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This is supposed to be ... what ... your best example for why we need orderly and controlled immigration in this country?
Or is it supposed to be an argument for open borders? Because if so, it's not a very good one. I'm sure the native Americans WISHED they had the means to enforce their borders and restrict immigration.
The U.S. needs the talent and manpower of immigrants.
Obviously that doesn't mean you fling the doors open to anybody and everybody but it does mean fostering a welcoming and diverse culture. It also means cultivating strong relationships with our allies and making sure we are in fact the shining city on the hill.
^ this ... and we especially need them as the Boomers head towards retirement in ever increasing numbers.
Maybe the snowflakes could get to work and start making babies instead of "finding themselves" and living like college kids into their forties and fifties.
All the more reason why we need to completely restructure medical school in this country. That someone needs to sit in school for 15 years of their life to become a doctor is absurd and their education is filled with nonsense that they will never use. Our country should be graduating more doctors, not importing them.
Medical school is 4 years of which 2 years are class room. The remaining 2 years are primarily spent on clinical rotations.
Every year, there are thousands more residency positions that must be filled than there are medical school graduates from US medical schools. Those positions have been filled with FMG's (Foreign Medical Graduates) for years. And yes, a surprising number of them are actually from those 7 countries. They tend to fill gaps in Internal Medicine programs (and subspecialties) and Family Practice programs. When they complete their training in the US, many of them stay to provide health care services in rural and small urban areas where it is difficult to recruit and retain American physicians. A fair number practice in VA Hospitals providing services to our Veterans. They are a critical component of the healthcare delivery in this country. Should the US have more medical schools and training programs and allow more students to matriculate? Of course. But until that can happen, we should probably not be limiting options for sourcing more physicians in this country (assuming they are qualified, of course).
Native born MDs tend to choose more lucrative specialties than Family Practice, thus FP residencies have been increasingly filled by immigrant MDs. They are also more likely to accept residencies and establish practices in rural areas where there is an acute need.
Immigrants fill an acute shortage in healthcare. MDs with decades of experience in their native country are required to have a US residency. Instead, many choose to become Nurse Practitioners and Physician Assistants.
My family practitioner has a huge practice with a small army of Physician Assistants. At least half are immigrants and were MDs in their native country. Some of these Physician Assistants have larger practices within the practice than the MD does. One recently accepted a position in Alaska at multiples of her current wage. She was an Orthopedic Surgeon in her native country.
I should have specified 15 years past becoming an adult. Most doctors can't even start practicing until they are in their early 30s because they are in school so long. If we streamline this and make it less time consuming we can graduate more doctors or our own and not import as much.
We let in too many immigrants anyway. No one wants it to end but it needs to be scaled down massively.
If it weren't for Immigrants coming to America, would you be here???
I'd defer to the medical profession on this. They're known for their conservative politics and they are no doubt far more in touch with the issues than us lay folks.
Actually the closest that article came to saying Trumps immigration policy could affect the U.S. health system is So far 70 immigrants were able to attend medical schools under the program and many more could join the physician workforce and relieve looming physician shortages in coming decades, Madara said.
Many more could (there is that word again) relieve looming (impending event) shortages in coming decades. In other words they want to know if this temporary ban will affect international students who may or may not relieve physicians work loads if there are shortages of physicians in the next 20-30 years.
The problem is not the temporary travel ban in and of itself, but with the haste, lack of notice, and broadness with which it was rolled out, and the seeming unpredictability of the administration.
I believe this ban needed to happen, and frankly, think it should be broader. With that said, the arbitrary nature and lack of notice makes it feel not planned out at well and leaves people wondering what is next. People have legitimate questions and concerns and I don't feel there was enough effort to made to put minds at ease.
With that said, some people will be inconvenienced whenever a modification is made to an existing policy.
2sleepy and Texas AG just contradicted each other. Is it not enough residences or not enough graduates?
I just thought that was funny two posters saying opposite things one after the other.
Depends.
The number of US medical school grads is increasing, yet the number of residency programs have not kept pace.
Medicare covers the majority of costs teaching hospitals spend on training medical school graduates. The Balanced Budget Act of 1997 capped the number of slots the Federal Governmrnt would fund. Hospitals are expected to make up the shortfall. And that spending has not kept pace with medical school graduates.
To address this the ACA allocates $ hundreds of millions to Primary Care Residencies focused on under served areas. When the ACA is repealed, this funding goes poof.
Native born Medical school graduates tend to choose more lucrative residencies than Primary Care and prefer to train and practice in metro areas more so than underserved rural areas.
The shortage depends on specialty and location.
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