Workforce planning & training-efficiency analytics for healthcare systems

It’s wild watching people bend over backwards to avoid the one comparison that instantly exposes the problem. The US is the only major system that simply cannot pad out training with years of cheap service work. ACGME and CMS rules won’t allow it. You have to train, not fill staffing holes. Which is why American residents come out fully-fledged in a fraction of the time: hospitalists in 3 years, general surgeons in 5, cardiology/onc/pulm-crit in 6. High volume, high intensity, almost no scut, and no endless “junior limbo.” If universal healthcare only functions by holding doctors in low-paid junior roles for a decade, stretching training far beyond what is educationally necessary, and extracting service from them at a discount, then that is not a triumph of equity. That is a workforce model living off exploitation. Universal care isn’t the issue. Universal care built on squeezing trainees to make the numbers work is. If the UK wants a sustainable system, it needs to stop pretending that bottlenecks, cheap labour, and artificially prolonged junior years are “standards.” They’re cost containment. And they’re breaking the workforce. #healthpolicy