Gish O
Int J Health Serv. 1976;6(2):231-7. doi: 10.2190/Y2UF-WVQX-0FR3-7QE2.
There is increasing pressure for the training of greater numbers of doctors. This pressure stems from the growing demand for higher education for the children of an expanding middle class, and from the desire to create more "satisfactory" doctor/population ratios. But, in fact, the middle classes produce doctors primarily to serve their own class. Since the training of doctors is geared to the values and requirements of those with money incomes sufficient to purchase private medical care, it is very expensive. These costs are such that the level of effective economic demand of most of the population cannot possibly meet the expectations and requirements of the medical graduates, who then "overflow" into those parts of the world where demand is greater than the current supply of doctors.
培养更多医生的压力越来越大。这种压力源于不断扩大的中产阶级对子女高等教育需求的增加,也源于创造更高“令人满意”的医生与人口比例的愿望。但实际上,中产阶级培养医生主要是为了服务他们自己的阶层。由于医生的培养是按照那些有足够货币收入购买私人医疗服务者的价值观和要求进行的,所以成本很高。这些成本使得大多数人口的有效经济需求水平根本无法满足医学毕业生的期望和要求,于是这些毕业生就“涌入”了世界上那些需求大于当前医生供给的地区。