I thought this comment was kind of interesting for what it reveals:
And to some degree, doctors are the property of the state. It
is impossible to have medical education without significant state
subsidization, and although I don't know the specifics of every single
country in Africa, that's a safe generalization to make.
For instance, here in the US, your medical education is
heavily subsidized by the state. Probably on the order of 100k/student.
Resident training programs also receive about 100k/resident from
government entitlement programs.
I haven't a clue whether or not there is a net subsidy of medical education in this country, but assume it to be true. This is the statist trap in a nutshell. Statists insist that the government should subsidize (or, in more extreme cases, entirely fund) public education. But once you have attended these government schools, which one virtually has to do because of the steps the government takes to maintain its education monopoly, you then become the property of the state because the statists claim "well, you took our money for your education..."