Webb R J
Can Fam Physician. 1997 Sep;43:1483-5, 1489-92.
Neither system or culture is perfect; a blend just might be. I can't say that one is definitely better, only different. Many Canadian doctors have emigrated only to return within a year or two, frustrated with a market-driven health care system and a much more eclectic and individualistic society. Yes, family physicians can earn more money here and have better access to diagnostics and treatment. But that has to be balanced with a larger bureaucracy and-at least on the surface-less freedom to access those resources. With time and the ubiquitous fiscal imperative, both countries could emerge from their respective crises at similar destinations, but by separate paths. Traveling and particularly working in another culture has been a positive experience for our family. It might not be for everyone. Each physician, with his or her family, must weigh the pros and cons of such a decision. To boldly go where you've never been before, to move or not to move: that is the question.
无论是医疗体系还是文化都并非完美；两者融合或许才是完美的。我无法断言哪一个绝对更好，只是有所不同。许多加拿大医生移民后却在一两年内又回来了，他们对市场驱动的医疗体系以及更加多元和个人主义的社会感到沮丧。诚然，家庭医生在这里能挣更多钱，并且能更好地获得诊断和治疗资源。但这必须与更庞大的官僚机构相权衡，而且至少从表面上看，获取这些资源的自由度更低。随着时间推移以及无处不在的财政需求，两国都可能通过不同的路径在相似的方向摆脱各自的危机。在另一种文化中旅行，尤其是工作，对我们家庭来说是一段积极的经历。但这可能并不适合所有人。每位医生及其家人都必须权衡这一决定的利弊。勇敢地前往你从未去过的地方，搬还是不搬：这就是问题所在。
