This is not a doom and gloom thread by any means. I heard this idea proposed at an academic medical center while working on a consulting engagement. I was intrigued and slightly disturbed by the idea so I contacted some of my old health policy colleagues. This "asinine" idea has been proposed by seemingly intelligent and well educated people.
Was anyone able to find out if there are tuition costs for residents in Canada?
One of the arguments made for shifting some of the costs associated with GME in the U.S. relates to the increased liability/malpractice insurance for residents and the mistakes that they will make while learning. Do I think this justifies tuition? Heck No. However, while everyone talks about how hospitals are "getting over", it is important to realize that one good lawyer can set a hospital back a few million pretty quickly for a resident's mistakes (in larger cities). I would imagine that residents on average make more mistakes that attendings, but I have no data to support this thought.