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The most important thing the US needs to do to its healthcare system, is cut costs by 1/3 to match the top end of what the other wealthiest developed nations ar
by adventured 8y ago
The most important thing the US needs to do to its healthcare system, is cut costs by 1/3 to match the top end of what the other wealthiest developed nations are spending.
That will require hammering downward what doctors (for one example) are earning. No more radiologists making $650k per year.
The side conflict to that, is you have to simultaneously make it a lot cheaper to become a doctor, otherwise you generate a shortgage of doctors that gets worse by the year.
As the Federal and State governments take on ever larger responsibility in the US healthcare system, I'll be curious to see how this problem is dealt with. I suspect at first they'll simply avoid the conflict entirely, and try to keep paying healthcare workers what they're presently earning. However, you can't have universal healthcare in the US in any manner at the current expense levels, it's financially impossible. Something will have to give, and it ultimately will have to be the costs in the system.
- ericd 8y agoI think the other thing is that it's not only expensive to become a doctor, but fairly grueling as well. Some number will still do it for altruistic reasons, similar to how you get some amazing teachers despite the terrible pay, but it'll probably be a lot harder for most extremely effective people to justify doing that over another, more lucrative field. One thing that might help is eliminating the undergrad requirement before medical school.