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> could we not offer visas to physician immigrants who meet first world medical credentialing standards Basically, you are saying American trained doctors only

> could we not offer visas to physician immigrants who meet first world medical credentialing standards Basically, you are saying American trained doctors only then, as American doctors are much better trained. Because my experience is that a physician immigrant has to do the following: Receive ECFMG verification Complete missing medical education requirements Study a boatload! Pass US medical licensing exams 1 & 2 Find a residency (matching) Go through Residency again Obtain certification from ECFMG start practicing, or Complete Fellowship, then start practicing

toomuchtodo 5y ago
> Basically, you are saying American trained doctors only then, as American doctors are much better trained. Considering how much healthcare costs in the US and the quality of care received [1], I assert American doctors are not better trained, simply that they are more expensive and there are less of them per capita than other OECD countries [2] [3] [4]. I'm suggesting bypassing the undersized US doctor development pipeline until it is fully funded to produce enough doctors to meet demand and drive down costs. https://www.ajmc.com/view/the-quality-of-us-healthcare-compared-with-the-world https://www.ajmc.com/view/the-quality-of-us-healthcare-compa... ("A 2014 report from the Commonwealth Fund revealed continued trends that were along the same lines—despite the implementation of the Affordable Care Act (ACA) in the interim. In the report, the US “ranked last overall among 11 industrialized countries on measures of health system quality, efficiency, access to care, equity and healthy lives.” Significantly, the US was noted to have the highest costs while also displaying the lowest performance.") [2] https://data.worldbank.org/indicator/SH.MED.PHYS.ZS?most_recent_value_desc=true https://data.worldbank.org/indicator/SH.MED.PHYS.ZS?most_rec... [3] https://www.fiercehealthcare.com/practices/how-u-s-stacks-up-against-other-countries-doctors-healthcare https://www.fiercehealthcare.com/practices/how-u-s-stacks-up... ("When it comes to practicing physicians, there are only two physicians for every 1,000 Americans, nearly half the ratio of countries with nationalized public healthcare. Countries with nationalized systems saw the greatest increase in the number of physicians relative to their population.") [4] https://www.medicaresupplement.com/content/global-healthcare-resources/ https://www.medicaresupplement.com/content/global-healthcare...

toomuchtodo 5y ago

> Basically, you are saying American trained doctors only then, as American doctors are much better trained. Considering how much healthcare costs in the US and the quality of care received [1], I assert American doctors are not better trained, simply that they are more expensive and there are less of them per capita than other OECD countries [2] [3] [4]. I'm suggesting bypassing the undersized US doctor development pipeline until it is fully funded to produce enough doctors to meet demand and drive down costs. https://www.ajmc.com/view/the-quality-of-us-healthcare-compared-with-the-world https://www.ajmc.com/view/the-quality-of-us-healthcare-compa... ("A 2014 report from the Commonwealth Fund revealed continued trends that were along the same lines—despite the implementation of the Affordable Care Act (ACA) in the interim. In the report, the US “ranked last overall among 11 industrialized countries on measures of health system quality, efficiency, access to care, equity and healthy lives.” Significantly, the US was noted to have the highest costs while also displaying the lowest performance.") [2] https://data.worldbank.org/indicator/SH.MED.PHYS.ZS?most_recent_value_desc=true https://data.worldbank.org/indicator/SH.MED.PHYS.ZS?most_rec... [3] https://www.fiercehealthcare.com/practices/how-u-s-stacks-up-against-other-countries-doctors-healthcare https://www.fiercehealthcare.com/practices/how-u-s-stacks-up... ("When it comes to practicing physicians, there are only two physicians for every 1,000 Americans, nearly half the ratio of countries with nationalized public healthcare. Countries with nationalized systems saw the greatest increase in the number of physicians relative to their population.") [4] https://www.medicaresupplement.com/content/global-healthcare-resources/ https://www.medicaresupplement.com/content/global-healthcare...