If you can advise them, I hope for their sake they’ll move to the States because they’re underpaid in most so-called first world countries.
Their father is a GP and worked in the U.S. for about a decade. He was happy to return to Canada and not have to deal with HMOs and all the other crap. His clinic here has a single office worker handling billing for 5 or 6 doctors; in Indiana, they had at least one per doctor.
He actually said that his salary in Canada ended up being higher because of the lower administration costs, lower malpractice insurance, insurance companies refusing to pay the full invoices, etc.