Think outside the box

夏眠中|I shall return.





During a debate in Westminster Hall, Conservative MP Anne McIntosh, said: "It's a controversial thing to say, but perhaps I as a woman can say this - 70% of medical students currently are women and they are very well educated and very well qualified.

"When they go into practice and then in the normal course of events will marry and have children, they often want to go part-time and it is obviously a tremendous burden training what effectively might be two GPs working part-time where they are ladies.

"And I think that is something that is going to put a huge burden on the health service."

In response, Ms Soubry said: "You make a very important point when you talk about, rightly, the good number of women who are training to be doctors, but the unintended consequences."*1 

The reason is that most female doctors end up working part-time — usually in general practice — and then retire early.

As a result, it is necessary to train two female doctors so they can cover the same amount of work as one full-time colleague. 

In addition, doctors tend to marry within their own socio-economic group and, in many cases, the wife is the secondary earner. This also encourages less demanding part-time work. *2

2017年11月末時点では、NHS Hospital and Community Health Servicesの医師の30%が外国人です(国籍不詳を含む)。*3

We make up the shortfall in medical manpower by importing about 40 per cent of the doctors we need. Most now come from austerity-stricken EU countries. 

That means, as more women enter the profession, you need more doctors. *4

In medicine they help generate a holistic, gentler approach with greater co-operation and planning. There’s less machismo. But that doesn’t wipe away the big, structural problem created by more part-time working and maternity leave. And it’s patients who will suffer, because it endangers continuity of care.

Medicine should be seen as a vocation, and with this comes the harsh reality that your patients have to be your priority. *5


Two thirds of GPs under 40 are female, with part-time working popular among those raising families. 

The statistics show record shortages of GPs, which have already fuelled rising waiting lists and surgery closures across the country.


  • Obstetrics & gynaecology 66.6%
  • PHM & CHS group 66.4%
  • Paediatric group 63.8%
  • Pathology group 54.5%
  • Clinical oncology 52.7%
  • Psychiatry group 51.2%
  • Dental group 50.8%
  • General medicine group 47.9%
  • Emergency Medicine 42.3%
  • Anaesthetics 39.7%
  • Radiology group 38.2%
  • Surgical group 27.3%







なぜフランスでは子どもが増えるのか -フランス女性のライフスタイル (講談社現代新書)

なぜフランスでは子どもが増えるのか -フランス女性のライフスタイル (講談社現代新書)






Sociologists in the US have concluded that men who stay at home and don’t fulfil the stereotype of the male breadwinner don’t get extra brownie points for their hospital corners and nurturing skills.

In fact, they are at greater risk of divorce than men who go out to work full-time. Women who stayed at home did not experience the same increased likelihood. 

結婚の条件 (朝日文庫 お 26-3)

結婚の条件 (朝日文庫 お 26-3)





なお、男女平等が国家に必須のサービスの供給力・対応力を低下させることは、軍隊も同じです。医療は毎日が「有事」なので、楽をしたがる(work-life balanceを重視する)女とは相性が良くないわけです。*11

In 2015, the United States Marine Corps released a year-long study on the capability of a mixed-gender battalion. It was found that all-male units performed resoundingly better than mixed-gender units and highlighted a 1992 study which emphasised the importance and moral necessity of prioritising operational capabilities over accommodating the interests or desires of individuals and groups. This suggests that the road to gender equality has been far from ideal in the United States military as well.

What makes the ADF’s road to gender equality more complex is the advice from activists and interest groups with very limited understanding of military service and the complexity of communal living, highly arduous and dangerous working conditions, as well as the absolute need to have confidence in your peers. In these environments—whether they be at sea, on land, or in the airconventional theories on gender equality may not be optimal.

リベラルが理想とするpolitically correctな社会は代償を必要とするのです。*12*13

The lesson of the iron triangle is that there are inherent trade-offs in health policy. If we wanted to conduct the debates honestly, we would acknowledge these and allow the public to decide what they really want—and what they are willing to sacrifice to get it.





自分の世界観に反する事実を突きつけられたときでも、その世界観が結局強まるだけだ。「心の中で『違う』と言いながら、なぜ違うのかを証明するような反論を考えている」とナイハンは言う。「反論を考えながら、間違った信条にさらに浸っていく」 人は信じたいことだけを信じ、耳障りな情報を排除する。





  • 配偶者なし:100%
  • 配偶者あり/子供なし:90%
  • 配偶者あり/子どもあり(中学生未満の子どもあり):50%
  • 配偶者あり/子どもあり(中学生未満の子どもなし):60% 




男と女が肉体的に異なる以上、女医の増加が医療供給体制の"huge burden"になることは避けられません。少子高齢化で衰退する日本社会はその負荷に耐えられるでしょうか。





*5:[引用者注]"harsh reality"や"unintended consequence"を無視するのがリベラルの特徴であり、その根底には「正しいことを積み重ねればユートピアが実現する」という幼稚な世界観があります。