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Ok i'll make it clearer and break it down step by step for you.
I've been paying into social funding for 20 years. A foreign trained Physician hasn't paid into at all until they are beneficiaries of the system. Do you grasp this concept now?
There are plenty of American workers that will work in rural settings, the problem is the BARRIER OF ENTRY in this country for domestically trained Physicians.
Why not increase the number of Medical Schools training Physicians in this country? Increase the number of residency spots? Decrease the costs/increase the incentives for domestic-trained Physicians to work in this area.
To suggest that it's merely a lack of ambition on the part of domestic-trained Physicians is pure ignorance. 40% of Medical School applicants DO NOT get accepted. It's never been more competitive to get into a program. I have a 3.7GPA and advisors are telling me how I could enhance my application.
Domestically trained Physicians run to SPECIALTIES because of the financial COST of Medical School. Those that set payments in Washington can EASILY HELP CORRECT THE IMBALANCE. ALL reimbursements to providers are based upon the rates of Medicare. Private insurance uses it as a guide.
There is a logical solution to the problem, and it isn't hiring more HB Physicians.
You are talking to the wrong person if you think you can successfully pull this argument off.
I've spent YEARS researching this and have invested THOUSANDS OF DOLLARS into the process. Not whining. This a mere fact. There is a financial reality that you can continue to ignore if you'd like. Plenty of people living in ignorance are doing just that.
I am currently a Pre-Medical Student.
Is there anything else I can clear up for you to educate potential voters in future elections?
Keep up the discussion.
You will not win this debate.
Why ARE there not more physicians and residencies? Does the AMA not control it to keep the supply of doctors low and income high?
What if the govt forgives the loan if these doctors will work for free, say for 2 years, in rural America where doctors are needed? You can clear your debt, get experience, and do your patriotic duty.
that's why I said market forces is not working in healthcare. so you cant force dr to accept lower pay when they are indebted close to what half million dollars or more?
The costs are able to inflate because certain health care is so inelastic that it has to be regulated. When market forces no longer apply and a commodity becomes inelastic beyond a certain point a society should not tolerate it that commodity being in the open market.
That's partly why utilities are price fixed. Health care and basic housing should be next on the agenda.
If the open market cant provide reasonable costs then maybe the govt needs to buy up all the rentals and all the hospitals.
govt ran everything and socialism is a result of markets that got too greedy and did not naturally put themselves in check. This is particularly true with overly inelastic commodities. totally free markets don't always work themselves out.
You would allow people to have no insurance and one day they have an accident that requires immediate surgery or just a tough disease all of sudden and you would want them to put all their savings into that?
Insurance are supposed to help people to pay less and still benefit from healthcare. If not, you are basically saying to 99% of the population to "die" if they can't afford the healthcare costs.
Just like education, healthcare is not a tax, it's a necessity to enjoy life with a minimum of dignity.
Maybe this is why doctors should have a rounded education, including several courses in the humanities, before entering medical school. Many foreign trained doctors who arrive in the US fail in ethics. they should be asked to complete a couple of semesters of humanities.
Why ARE there not more physicians and residencies? Does the AMA not control it to keep the supply of doctors low and income high?
What if the govt forgives the loan if these doctors will work for free, say for 2 years, in rural America where doctors are needed? You can clear your debt, get experience, and do your patriotic duty.
who is going to pay for that? Maybe put a special tax on the universities and kick it back to the doctors loans? That would be a good idea.
And do not forget that immigrant doctors do not have to meet the same standards. The "BARRIERS OF ENTRY" do not ally to them. They get preference over native doctors and medical students.
why are immigrant doctors preferred if they are offered the same salary and willing to go where they are needed?
Why ARE there not more physicians and residencies? Does the AMA not control it to keep the supply of doctors low and income high?
What if the govt forgives the loan if these doctors will work for free, say for 2 years, in rural America where doctors are needed? You can clear your debt, get experience, and do your patriotic duty.
The AMA is primarily a policy and lobbying organization. It has little to no influence over medical school admissions or residency slots. Something like less than 20% of practicing physicians even belong to the organization. I believe they have, in fact, recently come out with policy statements encouraging the development of more schools and training slots.
Getting new medical schools up and running is a long and arduous process. They must be affiliated with Universities, and in the case of public Universities, due to declining State funding, they lack the resources to build them. Then, once you build them, you need to find the Basic Sciences faculty to teach there, and they too, are in shortage. Residencies must be affiliated with nearby hospitals, and most academic health systems are already spoken for. So, then you have the challenge of new Med schools trying to partner with nearby hospitals, or face building their own, which requires tens and tens of millions of dollars, and (in some states) proof via Certificates of Need that the hospital even needs to be built in the first place.
There are existing programs for loan forgiveness at both the national level and in many states as well. The National Health Service Corps is the largest and most comprehensive program. It's been around for over 40 years. It probably needs to be more robust.
Maybe this is why doctors should have a rounded education, including several courses in the humanities, before entering medical school. Many foreign trained doctors who arrive in the US fail in ethics. they should be asked to complete a couple of semesters of humanities.
that's nonsense, have them take a small ethics exam and be done with it.
But a lot of what premed is is not some feel good humanities class but rather classes like organic chemistry, biochem, etc. Perhaps overseas those are rolled into the medical program which would make sense.
Being a physician in US is like a jackpot for most of the foreigners and locals. It is a guide to becoming a guaranteed millionaire for many. I think its the system and the obnoxious costs of health care are to blame for this issue. The thing I don't understand is that how come people in US med schools have to go to school for 8-9 years where as someone in Europe or the Bahamas or Asia can get it done in 4-5 yrs. They can then come to US give the USMLE exams and start printing money. It is unfair to the local students. Why would anyone go to school for that long only to compete with a more experienced or foreign genius who has an unfair advantage and head start. If they drop the salaries of Doctors and nurses like in other parts of First world countries, it will not attract all these people from overseas.
People like to flock to US for the American life style along with American Dollar. If you take the dollars away not that many people would be willing to go out of their way just for the life style. It is true not only for Medical professionals but for all H-1B foreign workers in general. Address the main root cause of the problem. Make it a fair system for everyone to compete. Hence competition to drive down the prices which will in turn benefit the consumer.
Many Americans, and children of immigrants, are studying abroad and getting their medical degree for far less. They return, take the qualifying exams, and practice. Globalization for you.
who is going to pay for that? Maybe put a special tax on the universities and kick it back to the doctors loans? That would be a good idea.
The medical education and training that the immigrant doctors have who come from poor countries have been subsidized by their govt. so we are benefiting from their free training. In return our American doctors can serve their country by returning some of that govt. funds by serving the rural poor for free for 2 years.. That is patriotic and sensible and everybody wins. The doctors have a lifetime to re out and make their millions.
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