[nradov]

Which country are you talking about, and who is "we"? In the USA, Congress constrains the number of new doctors trained every year not to keep salaries high but rather to limit Medicare expenses. If Medicare beneficiaries can't get an appointment due to a doctor shortage then no claim will be submitted to CMS. Most of the funding for residency programs comes from Medicare, and every year there are medical students who graduate with the MD but are unable to practice medicine because they don't get matched to a residency program.

At one point the AMA did lobby Congress to limit the number of doctors but they reversed their position on that issue long ago.

https://savegme.org/

[magicalhippo]

At least here in Norway, the doctor associations fights hard against any talk about reducing the ridiculously long shifts that nets the doctors large paychecks.

They'd much rather have 1-2 doctors do the work of 3-4, so they can cash in.

Though there is a change of guard happening. Younger people, including doctors, value work-life balance much more and are less inclined to work long hours for more cash.

[esbranson]

The US is a federal system, and the states run healthcare and academia. If Congress can tax a state X amount of dollars, that state is obviously able to do so also.

New York accounts for nearly half of all state Medicaid GME funding nationally, with NY state Medicaid GME alone reaching ~$1.8 billion of the $4.4 billion total GME spending in NY in 2012 (federal + state + private).[1]

And is New York better off? Do these claims about GME hold up there? Don't blame AMA or Congress, blame your dominant state political party. Congress should probably require matching for GME which would completely cut off funding for most states. We can already read the headlines.

If you actually knew about this before I mentioned it please let me know, but I think you likely didn't, even though you've obviously spent time researching this important topic. I am actually more irritated how little "people in the know" actually know. It's why I despise outlets like NPR who spread propaganda (agitprop mostly) and refuse to report relevant info and the damage it has caused to America's intelligentsia. Defund NPR and friends, they are the root cause of this mess.

[1] https://www.ncbi.nlm.nih.gov/books/NBK248024/