No, we are talking about costs, Jeff.    So to gauge a true cost of a medical education - you need to look where there are fewer subsidies.     A medical education in the U.S. is very similar to Canada.    A private University has minimal subsidies - so the tuition reflects more of the true costs (although there are still govt subsidies even to private universities as well as alumni support).     So even a back of the envelope estimation underestimates the true cost which far outweigh tuitions.

I believe that some form of social contract (with buyout clauses) would be a great idea.