Hey guys, I just posted a response on another thread. The NHSC actually has VERY LITTLE to do with your "stats." I'll leave the link below to the other thread with an attachment I put up. But, let's think about this for a second.
Would a dentist with numbers like JLum (using him just as an example) be willing to spend the rest of his career doing public health or someone who still has decent numbers, but doesn't graduate at the top of his/her class? This is where it gets tricky...because they don't want someone who is just going to serve four-five years and then go off and specialize or go into private practice and never give them service anymore. They are looking for candidates that will spend a significant amount of time in their public health system.
Also, do you think someone who has struggled all of their lives to make ends meet, instead of letting mommy and daddy pickup the tab will be more likely to stay? One of the main driving factors of one going into public health is to try and go back and help those with whom you can "identify" most with. If you've never struggled to make ends meet, chances are you're not going to be as likely to have a soft spot in your heart and let public health be your passion. People that grow up in wealth need it A LOT more than those of us who've struggled to make ends meet. You can't miss what you've never had, right?
Now, I know this thread is going to rub some people the wrong way..and that's fine. I'm just simply stating my opinion on why they've set the system up like they have. Am I saying that people born with a silver spoon will never be kind and give of their time? Absolutely not. I've seen some of the most successful docs (from "well-to-do" families) around my home city go out and do TONS of charity work. But looking at this from their viewpoint, and I'm sure it's been statistically proven by someone, people coming from struggle/poverty are far more likely to stay and help those under the conditions which they grew up in for a longer period of time. Their "investment" in you will benefit them more.
Hope this helps!
http://forums.studentdoctor.net/showthread.php?t=834786