Everyone likes to complain about health insurance costs but none of that matters if we don’t have providers!

[Anonymous]

Anonymous wrote:

Anonymous wrote:From the article: "Medical schools have done their part by increasing enrollment by nearly 40% since 2002. We must now expand graduate medical education so we are training more doctors to meet the nation’s health care needs."

So are there a bunch of people who got their MDs but can't get residencies? What are they doing?

It's still like a 5% acceptance rate.

Medical schools aren’t doing squat about the shortage except maybe increasing their class size by a few or establishing tiny “satellite” campuses to pretend they care about rural medicine. No, they are reveling in the exclusivity too while raking in thousands in secondary application fees and making applicants jump through more and more hoops. They are too lazy and set in their ways to take on more students. They just want to keep phoning it in with pre-recorded lectures and group case presentations where the students teach themselves. And they fall back on the congressional residency cap to justify their actions. They also fight any attempt to build new med schools in the states where they are located so that they have less competition.

[Anonymous]

Physicians are obligated to follow established protocols. You say your symptoms, and they prescribe the meds.

AI can do that. Who needs a real human?

[Anonymous]

Anonymous wrote:
Physicians are obligated to follow established protocols. You say your symptoms, and they prescribe the meds.

AI can do that. Who needs a real human?

OK. You first.

[Anonymous]

Anonymous wrote:

Anonymous wrote:
Physicians are obligated to follow established protocols. You say your symptoms, and they prescribe the meds.

AI can do that. Who needs a real human?

OK. You first.

I already do heal myself if I feel anything coming on. You need to do your own research.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:
Physicians are obligated to follow established protocols. You say your symptoms, and they prescribe the meds.

AI can do that. Who needs a real human?

OK. You first.

I already do heal myself if I feel anything coming on. You need to do your own research.

OK, Jesus.

[Anonymous]

Self responsibility is rare.

[Anonymous]

Anonymous wrote:Self responsibility is rare.

Go away troll. Are you sick enough to believe that 3 year olds get leukemia because they don’t have enough “self responsibility” or engage in “healing themselves?”

[Anonymous]

Anonymous wrote:I’m curious what kind of doctors the prior two pps know? The ones I know work a ton.

I have a relative who's a specialist who works only several days per week. And gets 8 weeks of paid vacation on top of that. Until recently it was 12 weeks. Insane.

[Anonymous]

Anonymous wrote:Immigrants will take the jobs Americans don't want.

There are plenty of capable Americans who want to be doctors, but there aren't enough med school spots to train them. We desperately need more med school capacity.

[Anonymous]

Anonymous wrote:Everyone hates the insurance companies, but no one wants a single payer

It's a complex issue, and I think insurance companies are a big part of the problem - they are the middle man, in-between you and your doctor, taking their cut.

And, malpractice rates are sky high (needs to be, because when a doc makes a mistake, it can be life-altering in horrendous ways, in which case your medical needs should be taken care of forever, but there's also lots of needless lawsuits by those hoping for a quick payout).

The fear of malpractice also causes docs to order unnecessary tests, "just to make sure." That adds up to millions, if not billions of wasted healthcare dollars

There's pharmacy benefits managers also taking cuts and setting prices

And, we are all to blame for the amount we choose to spend on extraordinary measures to prolong end of life care, when we should not. Keeping people alive in vegetative state, why? So a machine can keep blood pumping through your comatose body? And other crazy things I've seen

What do you mean no one wants a single payer? I want a single payer system! Lots and lots of people want a single payer system.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree medical school should require some sort of mandatory number of hours worked like the military. Maybe the minimum per year is some part time number but there should be some cumulative number that adds up to five years practice.

This is beyond stupid on many levels, the least of which is that the military requires young officers to work a certain number of years because it *paid for their education.*

Also, you think some sort of minimum work requirement, where the physician has no choice in his or her schedule, is going to *incentivize* more people to become doctors?

Idiocy abounds.

Something has to give if the number of people going into the profession is restricted and then those same people decide to quit after 5 years.
Maybe they should make the training free in exchange for a work commitment (similar to the military).

How about start teaching doctors how to heal?

Bring back the Hippocratic Oath:
FIRST DO NO HARM.

Sorry, but you're an idiot. That's not in the Hippocratic oath. Look it up.

Promising not to cut out kidney stones is a part of it, as it promising to teach the practice of medicine for free to the sons of your teachers,. but that's not what you are calling on. You don't even know what it states as an oath.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Immigrants will take the jobs Americans don't want.

There are plenty of capable Americans who want to be doctors, but there aren't enough med school spots to train them. We desperately need more med school capacity.

You're wrong in a fundamental way, at least unless you expand on that. Med school isn't the problem. You can always hire somebody to teach more classes. It's the clinical placements that are not available, and that is a LOT more difficult to fix (if not impossible).

Clinical teaching requires multiple people to integrate a learner into a space which is increasingly profit-driven, corners-cutting, and pressed for time. There are even more people needing appointments, and fewer providers, and those providers still working are being tracked for spending too much time with patients as it is.

So you just have the learner see patients without full supervision? Not with increasing malpractice and liability legislation. Not without loosening the stringency of holding a medical license, where mistakes or errors will literally follow you forever, even if you change states. And that's fine, but what is the incentive (or even justification) for taking on teaching in that environment?

"We don't have enough medical school slots." No. That's not the problem.

---

PS: This is one of the reasons NP diploma mills are so crappy. They often require theNP students to find their own clinical training placements. NOBODY wants them. Why would you, in this context? It's a huge liability and makes a difficult job even worse.

[Anonymous]

The main bottleneck is in residency slots. You can build all the med schools you want, but that doesn't make a difference if someone cannot complete their training. Residency spots are largely federally funded, and Congress needs to provide more funding for this.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I agree medical school should require some sort of mandatory number of hours worked like the military. Maybe the minimum per year is some part time number but there should be some cumulative number that adds up to five years practice.

This is beyond stupid on many levels, the least of which is that the military requires young officers to work a certain number of years because it *paid for their education.*

Also, you think some sort of minimum work requirement, where the physician has no choice in his or her schedule, is going to *incentivize* more people to become doctors?

Idiocy abounds.

Something has to give if the number of people going into the profession is restricted and then those same people decide to quit after 5 years.
Maybe they should make the training free in exchange for a work commitment (similar to the military).

How about start teaching doctors how to heal?

Bring back the Hippocratic Oath:
FIRST DO NO HARM.

You are fetishizing a black-and-white statement from back when there wasn't even reliable antibiotics or routinely survivable surgeries.

Look at what you want: "FIRST DO NO HARM." That's NO harm, not just "justified" harm, or "a small amount of harm for great reward." It's NO harm.

No medications with any side effects at all?
No CT scans?
No general anesthesia, even for an infant with a brain tumor?
No surgeries at all?
No chemotherapy?

I can see why you find modern medicine distasteful. Unfortunately, balancing benefits and risks doesn't fit in the tiny little sentence from the (other, not the oath) writings of Hippocrates back around 400 years BC.

[Anonymous]

13:20 is a quack.