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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The problem is you can't cut the pay of doctors while medical schools cost hundreds of thousands of dollars.  If doctors aren't paid a decent salary, no one's going into medicine because of the extreme debt load.

And the paths Boomer doctors used (military, for instance) have been severely curtailed.[/quote]

You can't cut the pay of the lowest paid doctors. You can certainly cut the pay of radiologists, anesthesiologists, dermatologists,  and orthopedic surgeons. We also don't need as many of some of them.

For instance, there's no reason gastroenterologists can't administer propofol themselves during basic screening colonoscopies, which would come with a huge cost savings. But gastroenterologists are worried about pissing off the anesthesiologists by not throwing the lucrative, easy cases to them.[/quote]

and if you have a bad response to the propofol, should your GI leave the scope in your backside and work on your airway? Finish the scope and hope you’re still breathing when he is done? How about you and your family take this approach first and let us know how it goes. [/quote]

It doesn't take long to withdraw a scope, and an anesthesiologist isn't going to be doing much on you during brief period.

You're basically paying the anesthesiologist to monitor vitals, which an RN could do for a fraction of the cost. There's probably already an RN there, so really you just need to add another tech to take notes

This isn't a hypothetical. Other countries do this without any worse outcomes.[/quote]

There are nurse anesthetists who administer meds and monitor vitals, but they have to be supervised by an anesthesiologist for both legal and safety reasons (you need someone who is in charge and qualified to make certain decisions especially in the event of anything unusual happening). Becoming a nurse anesthetists requires a lot of extra training for an RN and is a very high paid nursing specialty (among the highest paid nurses, along with surgical RNs).

Turns out it just takes a ton of training to participate in the riskiest medical procedures and to be responsible for a person's life while they are unconscious and being operated on. And that's expensive (not to mention the equipment used in these procedures which is often costs more than all the people in the room combined).[/quote]

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