mick wrote:Don't know where you are living mate a mediocre GP can
clear $200k without much problem a general surgeon can make $50K a month, my colleagues in the public service without any medical defense make > $200k for a <40h week my brother is a lawyer and sure there are barristers who make $3k a day but most don't. But don't try and tell me medicine is no longer a lucrative profession. The top specialists don't need the AMA. The medicare rebate is rather irrelevant if you need specialist help

I'm in favor of nurses being able to prescribe or treat for "coughs colds and sore holes" makes perfect economic sense. The majority of medical problems don't require six years training, in any case at some medical schools economics (making the degree as cheap as possible) has so devalued the quality of the degree I would rather be treated by an older graduate of at least 40 years old or a nurse. I have been involved with medical education for a number of years, some of my colleagues quite openly say medical education has been set back 300 years in some medical schools. As a person who is >50 years the quality of medical education is a huge concern to me. If you are smart medicine will still attract the best, because at the highest level it offers the greatest intellectual challenge, plus you have the feeling of doing something good while being paid fairly well. Do lawyers and accountants have that same feeling? Vets maybe but not sheysters and bean counters.
I don't know where your figures come from, but in Victoria the salary for a senior medical specialist was recently a bit over $160,000, but the vacant jobs are not being filled because the state government has not provided the salaries in the annual budget. Sydney has been offering $225,000, if your are prepared to work in Mt Druitt, where I'm told an armoured Hummer is the best work vehicle.
I also don't know about your "clear $200k" for a GP comes from. In private practice an acquaintance of mine is
grossing $200,000 on a 36 hour week, but running expenses are eating over half. GPs do a little better than some specialties because they get higher bulk-bill rates for some patients [100% of the "schedule fee" instead of 85%] plus Practice Incentive Payments if they jump through all the hoops. GPs are now favoured because there are more of them and keeping them on side makes the bulk-billing statistics look better.
Some surgeons make really big money - e.g. Orthopaedics - but non-surgical specialties are being squeezed, which is why in some fields there is no shortage of training positions despite the squeals of the states because they are only getting half as many applicants as there are positions. In Vic in 2006 there were 25 applicants for 56 training positions in Psychiatry.
I have medical degress, but I bailed out of the mainstream years ago for all those reasons, as many are. At least 3 friends have quit Medicine and done Law since. [The problem is rigidity and sticking to rigidly to the book-learning rather than going beyond it based on experience.]
There are some excellent nurses and there are some shockers and my experience in my hospital days suggests a pretty even split. But here are already problems with doctors and tunnel vision who work on "you have this and the treatment of choice is", so I would hate to have my health in the hands of someone with narrower and more limited education, especially if I couldn't second guess them myself.