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Exactly, don't believe everything you read hook, line, and sinker. Many of our foreign MD's do not come from those 7 countries, nor is a full 25% foreign to begin with.
However, rest assured Obama & Co were lowering the standards to allow many more foreign MD's to be able to pass the boards and become MD's over here.
Why you might ask?
Simple, because the combo of Obamacare and the stifling regulations requiring our doctors to comply with tons of bureaucratic rules to get paid a pittance of what they use to, has driven many an experienced MD away from medicine.
Just imagine if 10 years ago you would get paid $200 to do a procedure through Medicare and you didn't need three different paper pushers to sign off on it. But now days you must get on the phone with at least one or more people, without the education to understand why the patient needs the procedure. You must explain in simplistic terminology what will happen if the patient doesn't get the treatment. The main convincer is not necessarily what is best for the patient, but rather will it cost more in the long run if the patient does not get it.
Yes, MD's use to be when this crap started, now they are just
Plus that $200 payment has been reduced to about $30 for reimbursement. How is that for spending all that time in medical school and many years clawing your way up the ladder, only to have your income reduced to that of a plumber (no offense to plumbers).
Also, MD's use to use their own minds when treating patients, but now many are forced to use tablets/computers to hear symptoms, then punch it into a program. That program in turn "suggests" a course of Tx along a certain line of thinking (hint: costs are involved). For the MD to go outside that "suggestion", risks them not getting paid and/or the procedure/testing not being covered by their insurance.
If it is Medicare or especially Medicaid, rest assured it will not be unless a bunch of hoops are jumped through, typically not by the MD's staff. No the MD must personally justify it to the bureaucrats which creates frustration and wastes their time.
Lets not forget the other biggy, that being how the Democrats are in bed with the trial lawyers, and many MD's have decided to practice without medical malpractice because it costs a fortune, even for those who never have had a lawsuit filed against them.
Thus many MD go bare and do not have coverage in the states that allow it. Not a great feeling to have to plan all your assets to be shielded from lawsuits because you cannot afford and/or will not pay the astronomical costs of medical malpractice insurance.
All this just so the trail lawyers can feed their profession off of it with frivolous lawsuits, and trying to hit the lottery for unscrupulous people.
Also all sorts of PA's, NP's and the like are being promoted as a less expensive alternate to MD's, and in some cases are making as much, without all the liability. When Obamacare was hatched, they envisioned a huge increase on the medical profession, and healthcare rationing was a real concern. Since it takes fully 6 years to become an practicing MD after your 4 years of undergrad college, it is not as if you can churn them out like other professions. So again, standards and level of care criteria have been reduced to allow those with inferior educations to practice medicine. Don't get me wrong, there are some fine PA's and NP's, but they are not MD's, now are they.
Regardless, rationing of healthcare was always going to be part of the equation for many a socialist. Also, determining who is more worthy of the rationed healthcare was destined to lead to panels deciding that a 18 year old life was more important than 65 year old life. Never mind that the 65 year old might be a law abiding citizen who worked their whole life, served their country, etc.,,,,,and the 18 year old has been shot and stabbed many times in his few years because he is a gang-banger. No, to people like Ezekiel Emanuel, bioethicist who is a leader of that frightening group (Center for American Progress), lives value are scored.
Lastly, lets not forget that just like many police organizations that are liberal and do not represent the views of the police in the field, the AMA is a liberal group that originally promoted/touted Obamacare, right along with the AARP.
Yet the very notion of AHA is the anathema of what they would want, if they knew any better. Those groups are suppose to protect their members, not sell them out just for ideological reasons. Yet MD's and elderly patients alike had their groups working with Obama & Co, against their own best interests.
Rest assured liberalism is a mental disorder.
Could you share your source How Obama lowered the standards for immigrants to pass boards?
The ACA allocated $ hundreds of millions to primary Care residency programs in underserved rural communities. As I understand it, these residency programs tend to attract more foreign born MDs because US born MDs tend to choose more lucrative specialties and have less interest in living and working in underserved areas of the US.
MDs are aging out and retiring.
You seem focused on Medicare/ Medicaid. No MD is required to accept Medicare / Medicaid patients. Medicare fraud committed by healthcare providers, MDs and Hospitals, has been an ongoing challenge. what preventative and detective controls should be employed to combat medical fraud?
