I think at the end of the day one has to ask if the service to the general public is getting better, or worse? It is fully accepted that doctors should not be subjected to intolerable hours, anymore than anyone else should be. But it was for many years an accepted part and parcel of that particular career, and it did not seem to stop applications. I suspect that the majority who went in to medicine did it because they felt they were doing a worthwhile job, rather than how much money they would make.
The system that appears to operate nowadays is rather piecemeal and the treatment you can receive depends too much on where you live, which makes a mockery of having a National Health Service. Many out of hours services now seem to consist of a telephone 'chat' with either a nurse, or a doctor, with a final advice to head for the nearest A&E Unit if things are bad. Even when you get there it is possible you will be seen by a junior doctor, who has him/herself been working very long hours.
I accept that unfortunately the days of Doctor Findlay etc are long gone, more is the pity. However, the knowledge a doctor has of his patient from personal contact can be invaluable in making decisions, which may not be so useful when a locum is only looking at case notes.
I note our illustrious Health Minister has admitted the Government screwed uwhen they designed the new Contracts, but complaints from someone who currently earns well over