What makes you the great specialist in the training of doctors in France? (And by the way, I have family members who are nurses and doctors, so I have at least a passing knowledge of the system.)

Female doctors, male doctors, yeah, that would change things. But that is why the whole matter must be carefully studied and thought out so that the whole system can be reconsidered. Field doctors are asking for some sort of compulsory service obligation for young doctors. I have also seen arrangements where young doctors (female doctors, in the cases that I know of) fill in for doctors who are reaching retirement age on a part-time basis so that the older doctor can gradually reduce their hours. When the oldest doctor retires, the young doctor takes over the practice.

It’s a similar problem in the US – doctors go through initial “training” that serves more as “hazing” with long hours simply because that’s how it’s always been done. Maybe the system needs to find a way to accommodate more part-time medical staff (doctors, nurses, therapists, etc.), more joint practices, maybe even a “standby” system (such as the National Guard) where medics in more prosperous regions perform periodic rotations or rotations in medical deserts – partly to “reimburse” their training, partly to expand and develop their skills.

But I don’t have all the answers, or any kind of “quick and easy” answers. The whole system needs to be reconsidered to determine what works and what doesn’t. Yes, it will impact medical finances, but it will also impact all those quality of life issues on both sides of the desk. Perhaps it even amounts to rationing gasoline so that mobile practitioners (nurses, doctors, etc.) have absolute priority over existing supplies. Paying people more does not necessarily make professions more “desirable”. But there are quite a few very good aspects of the healthcare system here that can and should be preserved and developed.