James Hogan makes an excellent point on the doctor cartel. I'll quote it below, mildly edited to put the links in:
In this link, Specialists must work under supervision for six to 18 months are the magic words, "The relevant specialist medical colleges complete these assessments and provide advice to Council."
If the New Zealand Medical Council recognised multiple medical colleges as competent to supervise New Zealand's medical workforce within the same areas, then competition between those colleges seeking members in New Zealand would expand the number of supervisors available to train overseas graduates.
If say an organisation like, say, the Colleges of Medicine of South Africa could assess the competency of Anaesthetists for New Zealand and had the incentives to expand their services to New Zealand, then both they and the Australia and New Zealand College of Anaesthetists (which is the sole provider of assessment competency) would compete for members and expand training.
And they would also act as peer review bodies on the competency of the other organisation's training too, expanding both the number of trainees and quality of training.
It's a neat idea.
James, who wrote his thesis under Seamus back in the day with mild ancillary support from me, was having some trouble getting this into Disqus. I'm going to have to find a day some time to fix this. I have been saying that for years though. Disqus isn't integrated into the mobile version.
But whenever I start thinking about it, the project balloons. None of the blog formatting is right. And really, shouldn't it be a part of a bigger site with links through to all of my columns and reports and stuff? But there's just so much of that and it would be a big job. Or maybe it should all be a Substack; they'd sent an email encouraging me to flip to them. But how would that even work? And anything would wind up breaking links.
And then the dread. And then I don't.
James says I should just pay somebody to sort it all out. He could be right.
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