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The UK has a "universal system" as does Germany and the inevitable reality is that if administration does not limit/deny overuse of the system then it requires

by arh5451 1mo ago

The UK has a "universal system" as does Germany and the inevitable reality is that if administration does not limit/deny overuse of the system then it requires setting prices artifically low to limit costs. --> Causes Doctors to earn less wages and be overworked (many med cases). Ultimately, less doctors. =(

matheusmoreira 1mo ago
Alternatively, the government starts relaxing legal requirements on medical schools with the intent to flood the market with doctors. This not only severely depresses their wages, it leads to unemployment and indirectly to charlatanism and quackery as people try to make ends meet. Better hope the future AI doctors are good.
- breakyerself 1mo ago
  Alternatively alternatively the government could subsidize medical school for doctors and nurses reducing financial barriers and allowing more medical professionals without lowering standards.
  - matheusmoreira 1mo ago
    Subsidizing existing schools merely makes it easier for existing medical students. It does nothing to increase the number of doctors entering the jobs market per year. You need to make more schools to increase that number. You can't just conjure up a medical school out of nowhere though. That's extremely hard and expensive. You can do it if you relax your standards. Maybe by making the "hospital" part of the school optional or something. Students won't see patients but what does it matter.
LorenPechtel 1mo ago
Except this process is independent of whether there is overuse. It's always a pressure to lower costs, whether they are appropriate or not. Medicare, Medicaid and Tricare are all basically universal systems for segments of the population. None work well. And all are subsidized from what people with private insurance pay. And the UHC proponents rely on a stacked deck--UHC is "better" in a system that makes 20% of the score "fairness". That is, UHC. And one of the other yardsticks is life expectancy. Sounds fine--but dig deeper. A big factor in lowering life expectancy is infant mortality. Again, sounds fine--except you see a big difference in infant mortality across the developed world that is not reasonably explained by differences in their medical systems. But you see an inverse relationship between infant mortality and stillbirths. Most of what you're really seeing is whether the doctors consider it a live birth that promptly died, or consider it a stillbirth. (And, yes, we are still an outlier--but by only 1/3 of the amount claimed.) Show me it's better without your thumb on the scale!

by arh5451 1mo ago

matheusmoreira 1mo ago

Alternatively, the government starts relaxing legal requirements on medical schools with the intent to flood the market with doctors. This not only severely depresses their wages, it leads to unemployment and indirectly to charlatanism and quackery as people try to make ends meet. Better hope the future AI doctors are good.

breakyerself 1mo ago
Alternatively alternatively the government could subsidize medical school for doctors and nurses reducing financial barriers and allowing more medical professionals without lowering standards.
- matheusmoreira 1mo ago
  Subsidizing existing schools merely makes it easier for existing medical students. It does nothing to increase the number of doctors entering the jobs market per year. You need to make more schools to increase that number. You can't just conjure up a medical school out of nowhere though. That's extremely hard and expensive. You can do it if you relax your standards. Maybe by making the "hospital" part of the school optional or something. Students won't see patients but what does it matter.

LorenPechtel 1mo ago

Except this process is independent of whether there is overuse. It's always a pressure to lower costs, whether they are appropriate or not. Medicare, Medicaid and Tricare are all basically universal systems for segments of the population. None work well. And all are subsidized from what people with private insurance pay. And the UHC proponents rely on a stacked deck--UHC is "better" in a system that makes 20% of the score "fairness". That is, UHC. And one of the other yardsticks is life expectancy. Sounds fine--but dig deeper. A big factor in lowering life expectancy is infant mortality. Again, sounds fine--except you see a big difference in infant mortality across the developed world that is not reasonably explained by differences in their medical systems. But you see an inverse relationship between infant mortality and stillbirths. Most of what you're really seeing is whether the doctors consider it a live birth that promptly died, or consider it a stillbirth. (And, yes, we are still an outlier--but by only 1/3 of the amount claimed.) Show me it's better without your thumb on the scale!