Planning your elective: the United States
Mark Wilson gives some tips on planning your elective at a top US medical school
The United States needs little introduction. It is big, expensive, and alleged to be one of the best--although it comes a rather low 37th in the World Health Organisation's ranking of health systems. It is widely quoted that although Americans spend 11% of their gross domestic product on health care, 30 million people cannot afford fees or insurance producing a huge disparity between the rich and poor. There are four sources of health funding:
As stated in this month's elective report, there are often wrangles between what is best for the patient and what insurance companies are willing to pay for. In my experience, if you do a trauma elective, you might see an accountant as part of the trauma team.
However, if it's high tech medicine you are after, the United States is the place to find it. There are 126 medical schools (listed at www.medicstravel.org) and most of