I thought the idea was to become a physician? I don't get why this title thing is such a big deal?
The main thing I can think of, with the possible exception about residency availability, which seems like it's becoming a non-issue, and perhaps also the issue of practicing as a physician outside the USA, is just plain superficiality when it comes to the letters after a name. It's part of some folks misdirected motivation for becoming a physician in the first place.
I've worked with great physicians that were MDs as well as DOs, and I have worked with a few with those letters that weren't so hot. Was it the MD or DO school/program that made them not-so-hot physicians? No--not today. We're well past Flexner. People make choices about how they will learn and how they will practice. The strength to become a wonderful physician is based on the core motivations.
Personally, b/c people make such an idiotic issue out of letters after a name, I think it might be good to just unify all programs to one title. Tradition is nice, but sometimes certain traditions hold back rather than allow for progress. When the tradition is a point of contention and disunity across-the-board, well is it worth holding on to for name's sake?
"What's in a name? That which we call a rose
By any other name would smell as sweet."
Isn't taking issue with these letters after a name merely another form of prejudism, like ageism, or racism, or sexism? You wonder if humans will ever rise above such things, or are they just destined to divide?
None of the programs should influence anyone to feel like their program is less than another, merely b/c of some differences in the original philosophies. If all schools extended the same letters for the degree, however, especially since I believe they both meet the same standards of education, the issue of international practice as a physician should no longer be a problem. Furthermore, the topic could forevermore be put to bed.