The entire situation is unpalatable. Newly qualified doctors knew exactly what they were being paid, yet those same newly qualified doctors have immediately gone on strike to demand the restoration of pay from a time when they were still at school. You might have thought that, having recently qualified and received a near 30% increase in basic pay over the past few years alone, they would be eager to focus on helping the nation’s sick.
Perhaps there could be a rolling option to allow doctors to choose between pay increases and pension contributions. Each doctor individually could then decide whether to prioritise their basic pay during the early years of their career and shift their focus to pension contributions later on.
Additionally, a mechanism could be introduced to gradually write off student medical debt based on years of service.
You apply for medical training 6 to 7 years before your first pay check, so its not entirely fair to say they new what they were getting themselves in for.
During my time as a JD we saw pension reform, imposed contracts, year on year of pay freeze or sub inflation rises. None of this will have been known to me at the time of applying, we just rolled over and took it apart from one brief period of tepid IA.
It's not an easy situation being beholden to a single employer and seeing your salary being held down for the good of the public finances. You can only subsidise the NHS for so long.
You're right that the have had a recent significant pay rise, and the right to full pay restoration isn't a thing, but they were sold a pathway to pay restoration and this hasn't happened. If the Gov just offered +2% above inflation for 6 years then this would likely all have been done and dusted.
More recently the Gov and NHSE noise has made the Residents increasingly angry. The Gov recognised the crap that Residents have to put up with during the talks but would only improve it if the strikes were called off, that's not what a good employer does. Trying to block Residents from taking up overtime to earn lost pay is just a non starter and threatening an impact on their training for taking up their right to IA is probably illegal.
Whilst this is going on the Gov is expanding hiring of doctors assistants on band 7 and 8 pay which equates to a doctor with around 5 years of experience whilst working less hours and being unable to work unsupervised. This is just mental.
Working in the NHS is like being in an abusive relationship, you can't leave without massive life disruption.
I wouldn't allow any kind of pension reform if I was the BMA. We've already seen a massive downgrade of the pension in my time. Cutting contributions to bolster the salary in early years is a non starter.