My potentially unpopular opinion: Congress should ban residency programs from using Medicare training dollars to pay for research. They should do this with the goal of speeding up the training pipeline for actual practitioners, many of whom are now required to spend a year of their residency doing research of some kind.
If medical residents, or teaching hospitals, want people to do research, they should go get funding from established research funding sources that have standards and practices for funding and monitoring research.
Congress should end the AMA guild's chokehold on linking "Medicare" to medical training at all. It's a complete grift.
This is wrong.
It's medical students, not residents, who take research years, and that's only for extremely competitive specialties.
The lack of doctors, as it has always been, is because of the shortage of residency spots.
That cannot be addressed without Congress reversing 50+ years of neoliberalism trends and political failure and refusal to invest in public services and/or a communist revolution. Good luck fixing that.