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> It's worth noting, by the way, that the United States has a shortage of medical doctors. That's a pipeline problem. What the U.S. actually has is a severe b
by zozbot234 2y ago
> It's worth noting, by the way, that the United States has a shortage of medical doctors.
That's a pipeline problem. What the U.S. actually has is a severe bottleneck in available places at medical schools and for residency training.
- xrd 2y agoLet's do note that on that graph which mapped a variety of increased costs, the only thing that increased faster than college costs was the cost of medical. That's connected to the shortage of doctors. Regulatory capture isn't just an issue with higher ed.
- BJones12 2y agoWhat the U.S. actually has is a group of people intent on keeping their doctor wages high by limiting supply through regulation and bottleneck creation.
- ProllyInfamous 2y agoAs a med school dropout (best decision of my life), were I to "go back" to early college: I would have instead pursued a BSN (which my college offered!), to set myself up into eventually becoming a nurse practitioner. That way, if I decided to not complete graduate school, I'd still have an applicable role/job within medicine. Were I to have graduated that program, I also would have been able to practice much earlier (albeit limited scope, per US State). Instead, what does an uncredentialled Chemistry Bachelor do after dropping out of medical school? ...I became an electrician, which allowed me to help people without sacrificing my lifestyle. If your goal also includes "make substantial sums of money," I always recommend to preMeds they consider all the different ways someone can make money helping people without having to sacrifice your entire early adulthood. The majority of my medschool classmates refer to me as "the dumbest smart guy they know," but in confidence several have expressed jealousy at not having to work so much (for IMHO so little, as physicians). Just cogs in an overly-complex, wealth-extracting machine...
- qazxcvbnmlp 2y ago> the dumbest smart guy they know When you’re smart enough to understand the consequences the of your “dumb decisions” and have the EQ to navigate the aftermath.
- ProllyInfamous 2y agoIt's incredible realizing that I have two decades of work experience, and have peers that have been "in the field" for less than a few years! To each his own. I think higher education in America is primarily designed to degrate and beat students into submission. As I've heard repeated elsewhere, the road to tenured PhD is paved with grad-student bodies.
- iwishiknewlisp 2y agoNurse practitioners are the overused. If you are on medicaid, at least in my state, you are almost guranteed to be seen by a nurse practitioner rather than an actual pyschiatrist. Even if you aren't on medicaid, which medicaid is usually better than any other marketplace insurance for selection of providers and service, getting seen by a nurse practitioner is very common. Additionally, while many may be knowledgable about the medications they prescribe, I have had nurse practitioners prescribe me medication they didn't even know existed, as in during my session I asked for a specific medication based on a personal recomendation from a freind in the field, they didn't know what the medication was and looked up on google and then prescribed it to me. There are good nurse practitioners, but they simply should not be prescribing long term pyschiatric medication with the level of schooling they have. It takes 2 years to become a nurse, and 3 years to become a nurse practitioner. Additional certification is required to prescribe certain medications, but even then the amount of training and classes a nurse practitioner will take to understamd medications is very small compared to a psychiatrist. It's absurd. NP's have been the solution to psychiatist shortage and it seems no one cares. Most likely, because anyone who knows is zombified by SSRIs by shit NPs or is in the medical field so their vision is already clouded by bias. Nurse takeover is a joke. Anybody with 2-3 years of schooling should be relagated to changing bedpans and putting in IVs. Not functioning as psuedo doctors.
- labcomputer 2y agoThat’s only because doctors collude to limit the number of available residency places. I programmers were smart, they would: 1. Lobby the government to prohibit anyone from practicing programming without a license. 2. Limit the number of licenses granted each year
- BurningFrog 2y agoFortunately, we don't have the social skills to make that happen.
- inglor_cz 2y agoAlso, the vast majority of software bugs are annoying at worst, with no death potential. Powers that be would react a lot more aggressively if stack overflows routinely led to bodies on the pavement.
- cheese_van 2y ago<That’s only because doctors collude to limit the number of available residency places.> Available residency slots are dictated by the funding made available through the Medicare program and ultimately Congress.
- adharmad 2y agoOut of curiosity, why cannot hospitals fund residency slots on their own with some riders (the resident should work in the same hospital for x years)? It seems odd that the medical profession is not willing to invest in the training of the next generation of professionals without government help.
- downrightmike 2y agoIt isn't a problem, it is a feature the AMA wants to have.
- fny 2y agoIn addition, you must complete a four year degree in whatever before going to medical school.
- inglor_cz 2y agoThis is really a weird requirement and most other places in the world don't have it, without suffering any setbacks when it comes to outcomes of treatments. Imagine that every programmer would have to study, say, Latin for 4 years before being allowed to code.
- dgoldstein0 2y agoAgreed. It might make some sense to require undergrad chemistry and biology for med school applicants but presumably that could be squeezed into 2 years of undergrad. Possibly a customized curriculum could teach it faster or as part of med school.
- bookofjoe 2y agoMine was in political science.
- j45 2y agoIn Canada there are some universities which allow exceptional students to apply after the first 2 years.
- IOT_Apprentice 2y agoIsn’t a limited pipeline intentional? Keeping the supply constraints keep wages higher.