> In the US, medicine is not an academic field--the
> schools of medicine are separate from the rest of
> the university.
Hmmm, at first glance this sounds like a meaningless distinction to me.
Without the assured salary of
> socialized medicine, the MD becomes an
> entrepreneur--and research is just a buzzword used
> to solicit donations: true scientific research
> doesn't pay.
> There is true scientific research funded federally
> by NIH--and most of the applicants are from the
> university: with Ph. D's. Schools of Medicine
> collaborate with their universities in providing
> facilities and patients--and hospitalization data.
> Collaborating teams are developed--with the MD as
> a prominent member of the team. With additional
> donation money available to add to the pot, the MD
> often ends up calling the shots: can be the PI on
> published studies.
> The MD can also sweeten his paycheck by providing
> patients from his private clinic(s).
pb - I've known this since I was about 21 years old, in university, and noted along the way that most academics were more than happy to go along with the status quo, rather than challenge its inefficiencies. For that reason I have little sympathy, because they constantly reinforce the system.
> The MD clinician and the Ph. D. scientific
> investigator look at life differently here.
What you're calling for - and I agree - is the eventual liberation of the "scientist" from economic coercion.
I believe that we are moving towards that, personally. Canada recently declared housing to be a right, so we'll see where that leads. Major economies are starting to consider free money or baseline income. We have free med, and some fed parties are exploring the possibility of extending things to universal prescription meds.
All of these things will garner more attention in coming years, if we live long enough, especially as artificial intelligence replaces human capital.
Eventually those who are true scientists and artists etc will be much more able to pursue their passions. Those interested in economic gain, primarily, will drop off or go pursue high degrees of wealth elsewhere.