MDs are as valuable in the North America are they are in Europe, they go to similar training, and enrollment numbers kept arbitrarily low. Yet they are paid a lot more in the US and Canada that they are in the UK or France. And we all know that cost of MD has minimal bearing on total the cost of healthcare, which in itself has minimal bearing on the relative healthcare efficiency.
I am ambivalent about the relative wealth. I think it is fair and helps, up to a certain level, but globally, money attracts money, which means that certain people, with certain background and certain jobs would be deemed worth leaving in California. And this relative wealth-based system is already in place (e.g. designers in Cuppertino, IT in N. Dakota, assembler in Shenzhen).
I am ambivalent about the relative wealth. I think it is fair and helps, up to a certain level, but globally, money attracts money, which means that certain people, with certain background and certain jobs would be deemed worth leaving in California. And this relative wealth-based system is already in place (e.g. designers in Cuppertino, IT in N. Dakota, assembler in Shenzhen).