The bottleneck is funding for residents and the AMA has been lobbying for more resident slots for nearly 30 years.

sooner or later whole world(west) is going to hire more doc at lower(not as high as it is right now) salary from East(asia). they might lower the barrier to entry. same would happen in medicine the causes are inflation, economic conditions and poor health system.

This is the bottleneck, right?

I hear people say "we need more doctors" all the time. It would seem to me, the people deciding how many new doctors we train per year, are doctors. Their pay is proportionate to their scarcity, if we had 5x as many doctors, existing doctors would make far less.

Imagine if existing software engineers got to decide how many juniors entered our profession each year. I think things would look very, very different.