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Again, they can encourage or hinder, but not force. Is government training, or government pay the only way we can have doctors? Are you suggesting only the government trains doctors? Pays for them?
Yes, primarily. Hospitals rely on medicare, the VA, and medicaid for training of residents. The federal government pays billions of dollars each year for training of residents. They control the number of residents accepted in hospitals by the amount of reimbursement they dole out.