1. I would gladly exchange my paycheck for 1)payoff of student loans and 2) the ability to actually practice medicine, that is...take care of sick people, show compassion with patients, take the time to form relationships with them, not have MBAs and JDs dictate how I practice medicine. Ironic then that I leave the country and go to the developing world, funded by my bloated paycheck, in order to do the things I intended to do when I entered medical school.

---

2. We have entrenched hypocrites in the Filipino medical nursing system who are willing to preserve the status quo. Only the elites in the medicine profession have a chance to go ahead. Imagine getting paid a pittance of salary as a medical resident(about 100 dollars/month0 for nurses, about 150 dollars/month..this is ridiculous. It is the elites in the govt who sound off the hysteria and say close the doors...

---

3. What exactly would Mr. Karr's preferred policy result be: denying visas to foreign professionals who want to leave their home country? The Philippines under Gloria Arroyo has death squads and extra-judicial murders. Maybe if the Philippines and similar countries wanted to keep desirable professionals from leaving, they would concentrate on transforming their countries into desirable places to live. But until then, the US, Canada, and Britain do not have the duty to limit others' freedom to flee miserable conditions (they have quite an opposite duty in my view).

---

4. The truth will set you free. But first, it will piss you off. Gloria Steinem *** Between the health care we have and the care we should have lies not just a gap, but a chasm. The American health care delivery system is in need of fundamental change. The Institute of Medicine *** “A 1999 report from the Institute of Medicine (IOM) . . . estimated that up to 98,000 Americans die needlessly each year because of medical errors in the nation’s hospitals.” (Hospital-Caused Deaths, NYTimes editorial, July 5, 2006)

---

5. Dr. Bullard offers the usual rationalizations for the high incomes of doctors and most Americans buy his reasoning. That is why American M;D.'s are, by far, the highest paid on the planet. -- One might reasonable wonder, however, why Americans are 45th in life expectancy, near last in infant mortality and in last place among industrialized countries in health-care quality, access and efficiency, according to Sandeep Jauhar, M.D.

---

6. "American Nurse" makes no sense whatever. Her initial sentence strange and senseless and she goes downhill from there. Her employers must be grateful that she didn't identify herself.

---

7. Sorry Lee, but doctors are not the property of governments. They are free men and women who have the God-derived right to escape oppression. This applies to Africa and the United States.

---

8. If we plan on having univesal health care, we had better get busy and train enough doctors, nurses aand technicians to handle the hoards of paitents. This will not be accomplished overnight.

---

9. If we plan on having universal health care, we better get busy and train enough doctors, nurses and technicians. This is something that is not done overnight.

---

10. Yiour assumption that American standards for nursing are laughable. Philliipine medical personnel are nearly all called doctors in their own country. When they arrive here in the U.S., I separate that fact from fiction off their hurried resume, and find that those "nurses" are barely qualified to function in our medical offices. More often than not, they have to retrain or certificate through a "nurse technician" course. Please get your facts straight before selling yourself as an expert of which you very clearly no nothing about.

---