3 ms·

As an aside, I’ve always wondered - residencies famously overwork newly minted doctors - they’re allowed to work up to 80 works, and for incredibly low salaries

As an aside, I’ve always wondered - residencies famously overwork newly minted doctors - they’re allowed to work up to 80 works, and for incredibly low salaries considering the education level required. Given that they have this valuable resource for an incredibly low wage - where is all the money for residency going? Why do hospitals require such a large subsidy to fill the gap? This isn’t an accusation that hospitals are misusing the money - I genuinely do not understand the costs that go into residency here.

nradov 2y ago
That's a complex question with no clear answer. It varies between hospitals and by medical specialty. In my previous comment I oversimplified things a bit because whether a particular program operates at a profit or loss depends largely on cost accounting. How do the accountants allocate overhead and other indirect costs besides resident wages? There are some general accounting guidelines on cost allocation but ultimately it's open to interpretation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051990/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051990/
- resource_waste 2y ago
  What is going on? You post a comment that is completely irrelevant to your link. I wonder how many people think your comment is a source for your claims. >That's a complex question with no clear answer. Yes, this is corruption. Lack of transparency is a benefit to the stronger powers. > How do the accountants allocate overhead and other indirect costs besides resident wages? They get to write off indirect expenses in taxes AND get tax dollars. Its even worse than it appears.
  - nradov 2y ago
    You seem confused about how medical education works. The link I posted above is relevant in that it has some good general information about the costs of residency programs. You might want to read it as a starting point for correcting your misunderstandings. Most teaching hospitals are non-profits, often owned by educational institutions or state/local governments. They don't "write off" expenses from an income tax perspective because they aren't subject to income tax in the first place. Cost accounting as a discipline is only loosely related to financial accounting or tax accounting. As for corruption, there are probably ways the current system could be improved. But you haven't presented any evidence of widespread illegal activity.
    - resource_waste 2y ago
      I genuinely can't tell if you are malicious, or easy to convince. The line about the non profit was mindboggling. You know that is just a business structure? It has nothing to do with profits weirdly enough. >But you haven't presented any evidence of widespread illegal activity. Its an immoral activity to corner a market, take tax dollars, lower quality for consumers, and raise prices. Its not illegal.
resource_waste 2y ago
Residents complain about the pay, but they still make like 80k+/yr. Its the hourly rate they whine about and if you ever met a resident, they count their sleeping/napping hours for some reason.
FireBeyond 2y ago
> residencies famously overwork newly minted doctors - they’re allowed to work up to 80 works Wait til you learn about EMTs and paramedics. EMTs can be making as low as $11/hr. And at the last ambulance service I worked at there was no upper cap on hours. The only restriction was you had to be off-duty for 8 hours after every SIXTY on-duty.

nradov 2y ago

That's a complex question with no clear answer. It varies between hospitals and by medical specialty. In my previous comment I oversimplified things a bit because whether a particular program operates at a profit or loss depends largely on cost accounting. How do the accountants allocate overhead and other indirect costs besides resident wages? There are some general accounting guidelines on cost allocation but ultimately it's open to interpretation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051990/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051990/

resource_waste 2y ago
What is going on? You post a comment that is completely irrelevant to your link. I wonder how many people think your comment is a source for your claims. >That's a complex question with no clear answer. Yes, this is corruption. Lack of transparency is a benefit to the stronger powers. > How do the accountants allocate overhead and other indirect costs besides resident wages? They get to write off indirect expenses in taxes AND get tax dollars. Its even worse than it appears.
- nradov 2y ago
  You seem confused about how medical education works. The link I posted above is relevant in that it has some good general information about the costs of residency programs. You might want to read it as a starting point for correcting your misunderstandings. Most teaching hospitals are non-profits, often owned by educational institutions or state/local governments. They don't "write off" expenses from an income tax perspective because they aren't subject to income tax in the first place. Cost accounting as a discipline is only loosely related to financial accounting or tax accounting. As for corruption, there are probably ways the current system could be improved. But you haven't presented any evidence of widespread illegal activity.
  - resource_waste 2y ago
    I genuinely can't tell if you are malicious, or easy to convince. The line about the non profit was mindboggling. You know that is just a business structure? It has nothing to do with profits weirdly enough. >But you haven't presented any evidence of widespread illegal activity. Its an immoral activity to corner a market, take tax dollars, lower quality for consumers, and raise prices. Its not illegal.

resource_waste 2y ago

Residents complain about the pay, but they still make like 80k+/yr. Its the hourly rate they whine about and if you ever met a resident, they count their sleeping/napping hours for some reason.

FireBeyond 2y ago

> residencies famously overwork newly minted doctors - they’re allowed to work up to 80 works Wait til you learn about EMTs and paramedics. EMTs can be making as low as $11/hr. And at the last ambulance service I worked at there was no upper cap on hours. The only restriction was you had to be off-duty for 8 hours after every SIXTY on-duty.