Around half of district hospital doctors are those within the first three years of a compulsory contract.
Those who are interested in specialist training often have no interest in public health work in remote areas and leave soon after the completion of the compulsory contract.
Insurers can offer different schemes for health care provision such as patients' free choice of physician ("any-willing-provider" or compulsory contracting) or preferred providers' contracts (general practitioner-gatekeeper model or restricted network of providers).
Unfortunately, it was noted that individuals who are interested in specialist training often have no interest in public health, and thus leave the rural areas soon after the completion of the compulsory contract.
In Indonesia, graduates who work in the very remote areas receive a higher salary and the guarantee of a civil service career after the completion of the three-year compulsory contract [ 6].
The rapid exodus of Thai medical graduates prompted the government, in 1968, to enforce compulsory contracts with medical students so that they had to perform three years of public work after graduation or face high fines.
Strengthening contractual relations by extending compulsory contract on milk delivery to the entire sector and to all EU member states would also contribute to equitable distribution of earning along the supply chain, they add.
The so-called Milk Package, which allowed member states to introduce compulsory contracts to help farmers and processors plan their production volumes and to bolster the structuring of supply chains in view of the end of milk quotas, "is indispensable to keep dairy farms as viable and competitive businesses in all of the territories of the Union", Agriculture MEPs say.
Replacement of a compulsory public contract with cost-related tuition fees and payback by rural work should be applied gradually and cautiously and in conjunction with other strategies.
The company is providing a contracted service in our public education system which is, itself, compulsory and, for the time being at least, democratically controlled.
