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In one way you are incorrect. The shortage is being caused by the way our medical schools and nursing programs are run. They limit the applicants and then limit the number of graduates. If they would open these programs up, there would be no need for these foreign health care workers. The ability to bring in them adds In addressing this problem and in fact does restrict wages as well as possible solutions to our health care mess.
As I understand it, the problem is that federal funding for GME has not been expanded in 20 years so while medical schools have been admitting more students there aren't enough residencies for them. Maybe what needs to be done is allow physicians to become licensed without a residency. The other problem is the 'draw' of high paying specialties keep students from becoming pediatricians or GP's which is where the physician shortage is. My cousin is an RN and she said the problem is not that schools try to restrict the number of students but that there is a severe shortage of nurse educators because that job pays less than other nursing jobs.
Not around here, but then we only have a "Neighborhood Market." I did notice that they have no more cashiers, you can only pay using the self-checks.
I think it depends on the neighborhood the Walmart is located in, the Walmart in Irondequoit, New York has no self check out registers, and items like Make up and razers are in a special limited access area in the middle of the store with it's own clerk and register. I'm sure it all has to do with shrinkage, the Walmart in Webster, 10 miles away has self check out registers and no special area for makeup items.
They are going to be replacing super crappy jobs that had to be subsidized by public funds anyway. Now, these people are going to be forced to gain real skills and get real jobs (assuming the area even has any real jobs available). I don't know how people are not disgusted by working at wal mart and feel deep shame and self-loathing every day they show up to work. In the right circumstances (ie if I did not have a family or if I outlive my wife) I would rather starve than work at wal mart, like literally starve not figuratively.
Now instead of it being like walking into a mental institution (with the floor tile and lighting to boot), it will be like a futuristic scene out of 1984. I feel sorry for anyone that does not have access to a Costco.
I think it depends on the neighborhood the Walmart is located in, the Walmart in Irondequoit, New York has no self check out registers, and items like Make up and razers are in a special limited access area in the middle of the store with it's own clerk and register. I'm sure it all has to do with shrinkage, the Walmart in Webster, 10 miles away has self check out registers and no special area for makeup items.
It wont be fully automated, there will have to be one guy to sell booze, smokes, razors and makeup.
As I understand it, the problem is that federal funding for GME has not been expanded in 20 years so while medical schools have been admitting more students there aren't enough residencies for them. Maybe what needs to be done is allow physicians to become licensed without a residency. The other problem is the 'draw' of high paying specialties keep students from becoming pediatricians or GP's which is where the physician shortage is. My cousin is an RN and she said the problem is not that schools try to restrict the number of students but that there is a severe shortage of nurse educators because that job pays less than other nursing jobs.
Nursing is a crappy job, way WAY back in the day I heard it was good. I have numerous family members and friends who are nurses and NONE of them like it, they say its aweful, the hours suck and the total time you get to sit down is nil and the pay does not make up for it like it does for MD's. Alot of them regret the choice.
The MD physician shortage is due to the AMA creating artificial barriers to entry. Is 8 + years in school at the current tuition rates PLUS huge residencies REALLY necessary. Even for surgeons is that 8th year instead of 7 years or 6 years going to matter?
But really I think it boils down to the loans required, I could not even imagine being out on that kind of a limb. I have seen offerings for VA doctors on USAjobs and while these are probably on the low end the rates were laughable compared to the debt and time required, but they know that if you already have the debt there is nothing you can do. But guess what you only get to do that once and now the entire economy is suffering the consequences because young people are living at home working where ever and saving and/or living out of their Prius because they are not stupid.
The people being forced into ultra-low pay who took risks (the American way right?) are disengaged and those that have not taken on the debt, if they are smart, wont.
The entire countries economy is in a giant stale mate, it will be interesting to see how it plays out.
As I understand it, the problem is that federal funding for GME has not been expanded in 20 years so while medical schools have been admitting more students there aren't enough residencies for them. Maybe what needs to be done is allow physicians to become licensed without a residency. The other problem is the 'draw' of high paying specialties keep students from becoming pediatricians or GP's which is where the physician shortage is. My cousin is an RN and she said the problem is not that schools try to restrict the number of students but that there is a severe shortage of nurse educators because that job pays less than other nursing jobs.
Low pay is the market saying that thing is not valuable to society and thus people withdraw from that activity if they are smart and they can. The market has been signaling that there are all sorts of things it does not value and so people are having to constantly adjust and it creates chaos because it's not really possible to retool that fast. So the people that can't get out of said low-value job just become disengaged because there is no exit strategy when pay is low, you just do it check to check forever and ever until you are laid off and homeless because your savings rate is paltry. These people won't be chipper about their situations.
They are going to be replacing super crappy jobs that had to be subsidized by public funds anyway. Now, these people are going to be forced to gain real skills and get real jobs
You assume the left won't take over at some point and offer massive welfare programs for these newly permanently unemployable people
Now, these people are going to be forced to gain real skills and get real jobs...
Because they can acquire the skills needed to avoid crappy jobs?
Assuming so... why hasn't that happened so far?
Quote:
Originally Posted by BlakeJones
You assume the left won't take over at some point
and offer massive welfare programs for these newly permanently unemployable people
And pay for it... how? Exactly?
btw that's the crux of the matter regarding all the plans and dreams and other schemes.
However noble or impractical or even horrific the bills still need to be paid.
Quote:
Originally Posted by Quietude
It's more likely the right will herd them into camps in the Southwest and leave them to eat each other.
Always the cheerful one! First in line with the horrific as always.
But assuming that is actually an intention... what do you suppose is the best way for the poor to avoid it?
Always the cheerful one! First in line with the horrific as always.
I simply mirrored the first comment, which is just as absurd and Fear! Mongering! Don't shoot the messenger.
Quote:
But assuming that is actually an intention... what do you suppose is the best way for the poor to avoid it?
I see it as a set of inevitable circumstances, with no easy fix and certainly not one from prior, completely different economic/political eras. Vague whoop-it-up about job creation or bringing jobs back or promising everyone who wants to work a life-supporting job is the daily patter of pols on both sides, and I suspect the ones out of high school (if not diapers) know it's cynical, votemongering BS.
There is no doubt in my mind that we are well into the curve of not enough "good" (stable, available, life-supporting) jobs for everyone who wants or needs one. In a few decades, the curve will be standard fare in "Oh But Of Course" econ texts - it's just hard to see and easy to dismiss at this point. Assuming no global reset switch is pushed - the one labeled Global War, for example - there is simply no chance of the job market coming back, and very high chances of its decline accelerating.
So we end up with... effectively 30, 40, 50% unemployment in some fairly near term.
Do we let them starve?
Do we put them all on "welfare" to keep them afloat until roses bloom again - which may be never?
Or do we recast our economic system on a basis of something other than individual productivity, as it's been since Og and Grunnt had their first economic talk show, and in every major school of thought in play today... capitalist, socialist and communist?
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