I don't think this is right. The crappy pay is only partially driven by debt, and I doubt that debt is that large of a market force. Crappy pay is much more driven by poor professional advocacy on the part of the APA, state and county associations. The artificially high pay for doctors was driven beautifully by the AMA and other professional organizations, through smart supply-side mechanics such as barriers to entry into the field, partnership with the government to increase the exclusivity of service provision of physician, etc. To argue that your crappy pay is due to desperate recent graduates is faulty, and misses the forest for the trees. Even today we see physicians battling the expansion of PA scope of practice in several states. As a profession we have been remiss is acting like a profession.
Additionally, I don't believe this statement clarifies your initial position, which seemed to be about competence to practice, and not market forces, but it does add to your argument, if only fallaciously. Now your argument if faulty on two fronts. I apologize if I've been harsh, but I am reactive to elitist, judgmental, and concrete thinking, especially when presented as "objective truth," instead personally and politically informed rhetoric. Some of your points are valid, even if couched in larger, fallacious arguments. Hopefully those reading our words will see them for what they are, opinions, instead of universal truths and dictates from on high.