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We already have a ridiculously regulated, stifling environment. More stifling is not the answer, just look at the wait times and patients being denied basic car

We already have a ridiculously regulated, stifling environment. More stifling is not the answer, just look at the wait times and patients being denied basic care in Canada and the UK. We need to end the ridiculous grip the AMA has on the # of doctors; get rid of the hospital certificates of need, and encourage a new industry of medical professionals who specialize in certain areas without unneeded training in other areas.

bu7w41t 4y ago
“… encourage a new industry of medical professionals who specialize in certain areas without unneeded training in other areas.” Sounds stifling. What’s the problem with holistic training? Except some admin does not want to pay for it? Extreme division of labor will just create backups for some specialists and time to twiddle thumbs for others. The opposite across society seems necessary; people need to become more self reliant across contexts. Remove industrial manufacture pipelines so more raw materials are available to the general public and make more holistic and well rounded people.
- derbOac 4y ago
  I don't know. In my opinion there's nothing wrong with holistic training but I think there's also nothing wrong with different training paths. Better to let them all flourish and find their way in the system. It all needs to happen in my opinion though: let the current provider models stay, but let in lots of other educational models, and empower people to take more care of themselves by giving them access to what they need. Everything is far too overregulated in medicine, or at least is regulated in the wrong way. Even within the physician model it's broken and overregulated. Board certification is ridiculous and insane in some specialties. I think medicine is just an amplified version of a lot of problems in the US, but it also has significant consequences for life and wellbeing.
noobermin 4y ago
https://en.wikipedia.org/wiki/Jim_(horse) https://en.wikipedia.org/wiki/Jim_(horse)
spfzero 4y ago
Canada and the UK illustrate the downside of single provider, but the US has embraced all of the bad about single provider, but with multiple providers. Anyone can get into the game, but no one tries to make the product better. The patient is not the customer in either the US or Canada or the UK. They are the same in that respect and that is what matters.
nradov 4y ago
The American Medical Association does not control the number of doctors. The primary bottleneck in producing new doctors is limited federal (Medicare) funding for residency programs. The AMA has been actively lobbying Congress to increase the number of doctors. https://savegme.org/ https://savegme.org/

bu7w41t 4y ago

“… encourage a new industry of medical professionals who specialize in certain areas without unneeded training in other areas.” Sounds stifling. What’s the problem with holistic training? Except some admin does not want to pay for it? Extreme division of labor will just create backups for some specialists and time to twiddle thumbs for others. The opposite across society seems necessary; people need to become more self reliant across contexts. Remove industrial manufacture pipelines so more raw materials are available to the general public and make more holistic and well rounded people.

derbOac 4y ago
I don't know. In my opinion there's nothing wrong with holistic training but I think there's also nothing wrong with different training paths. Better to let them all flourish and find their way in the system. It all needs to happen in my opinion though: let the current provider models stay, but let in lots of other educational models, and empower people to take more care of themselves by giving them access to what they need. Everything is far too overregulated in medicine, or at least is regulated in the wrong way. Even within the physician model it's broken and overregulated. Board certification is ridiculous and insane in some specialties. I think medicine is just an amplified version of a lot of problems in the US, but it also has significant consequences for life and wellbeing.

noobermin 4y ago

https://en.wikipedia.org/wiki/Jim_(horse) https://en.wikipedia.org/wiki/Jim_(horse)

spfzero 4y ago

Canada and the UK illustrate the downside of single provider, but the US has embraced all of the bad about single provider, but with multiple providers. Anyone can get into the game, but no one tries to make the product better. The patient is not the customer in either the US or Canada or the UK. They are the same in that respect and that is what matters.

nradov 4y ago

The American Medical Association does not control the number of doctors. The primary bottleneck in producing new doctors is limited federal (Medicare) funding for residency programs. The AMA has been actively lobbying Congress to increase the number of doctors. https://savegme.org/ https://savegme.org/