I remember watching a special on working in Antarctica. At first, it elicits images of playing on the bottom of the world, chasing penguins and making snow angels on a big melting ice cube. But then the documentary shifts to the mechanics and HR reps talking about how they never get outside or see anything. Just a tin box, freezing your butt off on the bottom of the world. Its just like any other employer ensuring they maximize your skills in the moment. They don't care about your desire to 'experience' anything. I've had that same experience with PCL.
I made it to five contracts, definitely one of the last hold outs from the original hires. The reason you're seeing Canada pop up for hires is because they can't hold onto 'merican medics. You guys are the next best thing as the passengers don't hear much of an accent. My last few partners were from UK or SA. US medics quit after one or two contracts, pay starts 3200 a month, and you can't escape federal or state taxes either. Mix the low pay in with the lack of benefits and healthcare, sporadically good/bad rooms on the ships, crazy senior nurses, frequently being sent back the same itinerary over and over again, it gets old fast for some. US is a big country, so it really says something that PCL has had to expand their hiring to other countries than their original target (and in some cases, paying them more than the US quoted pay rate). The usual gripes for pay and benefits are not surprising, but there have been other horror stories that easily make a US medic choose to refuse their next contract or literally walk off the ship when it pulls into a US port.
Medics that are used to being on their own especially have it tough. A lot of the docs like the medics, a lot of the nurses don't and a lot of in between. Medics haven't done much to establish a rapport as the new part of the team with our original jobs so different from what is expected on ships. Nothing new there. After working enough contracts and hearing the nurses gripe over things when you see how much more they make a month along with benefits off contract we can NEVER get, you really wanna punch 'em in the face. Inevitably, SA medics will take up more and more of the medic spots as they get paid in USD and the conversion for them is fantastic. Where it will go, I have no idea. I'd wanna say 'good luck' to 'em or help keep the program going, but they haven't done anything to endear themselves to me. I was just a number. Its a job best left to people who wanna have fun, drink/party, interact with different cultures, work occasionally, and are not into it for the travel. Unless you like Hawaii/Alaska/Mexico, over and over and over and over and over again.