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> Then we leave it to the states to iron out the details.

Yeah, that specific model doesn't work for Canada. It's a large part of why we left, and a large reason why my son was abused.

Letting the states handle it will be problematic. What happens then, when a state will not support certain procedures, but other states do? Following the Canadian model, your screwed if you live in the wrong state.

Sure, you can move, but then that becomes another issue entirely. You'll have doctors leaving states to move to states that can provide more jobs. Quebec is suffering this, and the left over doctors are overworked, and offer less than stellar service. And yes, you can incentivize staying all you want, and it won't happen. Or you might require they work X years in the state if they accept some funding for schooling, but then they'll leave when they can for better jobs elsewhere.

I'm sorry, but I've had to deal first hand with this model and the specific problems it causes, and I'll fight to prevent it from following me.



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