3 ms·

Like med schools in the US

PieTime 1y ago
Yup, limit residents and percentage grading ensure that doctors are in short supply. Compare to the extremely streamline jr Doctor programs in the UK.
Calavar 1y ago
The US docotor shortage is a myth. Wait times are the result of beauracratic nonsense has reduced the efficiency of the existing physician workforce [1, 2]. [1] https://jamanetwork.com/journals/jama/article-abstract/2613209 https://jamanetwork.com/journals/jama/article-abstract/26132... [2] https://hbr.org/2020/03/the-problem-with-u-s-health-care-isnt-a-shortage-of-doctors https://hbr.org/2020/03/the-problem-with-u-s-health-care-isn...
- ndileas 1y ago
  Do you have evidence for this? Seems plausible, although I would have thought mis allocation also happens across specialties
- 0_____0 1y ago
  :. urban areas do not have a physician shortage?
- leereeves 1y ago
  I think it would be more accurate to say that there is no shortage of healthcare providers, because there are many NPs and PAs. Without NPs and PAs, I'm sure there would be a shortage of healthcare providers.
  - cameldrv 1y ago
    In my experience a big part of the problem is specialists. I remember many years ago people were saying that we shouldn't go to a Canadian style single-payer system because Canadians had rationed care and they had to wait six months for a hip replacement. Well, guess what? I now also have rationed care. I have to wait six months just for a colonoscopy, plus I pay twice as much for the privilege!
    - bombcar 1y ago
      Part of the specialist problem is they make so much they realize they can work for ten years and retire, instead of working the 20-30 years that used to be common. Which obviously means we need 2-3x as many.
- reliabilityguy 1y ago
  Has nothing to do with wait times. AMA lobbies the government to keep number of seat at med schools low, number of residencies low, etc. as a result number of licensed doctors is low, and salaries remain high.
  - Calavar 1y ago
    The AMA has been arguing for increased medical school seats and increased GME funding for about 20 years now. There have been 27 (!!) new medical schools opened in the last 15 years, in large part driven by the AMA in its capacity as one of the two primary stakeholders in the LCME, which accredits allopathic medical schools. 1 out of every 7 medical schools currently active in the US was founded in the year 2010 or after. That's a veritable bonanza in medical school creation, facilitated by the AMA.
eqmvii 1y ago
and law
dillydogg 1y ago
I think this isn't at the behest of a union, but a lack of funding by the government for residency training
- reliabilityguy 1y ago
  Nope. It’s all due to AMA — why would doctors want more doctors?
  - dillydogg 1y ago
    Because they are overworked? Most of the physicians I talk to want more physicians. My understanding is that the limit on residencies is a huge bottleneck, which receive most of their funding through CMS.

Yup, limit residents and percentage grading ensure that doctors are in short supply. Compare to the extremely streamline jr Doctor programs in the UK.

Calavar 1y ago

The US docotor shortage is a myth. Wait times are the result of beauracratic nonsense has reduced the efficiency of the existing physician workforce [1, 2]. [1] https://jamanetwork.com/journals/jama/article-abstract/2613209 https://jamanetwork.com/journals/jama/article-abstract/26132... [2] https://hbr.org/2020/03/the-problem-with-u-s-health-care-isnt-a-shortage-of-doctors https://hbr.org/2020/03/the-problem-with-u-s-health-care-isn...

ndileas 1y ago
Do you have evidence for this? Seems plausible, although I would have thought mis allocation also happens across specialties
0_____0 1y ago
:. urban areas do not have a physician shortage?
leereeves 1y ago
I think it would be more accurate to say that there is no shortage of healthcare providers, because there are many NPs and PAs. Without NPs and PAs, I'm sure there would be a shortage of healthcare providers.
- cameldrv 1y ago
  In my experience a big part of the problem is specialists. I remember many years ago people were saying that we shouldn't go to a Canadian style single-payer system because Canadians had rationed care and they had to wait six months for a hip replacement. Well, guess what? I now also have rationed care. I have to wait six months just for a colonoscopy, plus I pay twice as much for the privilege!
  - bombcar 1y ago
    Part of the specialist problem is they make so much they realize they can work for ten years and retire, instead of working the 20-30 years that used to be common. Which obviously means we need 2-3x as many.
reliabilityguy 1y ago
Has nothing to do with wait times. AMA lobbies the government to keep number of seat at med schools low, number of residencies low, etc. as a result number of licensed doctors is low, and salaries remain high.
- Calavar 1y ago
  The AMA has been arguing for increased medical school seats and increased GME funding for about 20 years now. There have been 27 (!!) new medical schools opened in the last 15 years, in large part driven by the AMA in its capacity as one of the two primary stakeholders in the LCME, which accredits allopathic medical schools. 1 out of every 7 medical schools currently active in the US was founded in the year 2010 or after. That's a veritable bonanza in medical school creation, facilitated by the AMA.

eqmvii 1y ago

and law

dillydogg 1y ago

I think this isn't at the behest of a union, but a lack of funding by the government for residency training

reliabilityguy 1y ago
Nope. It’s all due to AMA — why would doctors want more doctors?
- dillydogg 1y ago
  Because they are overworked? Most of the physicians I talk to want more physicians. My understanding is that the limit on residencies is a huge bottleneck, which receive most of their funding through CMS.