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This is a better way to put it:
USA: High Standard of Living
UK: High COST of living
Standard of living is not the same as COST of living. Most people would rather have a high standard of living and live comfortably than cost of living and can't live the way they want to.
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to right doc.....about prices...i presently feel cost of living is high in the states and iam finding it hard when compared to uk ...here it goes......
income after tax per month $2200/-
apartment 1000$ inc all bills (very avg apartment even in uk standards) i do not share living in a 1 bedroom old apartment 6 miles from hosp........road side parking ......
500$ car loan + insurance and montly fuel costs
food in hosp is avg around 5$ a meal so for a month u end up spending 200$ max what u need to note is that on calls u spend almost 2 days at the hosp and u work 26 days a month minimum....
and house expenenses like food,mobile phone,calls to back home, all around 200$ so u can add up the math....yes uk u are charged a lil more than the states but u tend to earn more and u have the option to locum .....here thats not a real option as ur already working 26 days a month......but on the other hand u have more respect,enjoy ur work...and better future academical prospects if ur interested...but in the short run life is harder in comparison to the uk..when i was an sho in uk ...could live life to the fullest...go back home to india atthe drop of a hat...here u cant!
I will not critisise pth .....just because we dont see his point of view that dosnt make his point invalid...yes we are docs and we are here many of us because we like our work and enjoy doing what we are doing ...but i guess he justifies his logic in his own way.....
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i think its because you are applying to a US job. 
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gas in the states is 4 dollars per gallon ......and a can of coke at the hospital is $1.40 500ml.......and you earn around 2200 after tax........and no free coffee or toast in the doctors mess....!
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but all said and done....I would be dishonest if I would say that the training i received in the uk was crap....what i learnt over the last 3 yrs in uk has definetly made me a better and confident doc ...and i feel that if i stayed any longer there would not be anything much substantial that would be added to my knowledge bank ......i would still be clerking "falls,gen det ?uti?chest infection???cause" and of course "acopia" thats the sad part of the system..dosnt reward you appropriately at the right time of your career.
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Interesting discussion.
Cluutz is right, you do learn, but its not because you are taught well or there are amazing teaching sessions, its because you work like a donkey, and clerk in patients again and again, learning from your mistakes, and from the odd sincere reg or consultant who will give you a tit bit of information.
The real protected time and training comes in at the higher specialist training level, but achieving this goal can be like a pipe dream to many. Having said that standards are crap, nurses are taking over, and training has suffered over the last few years.
For colored guys like us there is also the fact that the NHS like many other British organisations (e.g. Police) is racistly institutionalised. So to break in to the cliques of the medical profession is doubly harder, either that or you renounce your culture and be one of the 'boys'.
The NHS also lets down its Asian patients forget the doctors, but overall it is better for patients but rubbish for medical professionals.
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its the same thing all over.you think u.k is bad, then think about india stipend paid is hardly anything.loads of work,not taught anything at all,but you learn all by yourself because of the case load you have and some good seniors who are ready to guide you.there is no dam control over hours of work.there are days when you work 3-4 days in a row day and night.
i guess you should not crib over it.as its training after all,not a full time job.well full time jobs are not well paid eighter.so compared to your own country you guys are in pretty good shape.
why cant most of you u.k trained grads go back,i guess they get well placed and paid well atleast double the amount of indian grad in corporate set up,plus your degree now as per health minister is recognised too.
why jump over to u.s and struggle thro same training all over again.its no good eighter,nor are you gonna save any penny those three years.with oil and food prices in the high and economy plummiting and no increase in jobs or salaries its really tough here.
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oh one more thing the immigration system is totally broke,it may take years and years to be even able to file for permanent resident.
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surprising comment eklasia, what is this - advising/asking or suggesting?!? to uk doctors to go to India rather than going to us for higher training,
there are few doctors who have got onto registrar training posts after coming to uk, but...
many have ended becoming GPs and many have become staff grades, where is career progress/job satisfaction among these group of doctors? money is not the only criteria in life, u need to achieve something in life and hence people look for better opportunities,
may be it was a wrong decision to come to uk in the first place, may be we should have tried for us in the first instance, its all maybe, now people have realised that career has become stagnant and we are all trying for better career prospects and ur comments seems very immature/frustrated
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