3 ms·

This is true. I'm biased, of course, but to me the administrative costs are what's breaking the back of medicine. The roles of physicians and nurses are essenti

This is true. I'm biased, of course, but to me the administrative costs are what's breaking the back of medicine. The roles of physicians and nurses are essential (I'm not saying that they can't eventually be automated, just that they have to be done). Those of administrators generally are not. But the growth in administration has been astounding: http://image.slidesharecdn.com/pnhplongsetweisbartversion-121221105916-phpapp01/95/pnhp-long-setweisbartversion-52-638.jpg?cb=1356087906 http://image.slidesharecdn.com/pnhplongsetweisbartversion-12... So, sure, we can cut physician salaries and nursing salaries (nursing pay collectively is about the same as physician pay). But I don't see a downside to trying to reduce the administrative burden as a means of cost reduction.

maxerickson 10y ago
FWIW, when I think about cutting physician pay, I think about incentivizing new supply, as it is likely the most effective way to do it and also probably the fairest. I definitely have lots of concerns about the mega institutions that are swallowing hospitals. It's hard to believe that they really do much to improve outcomes for patients (and it's pretty observable that they haven't done any good for prices).
- carbocation 10y ago
  > FWIW, when I think about cutting physician pay, I think about incentivizing new supply Sorry for potentially being probably completely obtuse here due to being deep within the structure of medicine, but new supply of what?
  - maxerickson 10y ago
    Doctors. Grants, loan forgiveness programs, stuff like that should incentivize people to go into medicine. Have to fix the limits on residencies and such too.
    - carbocation 10y ago
      You don't even need those things. Without them, medical schools still accept less than half of those who apply. Let's say they increase capacity so that everyone who applies gets in somewhere. The bottleneck would still be, as you point out, the number of residency slots that Medicare is willing to fund.

maxerickson 10y ago

FWIW, when I think about cutting physician pay, I think about incentivizing new supply, as it is likely the most effective way to do it and also probably the fairest. I definitely have lots of concerns about the mega institutions that are swallowing hospitals. It's hard to believe that they really do much to improve outcomes for patients (and it's pretty observable that they haven't done any good for prices).

carbocation 10y ago
> FWIW, when I think about cutting physician pay, I think about incentivizing new supply Sorry for potentially being probably completely obtuse here due to being deep within the structure of medicine, but new supply of what?
- maxerickson 10y ago
  Doctors. Grants, loan forgiveness programs, stuff like that should incentivize people to go into medicine. Have to fix the limits on residencies and such too.
  - carbocation 10y ago
    You don't even need those things. Without them, medical schools still accept less than half of those who apply. Let's say they increase capacity so that everyone who applies gets in somewhere. The bottleneck would still be, as you point out, the number of residency slots that Medicare is willing to fund.