3 ms·
To be fair, "I've just been in a car accident and require immediate stabilization followed by airlift to a Level I trauma center" is a process most of us don't
by ethbr0 5y ago
To be fair, "I've just been in a car accident and require immediate stabilization followed by airlift to a Level I trauma center" is a process most of us don't think about.
There's nothing that says a Level I trauma center needs to exist... except planning (largely by states) to try and ensure it does. And a lot of ensuring availability means balancing profitability against access to the market.
A VC firm financing a facility across the street, until it loses interest and both implode financially, is of no good to anyone.
- seibelj 5y agoMy point is that before people go crazy about a judge not letting people quit, a judge also won’t let you work in this industry simply because you want to. It’s a highly regulated, government-interfered business so nurses being disallowed from jumping to another hospital is not surprising in the context of all the ways the market is managed.
- lotsofpulp 5y agoRequiring person A to have qualifications to sell something to person B is not comparable to stopping person A from selling something B.
- ethbr0 5y agoParent isn't speaking about just qualifications, but the extent to which the government also controls supply of healthcare professions in the US, largely via its residency funding, and requirements to complete a residency program to practice (to simplify the system to a sentence). https://www.nationalreview.com/2021/10/america-cant-fix-its-doctor-shortage-without-fixing-federal-financing/ https://www.nationalreview.com/2021/10/america-cant-fix-its-... So it's generally accurate to say "You cannot be a physician in the United States without the federal government's permission." (At minimum, indirectly via position funding) And since we generally require a credentialed physician at some point for most care, that trickles down the entire system.
- novok 5y agoI think there is a bit of a difference between "we have to make sure a level 1 trauma center exists" and "we will restrict people building more level 1 trauma centers indepedently", which is what I think the parent comment was implying.
- ethbr0 5y agoThose two things are intrinsically related though.