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Old 07-30-2017, 09:14 AM
 
5,321 posts, read 2,762,557 times
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Originally Posted by Westbound and Down View Post
The physician shortage issue in the country began long before Obamacare came into existence, and long before the current political BS playing out in DC. I agree that there is a lot of uncertainty, and that there are major problems with insurance and access, but the issue of worsening doctor shortages has been known about for a couple of decades, and the federal government has done nothing about it, made no provisions to increase the supply of physicians through more medical school and residency slots.
All true. And the physician supply is a deliberately restricted one. That has been the case for decades.

Last edited by pikabike; 07-30-2017 at 09:44 AM..
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Old 07-30-2017, 11:55 AM
 
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Originally Posted by pikabike View Post
All true. And the physician supply is a deliberately restricted one. That has been the case for decades.
I recall at least TWENTY years ago reading in the press about how NY state deliberately limited the number of med students allowed into its university system. I've no doubt that industry groups (lobbyists) work behind the scenes all over the country to keep docs in short supply to keep the prices up. FWIW we were watching the Dr. Pol veterinary show on TV last night; one of his vet techs was trying to get into vet school and remarked that every year 5000 students apply but only 2000 are allowed in. Deliberate? I say HELL YES.
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Old 07-30-2017, 01:33 PM
 
311 posts, read 144,424 times
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Quote:
Originally Posted by Mike from back east View Post
I recall at least TWENTY years ago reading in the press about how NY state deliberately limited the number of med students allowed into its university system. I've no doubt that industry groups (lobbyists) work behind the scenes all over the country to keep docs in short supply to keep the prices up. FWIW we were watching the Dr. Pol veterinary show on TV last night; one of his vet techs was trying to get into vet school and remarked that every year 5000 students apply but only 2000 are allowed in. Deliberate? I say HELL YES.
It can cut both ways. I think there is a good side to limiting the number entering medical school. With a four-year graduate program after your bachelor degree, and then a no-paying/low paying 4-7 year residency following, new MDs can run up considerable debt. Just think what a double whammy it would be if the supply of medical doctors outstripped the demand. They would in effect be unemployed and in major debt to boot.

I contrast that with what has happened to the physician assistant profession. I graduated as a PA-C in 1998 from the Allied Health Sciences school at UT Southwestern Medical Center. Excluding some military PA programs in Texas, the number of programs was fairly limited. The year I entered, out of 512 applicants, 120 were interviewed, and only about 40-45 accepted.

But educators took notice that there was money to be made. Since then, there has been an explosion in unregulated (in my mind) growth of PA programs. Yes, you would find a job, but finding a good job is becoming harder and harder. When a PA finds a good job, they know now to stick with it. Before, with a surplus of jobs, the job market was more fluid, and you could "pick and choose" and change your field (I've worked in orthopedics, neurosurgery (2x), and psychiatry, with some urgent care stuff P/T). With the tighter job market, you can only move from your current field to the same field.

I'm nearing retirement, but I think the profession has been hurt by this unregulated growth, and not for the better. Lower paying jobs undoubtedly resulted from supply outstripping demand.
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Old 07-30-2017, 01:55 PM
 
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I realize the high cost of training an MD, but the Feds ought to pay that if the MD agrees to work 6 years in underserved areas where docs are needed, like Grand Junction, Indian reservations, inner cities, Appalachia, etc. IIRC there is such a program but IMO it needs to be expanded a lot though our congress is so corrupt and for sale that I see no relief in sight unless there's a true electoral revolution.
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Old 07-30-2017, 02:48 PM
 
Location: Wherabouts Unknown!
7,764 posts, read 16,840,183 times
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Originally Posted by Thoreau424 View Post
Gotta do your research first. Even when you think you've covered everything, there's often much more in the shadows, out of your field of awareness.
No matter how much research a person does about a city/town, something ALWAYS falls thru the cracks and doesn't make itself known until you actually live in that place.
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Old 07-30-2017, 02:52 PM
 
Location: Wherabouts Unknown!
7,764 posts, read 16,840,183 times
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Quote:
Originally Posted by Mike from back east View Post
I realize the high cost of training an MD, but the Feds ought to pay that if the MD agrees to work 6 years in underserved areas where docs are needed, like Grand Junction, Indian reservations, inner cities, Appalachia, etc. IIRC there is such a program but IMO it needs to be expanded a lot though our congress is so corrupt and for sale that I see no relief in sight unless there's a true electoral revolution.
A very good article! Here's is a brief quote from the article:
Ensuring that Americans remain desperately beholden to low-paying jobs with expensive health insurance benefits keeps people from becoming entrepreneurs and breaking out of their financial cages. More importantly, making sure that Americans pay more in healthcare-related taxes than anyone else on earth before you even factor in copays, premiums, and the price of insurance itself for a system that costs twice as much per capita as other developed nations is one of the many ways these plutocrats have found to choke people off from money.
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