5 ms·

I've had this suspicion that I've been meaning to look into to find out if the numbers match up. The biggest growing industries to me seem to be the service in

by pfranz 10y ago

I've had this suspicion that I've been meaning to look into to find out if the numbers match up. The biggest growing industries to me seem to be the service industry and entertainment. Both of these are really superfluous. If is true, I see this as a symptom that we have fewer useful jobs and are pushing people into these superfluous jobs--kind of a sign that soon we'll have more people than jobs. More to your case, the more specialized jobs get, the more difficult it is to transition in and out of. Liquidity of skills comes up a lot in history. I've heard the U.S. specifically makes it really difficult for doctors trained in other countries able to practice here. Usually, if there's an under-supply of a skill someone steps in to remedy it. So why if there's demand for certain jobs, why there aren't more programs to train more of them. It seems like many businesses aren't willing to take on people unless they have the exact skillset where years ago they'd be willing to train people at the business' expense (another feeling I haven't looked into if it's true).

maxharris 10y ago
So why if there's demand for certain jobs, why there aren't more programs to train more of them. Medicare (i.e., the federal government, congress) sets de facto limits on the number of new residents that are trained each year. "The Balanced Budget Refinement Act of 1999 (BBRA) increased the limit for rural teaching hospitals to equal 130% of each rural teaching hospital's 1996 resident count (BBRA Section 407)." https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html Debates on these matters constantly criticize the few elements of freedom in our existing system. Rarely do people acknowledge any of the controls and regulations that have been in place for decades, and have brought us to our current crisis...
- pfranz 10y ago
  I do wish that was brought up. However, government provided healthcare or not (and Medicare or not), I think healthcare should be closely regulated (maybe by professional organizations if not the government). I can't find the citation, but I was reading that as doctor density increases, the number of procedures increase even though the outcomes are the same. It's also pretty obvious that as Baby Boomers start retiring, we're going to need more medical professionals. The demand for those services probably won't show up until it's too late to train them so it'd be good to incentivise people now (although, it might be too late already).
  - gwright 10y ago
    Professional organizations generally advocate against lowering barriers to entry to their market. Delegating regulatory controls to a professional organization has to done very carefully. My understanding is that in the US, this is one reason why there is a limited supply of new physicians. Of course the health care industry is quite complicated with many conflicting and interacting incentives and regulatory distortions to a true free market.
Trundle 10y ago
If entertainment is superfluous then you have an enviable vision of man kinds purpose. As far as I can tell amusing ourselves until we die is our whole deal. Entertainment isn't superfluous, entertainment is the truest and most important industry we have.
- pfranz 10y ago
  Maybe it's just my vision of man kind's purpose. I was speaking as entertainment as a profit driven industry, not entertainment all together. Also, in talking to friends, when I used "service industry" it may not have conveyed what I thought it did. I grew up in a tourist area and service industry was used for people who worked in restaurants and hotels. The natural conclusion for this future lack of jobs for many people is basic income. I'm confident if people didn't have the 9-5 they would be writing books, putting on plays, and preparing food for each other--just not necessarily for maximizing profit.

by pfranz 10y ago

maxharris 10y ago

So why if there's demand for certain jobs, why there aren't more programs to train more of them. Medicare (i.e., the federal government, congress) sets de facto limits on the number of new residents that are trained each year. "The Balanced Budget Refinement Act of 1999 (BBRA) increased the limit for rural teaching hospitals to equal 130% of each rural teaching hospital's 1996 resident count (BBRA Section 407)." https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html https://www.aamc.org/advocacy/gme/71178/gme_gme0012.html Debates on these matters constantly criticize the few elements of freedom in our existing system. Rarely do people acknowledge any of the controls and regulations that have been in place for decades, and have brought us to our current crisis...

pfranz 10y ago
I do wish that was brought up. However, government provided healthcare or not (and Medicare or not), I think healthcare should be closely regulated (maybe by professional organizations if not the government). I can't find the citation, but I was reading that as doctor density increases, the number of procedures increase even though the outcomes are the same. It's also pretty obvious that as Baby Boomers start retiring, we're going to need more medical professionals. The demand for those services probably won't show up until it's too late to train them so it'd be good to incentivise people now (although, it might be too late already).
- gwright 10y ago
  Professional organizations generally advocate against lowering barriers to entry to their market. Delegating regulatory controls to a professional organization has to done very carefully. My understanding is that in the US, this is one reason why there is a limited supply of new physicians. Of course the health care industry is quite complicated with many conflicting and interacting incentives and regulatory distortions to a true free market.

Trundle 10y ago

If entertainment is superfluous then you have an enviable vision of man kinds purpose. As far as I can tell amusing ourselves until we die is our whole deal. Entertainment isn't superfluous, entertainment is the truest and most important industry we have.

pfranz 10y ago
Maybe it's just my vision of man kind's purpose. I was speaking as entertainment as a profit driven industry, not entertainment all together. Also, in talking to friends, when I used "service industry" it may not have conveyed what I thought it did. I grew up in a tourist area and service industry was used for people who worked in restaurants and hotels. The natural conclusion for this future lack of jobs for many people is basic income. I'm confident if people didn't have the 9-5 they would be writing books, putting on plays, and preparing food for each other--just not necessarily for maximizing profit.