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Whether it's better or not would also depend on what the actual skill levels are. "Half the skill level" is much less big of a deal if you are talking skill level 8 vs. 4 compared to 10 vs. 20...
If you click the "i" button for the pawns you can view the medical tend quality rating for each of them and then you'll know if 70% of the one is better than 100% of the other. Also do keep in mind that there's a cap applied depending on what type of medicine you are using.
He legit got unlucky
It's only 70%
Medical is 20%+10*Level
So,
1 21 30
2 28 40
3 35 50
4 42 60
5 49 70
6 56 80
7 63 90
8 70 100
So, You can line it up to see if its better to use someone else or just self tend
It's also effected by manipulation and sight, so if whatever the better doctor has that requires tending is reducing his manipulation and/or sight, that will also be a factor. Hence why I advised him to actually look at the info for the pawns.
I had this same exact thing happen in my very first game of Rimworld (which was just a few months ago)...
I had a doctor with the plague who was self-tending because I didn't fully understand just how severely a combination of 70% quality and the plague itself were lowering his tending quality. Fortunately, just like you, I figured out what was happening before it was too late, but he came really, really close to not beating it.
Also my dog has immediately caught the flu.
It's not good but it's better than bleeding out.
My next highest has like 8?
Self Tend is fine if you hard specialize