Financing graduate medical education: the search for new sources of support

Rapid and profound changes in the public and private markets for health care services are posing multiple challenges to the complex and inter-dependent system for financing medical education. In this paper, we examine a wide range of potential sources of financial support for medical education, provide data on the revenue yield under different assumptions, and assess each option against the criteria of equity, adequacy, collectibility, and effects/ consequences. We also describe and analyze recent legislative proposals designed to reform the financing system for medical education and provide an overall assessment of the policy environment confronting such proposals.