Dear Editor:
Thirty-one countries in the world have no medical schools[1].This is an imperfect state of affairs.However it is one that is unlikely to last much longer as universities within these countries and medical schools elsewhere move to close the gap.
Another perhaps surprising fact is that 44 countries have just one medical school[1].These schools have a monopoly in each individual country-another imperfect state of affairs[2].Some of these countries are quite small and so might only be able to support one school-a so-called natural monopoly.