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Is it greed? Is it all doctos tacitly agreeing to this so they can get bigger paychecks?

whiterknight 3y ago
Yes. They sign up for big salary at hospital where their schedule is managed for them.
givemeethekeys 3y ago
The individual doctors don't have much choice when they're heavily indebted by the time they become doctors. We (the AMA?) regulate where a doctor gets their education in order to become a doctor. This gives schools a lot of power. It also gives hospitals a lot of power when those doctors work insane shifts during their rotations.
- nradov 3y ago
  The AMA is only a private professional association. They have some political influence but no regulatory authority. Medical schools have to be accredited so that's one limiting factor. But the real bottleneck today is more lack of slots in graduate medical education (residency) programs. Every year there are some students who graduate with an MD but can't practice medicine because they don't get matched to a residency program. To expand the supply we have to start there. https://www.ama-assn.org/education/gme-funding/save-graduate-medical-education https://www.ama-assn.org/education/gme-funding/save-graduate...
  - givemeethekeys 3y ago
    Maybe they should be able to gain experience abroad towards their accreditation. Win win win. They get accredited. The country receiving them gets well-educated help. We end up with more doctors.
screye 3y ago
If you scour my archives, I once made a heavily down voted post about how 'doctors were evil'. It was obviously meant to be provocative and tongue in cheek. But all medical boards are exclusively run by doctors, so you have to assign blame to the profession for doctor NIMBYism. Imo, it's another case of : "you can't get someone to understand something, if their wealth depends on them not understanding it."
- ineedaj0b 3y ago
  Doctors like money like everyone You can see a lot more patients when you have less busywork. You can also be more caring and thoughtful when you’re focused on the patient and not the chart. A lot of patients give misleading answers (I don’t eat much! How are you 50lbs+ since last visit?) More doctors will help. But management runs the hospitals so poorly they can’t run more resident spots!

Yes. They sign up for big salary at hospital where their schedule is managed for them.

The individual doctors don't have much choice when they're heavily indebted by the time they become doctors. We (the AMA?) regulate where a doctor gets their education in order to become a doctor. This gives schools a lot of power. It also gives hospitals a lot of power when those doctors work insane shifts during their rotations.

nradov 3y ago
The AMA is only a private professional association. They have some political influence but no regulatory authority. Medical schools have to be accredited so that's one limiting factor. But the real bottleneck today is more lack of slots in graduate medical education (residency) programs. Every year there are some students who graduate with an MD but can't practice medicine because they don't get matched to a residency program. To expand the supply we have to start there. https://www.ama-assn.org/education/gme-funding/save-graduate-medical-education https://www.ama-assn.org/education/gme-funding/save-graduate...
- givemeethekeys 3y ago
  Maybe they should be able to gain experience abroad towards their accreditation. Win win win. They get accredited. The country receiving them gets well-educated help. We end up with more doctors.

screye 3y ago

If you scour my archives, I once made a heavily down voted post about how 'doctors were evil'. It was obviously meant to be provocative and tongue in cheek. But all medical boards are exclusively run by doctors, so you have to assign blame to the profession for doctor NIMBYism. Imo, it's another case of : "you can't get someone to understand something, if their wealth depends on them not understanding it."

ineedaj0b 3y ago
Doctors like money like everyone You can see a lot more patients when you have less busywork. You can also be more caring and thoughtful when you’re focused on the patient and not the chart. A lot of patients give misleading answers (I don’t eat much! How are you 50lbs+ since last visit?) More doctors will help. But management runs the hospitals so poorly they can’t run more resident spots!