4 ms·

We also don't honor medical degrees obtained from non-US institutions. I know several folks who were doctors in India or elsewhere, who have blue collar jobs i

We also don't honor medical degrees obtained from non-US institutions. I know several folks who were doctors in India or elsewhere, who have blue collar jobs in the US because their schooling is not recognized here.

throwaway48476 2y ago
Not every med school graduate matches for a residency in the US.
- timschmidt 2y ago
  If your point is that artificially limiting supply of trained medical personnel leads to reduced access, inflated prices, and worse outcomes overall, then I'd agree.
  - throwaway48476 2y ago
    It's a factor. I just think it would be easier to make sure there are residencies for US graduates whose training is more aligned with US Healthcare than to import foreign doctors who also require training for transition.
    - timschmidt 2y ago
      I'm not sure which would be easier, or if that's even a useful measure. Both seem like points of leverage to [in/de]crease supply. I think we should do everything we can do educate, enable, and employ citizens to the highest degree of which they are capable or desire. I feel similarly about putting the talent of new immigrants to work as well, and I don't see inherent conflict there. Growing the pie can mean larger shares for all.
      - throwaway48476 2y ago
        Not all resources can be grown like pie, notably land. Economics is the study of scarcity.
        timschmidt 2y ago
        Are you afraid of running out of land? https://johnmjennings.com/how-much-of-the-u-s-is-inhabited/ https://johnmjennings.com/how-much-of-the-u-s-is-inhabited/
        throwaway48476 2y ago
        Not all land is equally habitable, and there's also important things like the environment. Farmland dirt wouldn't be blowing away if there was interspersed forests to slow the wind down. I'm tired of the infinite growth cultists who are willing to sacrifice every 2nd order effect so line can go up.
        timschmidt 2y ago
        > I'm tired of the infinite growth cultists You sound like one of those Malthusian cultists. :P Fortunately for us all, Thomas Robert Malthus was wrong in 1798 or none of us would be here today. That he would continue to be wrong today should be no surprise. Relevant criticism of his rather gloomy take on population growth abounds: https://en.wikipedia.org/wiki/Malthusianism#Criticism https://en.wikipedia.org/wiki/Malthusianism#Criticism It seems to me like he didn't factor in the effects of the development and widespread application of new technologies to old problems.
        throwaway48476 2y ago
        As an individual I'm interested in maximizing quality of life, not maximum number of lives. And no, I am not wromg. Houston has no zoning and was able to keep growth going and build lots of new houses. Of course they did so in a flood plain. Because growth cultists are willing to sacrifice everything, even lives for growth to continue just a little longer no matter the cost.

throwaway48476 2y ago

Not every med school graduate matches for a residency in the US.

timschmidt 2y ago
If your point is that artificially limiting supply of trained medical personnel leads to reduced access, inflated prices, and worse outcomes overall, then I'd agree.
- throwaway48476 2y ago
  It's a factor. I just think it would be easier to make sure there are residencies for US graduates whose training is more aligned with US Healthcare than to import foreign doctors who also require training for transition.
  - timschmidt 2y ago
    I'm not sure which would be easier, or if that's even a useful measure. Both seem like points of leverage to [in/de]crease supply. I think we should do everything we can do educate, enable, and employ citizens to the highest degree of which they are capable or desire. I feel similarly about putting the talent of new immigrants to work as well, and I don't see inherent conflict there. Growing the pie can mean larger shares for all.
    - throwaway48476 2y ago
      Not all resources can be grown like pie, notably land. Economics is the study of scarcity.
      - timschmidt 2y ago
        Are you afraid of running out of land? https://johnmjennings.com/how-much-of-the-u-s-is-inhabited/ https://johnmjennings.com/how-much-of-the-u-s-is-inhabited/
        throwaway48476 2y ago
        Not all land is equally habitable, and there's also important things like the environment. Farmland dirt wouldn't be blowing away if there was interspersed forests to slow the wind down. I'm tired of the infinite growth cultists who are willing to sacrifice every 2nd order effect so line can go up.
        timschmidt 2y ago
        > I'm tired of the infinite growth cultists You sound like one of those Malthusian cultists. :P Fortunately for us all, Thomas Robert Malthus was wrong in 1798 or none of us would be here today. That he would continue to be wrong today should be no surprise. Relevant criticism of his rather gloomy take on population growth abounds: https://en.wikipedia.org/wiki/Malthusianism#Criticism https://en.wikipedia.org/wiki/Malthusianism#Criticism It seems to me like he didn't factor in the effects of the development and widespread application of new technologies to old problems.
        throwaway48476 2y ago
        As an individual I'm interested in maximizing quality of life, not maximum number of lives. And no, I am not wromg. Houston has no zoning and was able to keep growth going and build lots of new houses. Of course they did so in a flood plain. Because growth cultists are willing to sacrifice everything, even lives for growth to continue just a little longer no matter the cost.