But as a practical matter, as things stand today, it is an absolute necessity to get a degree if you want to practice medicine and I don't think a better training mechanism exists today for that purpose (which isn't to say that it is ideal).
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I am quite pragmatic. I don't think that many people today would confide in a doctor without university endorsement, and neither would I in a stranger. The current system is based on distrusting individuals and trusting the institution, so it would be impossible.
But I am convinced that education is much more necessary than a university degree, and at some point not too far away, we will be able to do without them. And this does not mean eliminating universities, but on the contrary, giving them a merely educational meaning, in which no degree gives more opportunities to people, but rather education does.