about 80k/year, so even with a pretty damned high loan payment that's still an extra 40k/year.
Yeah, that is just awful advice. The 9% average over the course of a career. The only time this doesn't work out is if you want to retire right during a downslope in the market (a la 2008).
How is that awful advice? I'm sorry but I, along with others, don't want to depend on the domestic US market to grow wealth. That's a personal choice and it shouldn't even be part of the conversation regarding US vs UK salary and life outlook as a GP. It's also not like they cant invest in the US market.
 
How is that awful advice? I'm sorry but I, along with others, don't want to depend on the domestic US market to grow wealth. That's a personal choice and it shouldn't even be part of the conversation regarding US vs UK salary and life outlook as a GP. It's also not like they cant invest in the US market.
A) You made a separate post about it
B) You didn't say US market, you just said "the stock market"
 
A) You made a separate post about it
B) You didn't say US market, you just said "the stock market"
Because we all know how common it is to invest in the Chinese market. Obviously I was referring to the US stock exchange.
 
I was comparing specialists in the UK to FM docs (GPs in the UK parlance). If we do a straight GP-FM comparison we come out starting at around double their salary. You bet your ass I'll work an extra 10 hours/week for double the money.

Let's say, just for the sake of argument, that your loan payment is 4k/month (my wife's is 2k on 200k of loans). That's 48,000/year. The difference between UK starting and US starting is about 80k/year, so even with a pretty damned high loan payment that's still an extra 40k/year.

You've been working extra 10-20 hours/week more in residency, before even seeing real money, so there is that. Even if we assume only extra 10 hours/week in residency, that's 520 more hours per year or 21.6 more days per year that you worked while in residency.

And it isn't double the money, its 1/3 more, which half will end up going towards malpractice insurance anyway.
 
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You've been working extra 10-20 hours/week more in residency, before even seeing real money, so there is that. Even if we assume only extra 10 hours/week in residency, that's 520 more hours per year or 21.6 more days per year that you worked while in residency.

And it isn't double the money, its 1/3 more, which will end up going towards malpractice insurance anyway.
Hardly, my malpractice tops out at around 5k/year
 
You've been working extra 10-20 hours/week more in residency, before even seeing real money, so there is that. Even if we assume only extra 10 hours/week in residency, that's 520 more hours per year or 21.6 more days per year that you worked while in residency.

And it isn't double the money, its 1/3 more, which half will end up going towards malpractice insurance anyway.
Why do you have such a hard-on for socialized medicine? You have not given any reasons besides their hours, which are comparable to FP in America. What is your point?
 
You've been working extra 10-20 hours/week more in residency, before even seeing real money, so there is that. Even if we assume only extra 10 hours/week in residency, that's 520 more hours per year or 21.6 more days per year that you worked while in residency.

And it isn't double the money, its 1/3 more, which half will end up going towards malpractice insurance anyway.

The system here in the US is that a good percentage of medical schools are private institutions, and for the most part education here is more expensive than in places where there is socialized medicine, the irony here is that the education system in the US remains mostly privatized while the actual practice of medicine is becoming more like that of one with socialized medicine, so the burden of costs are being place upon future physicians. Very few medical students understand the ramifications of this, under the old medical system, this educational model was okay, its no longer sustainable these days.
 
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