To the Editor: Tension between the need for an integrated national health system and the self-interest of states has led to negative consequences, including discrimination against junior doctors. Medical graduates who seek to move states to undertake their internships are considered a second priority by most states. Last month, Western Australia mimicked Victoria’s 2012 changes and now considers most interstate Australian citizen applicants to be “third class” applicants, and will not offer them a job unless all international students from their own state have been offered a job.
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