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Medical school places are limited and handed out based on intelligence and conscientiousness, that isn’t a flaw with the system at all.
I can imagine the admissions scandals already. It's already bad enough that people think that there's a vague but strong-enough link between getting a degree from a particular school/program and expected lifetime earnings. Can you imagine if there was a literal government-backed guarantee of a multi-million dollar payoff?
And after admissions, hooo buddy. I went to school in what was considered a difficult field of study. A couple other students stick out in my memory as being relevant here. I remember right after one guy gave his capstone senior presentation; it was atrocious. Just hilariously bad. By that point, I had a pretty decent relationship with the assistant department chair, and we were talking right after it. I think I was remarking on how it was possible that he was even getting a degree. I think I even pointed out that my view was that giving such folks degrees devalues my own degree, because if people in the market hire guys like him and start thinking, "This is the kind of people we get from Program X?!" they're going to think we all suck. His comment was, "His GPA is ___. Who the hell is going to hire him?" [Yes, he literally told me the kid's GPA. Yes, I know that's totally not supposed to be allowed.] The message is, of course, there is very little incentive to not go ahead and give people a degree, so long as they can just barely sneak through (aided by rampant grade inflation and such).
The second example is a girl who pretty honestly told me that she wasn't really planning on using her degree in the workforce. It was an interest, a hobby, maybe even a status symbol that look at how smart and cool she is to have gotten such a difficult and neat-sounding degree. She legit was planning to be a mother. Sure enough, within a couple years of graduation (I don't recall exactly how long), she was a stay-at-home mother. I don't believe she's ever used her degree in the workforce. [FYI, I think she was actually mostly interested in the subject matter, and she wasn't an atrocious low-performer; she was actually reasonably smart. But I kinda don't think she was always the most motivated to really push herself all the time like some of the other students; she really was able to just sort of focus on the stuff she was interested in and then sort of skate by on the stuff she wasn't.]
In any event, putting them together, a multi-million-dollar government guaranteed payout would cause some hella targeting of programs. I'd say that I could imagine an underground website that details exactly how much a degree from every specific program out there is guaranteed to be worth, but it wouldn't have to be underground! It's the government! They'd have to use a public formula and make determinations, in public, of which programs are in/out of which pay bracket. Once you've gotten in, by hook or by crook or by bribing the admissions department, what incentive is there to not graduate you? Like both of my examples, everyone knows what you're doing and what the outcome will be. Everyone knows that you're not, like, actually going to be out there performing surgery on people or whatever. "Nobody's going to hire you," and you don't even want to get hired anyway. And since you're probably not going to cause any harm anyway, do we really want to be jerks and get in the way of a poor young woman's multi-million-dollar payout? If we try, she might even protest or sue or do any number of things that cause extensive paperwork and unneeded headache. Much easier to just let it go.
If you move it to, "Well, you have to at least get hired and have a salary," that helps with part of the problem, but would almost certainly contribute to hiring discrimination, combining features that already currently exist, from parental leave policies to affirmative action. It will almost certainly give a company pause when considering hiring a brand new female grad if they think some combination of, "On top of having weeks/months of leave if she gets pregnant; she has a literal multi-million-dollar payout coming to incentivize her getting pregnant," and, "Does she really even want to do this job? Did she just do enough to get into/through school, so she could max her payout?"
This already happens with teachers. Online diploma mill masters so they get a pay bump based on union rates for masters/phd, but realistically does not improve teacher quality.
The simplification for what you are talking about would be to basically IQ test as a proxy for income potential.
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I mean projected lifetime earnings is already a concept regularly used in the legal/insurance sectors, in settlements and so on. Someone crippled on a summer internship at college to the extent that they can’t pursue their chosen career can sue based on expected lifetime earnings, actuaries are familiar with the relevant models.
There is a huge difference between incentivizing children with a guaranteed payout based on what degree you have and getting into an accident that paralyzes you.
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