What strikes me first, when reading your proposal, is that it's unclear who your target audience is. Comprehension of this proposal is dependent upon first-hand knowledge of the costs and requirements of medical education; this would lead one to believe that your audience is medical professionals. However, you have posted this proposal on writing.com, where the participants are primarily lay people. Either way, while I agree with the concept of your proposal, you haven't made your case.
To substantiate my observation about why your proposal appears to be written for medical professionals, one only has to look so far as your use of acronyms. You refer to ECFMG / USMLE without any explanation of what these acronyms stand for or why they are important. As a lay person, I was only able to figure out what you were referring to because I knew a foreign medical student who underwent this process. When writing any proposal, it's best not to make assumptions about your readers. Spelling out "Educational Commission for Foreign Medical Graduates (ECFMG)" the first time you use it will eliminate confusion.
As far as your arguments go, there are contradictions and blind assertions in place of well-reasoned explanations. For instance, first you say "America would be able to produce doctors at, maybe, a fraction of the cost in USA." Then, you go on to say "Heavy fees can be charged for medical education. There would be no dearth of American and other foreign students, as also Indian students, including children of Indian origin in USA and other countries, who would queue up to pay high fees and get a medical degree." That America would be able to produce doctors at a lower cost is a blind assertion. And, the assertion about this proposal providing lower educational costs sits in direct contradiction to the claim that students would be willing to (and should) pay high fees (so that the program can be self-financing).
Who are you referring to when you say "America" could produce doctors at a fraction of the cost? The students who attend medical school in India will certainly be paying as much in tuition as they would in the U.S. -- so they won’t save anything. And, as far as I know, the U.S. government subsidizes teaching hospitals, not medical schools. I could be wrong, but as I understand it, the government pays teaching hospitals according to the number of medical residents they train. Under this arrangement, America won't save anything with your proposal -- because the medical students training in India will be unavailable to U.S. hospitals, where they're needed. Yet, the colleges who run these medical schools may save some money, provided that the cost of running a medical school is substantially lower in India. If it is, you haven't provided any evidence of cost savings.
India, on the other hand, has a lot to gain from your proposal. As you put it "India would be able to earn through outsourcing of medical education to India, in the same league as earning through "medical tourism" and clinical research trials." India will make a lot of money from this arrangement, while the U.S. will gain little financially. Is this really a "win-win" situation (as you concluded)?
With respect to the quality of medical education, India would benefit as much (if not more) than the U.S. Their doctors would be better trained by using U.S. teaching methods and standards. If the U.S. government were to finance any of this training, what guarantee would they have that students born in India would practice medicine in the U.S., rather than in India?
I agree with you on two points: standardizing foreign medical education to meet U.S. standards is beneficial; and eliminating the ECFMG / USMLE process, to make foreign trained doctors immediately qualified to practice in the U.S., is desirable. Training foreign doctors to U.S. standards would allow them to enter U.S. residency programs right after medical school, just as U.S. trained doctors do, which would increase the number of practicing U.S. doctors more rapidly.
All in all, your proposal might appeal to a significant number of people if you developed your arguments and provided facts (in the form of statistics) to support your claims. |
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