The Federal Government subsidized the conversion to electronic record keeping. This allows private and public insurance claims to be filed electronically which is substantially more efficient than the legacy hard copy approach. Most dental practices have also voluntarily converted to electronic record keeping even though there is no requirement to do so. Why is this?
Tort Laws are a state issue. No two states have the same laws.
Physician Assistants and Nurse Practitioners are licensed by the state and have been around for decades.
Healthcare is rationed everywhere.
It appears you choose to view the world through a partisan lens. Some might say that is a mental illness no matter which side seems to validate your perceptions.
More of the doctors I know were hurt or influenced by ACA than the 200+ from those 70 countries who have to go through extreme vetting.
My primary care doctors either quit their practices or became hospitalists under the umbrella of the major hospital n the area. Other doctors quit their practice and went to work for the VA. Even the last I switched to reopened his practice as a consierge practice. All to avoid the overwhelming burden of ACA.
Then there are those older specialists I had who retired rather than deal with it. Anecdotal yes
And then add in the medical students who switched over to Pharmacy And Dental Schools rather than eek out a living under government aka insurance company rulings on top of a huge student loan debt, I don't blame them
So even if this posted story is true, it is just a drop in the bucket to the big picture disruption we suffered and even if it did, if the 200+ doctors seeking medical residencies were from those 7 countries they should make it through the extreme vetting.
Then again the terrorists in Glasgow and Times Square were ... Doctors.
LOL
Where did you get that?
Or did you stay in a Holiday Inn Express?
Try 4 years of challenging undergrad in Bio/Chem, then another 4 years in Med school. Then you need a residency to practice, so at least 2 more years where you are worked like a dog for little pay.
So the 15 years was exaggerated by the other poster, but so to is 4 years.
It is 10 years from HS to practicing MD.
The other poster referred to 15 years of classroom medical school. He/ she was a tad off, no?
He/ she obviously did not understand that 2 years of medical school is spent primarily on clinical rotations and ignored residency programs that are variable by specialty.
The shortage is being addressed by Physician Assistants and Nurse Practitioners, licensed at the state level.
They tend to be well trained to handle routine matters and know when to escalate and refer out as necessary.
As I understand it, the issue is within the underserved areas where there can be an acute shortage of both specialists as well as primary care physicians. The Primary Care physician in underserved areas tend to do more because there's a shortage of specialists to refer.
Absolutely. The shortage is currently addressed by mid level practitioners, who vary in their experience and competency (not unlike physicians). Potential problems occur as their professional groups continue to seek more and more independence from supervision by physicians, but I agree with you that they generally do a fine job with routine issues.
The challenge is that it's hard to recruit, and, more importantly, retain physicians to work in rural and/or undesirable areas. Speaking from personal experience, I know that these communities often have less than stellar schools, limited cultural opportunities, a small demographic of other young professionals, and can be isolated for travel purposes. All things that are important to physicians and their families, which is why they tend to cluster in larger cities.
Wow, is it correct that 1 out of 4 doctors in America is an immigrant?
Actually there is a little wrinkle in it.
There is a huge chunk of AMERICAN CITIZEN Doctors who can't get into a residency program due to 14% of foreign doctors.
These AMERICAN CITIZEN doctors are mostly graduates from Caribbean schools OR their graduation date is more than 5 years old.
I personally feel that American Citizen doctors who graduated from an AMC recognized medical school should get the preference over foreign graduates from India or whatever.
There is a huge chunk of AMERICAN CITIZEN Doctors who can't get into a residency program due to 14% of foreign doctors.
These AMERICAN CITIZEN doctors are mostly graduates from Caribbean schools OR their graduation date is more than 5 years old.
I personally feel that American Citizen doctors who graduated from an AMC recognized medical school should get the preference over foreign graduates from India or whatever.
Interesting. Why in the heck can't Americans get in?
What's with all the eye-rolling? What are you not understanding?
Quote:
Originally Posted by dechatelet
Yeah, they have patients all over the world and have to make house calls.
I didn't claim doctors see patients all over the world. I mentioned "highly educated professionals" being afraid to travel. You know, professionals in fields such as IT, finance, logistics, banking...
Quote:
Originally Posted by dechatelet
Tell me about all those five star tropical resorts in Somalia, Iraq, Syria, etc.
And all those international conferences.
And all those multinational corporation headquarters.
Seriously, why all the eye-rolling? Why on earth would the "five star tropical resorts" need to be in Somalia, Iraq, Syria...??? Or the conferences?? Or the corporate offices??
What is it you think we're discussing...?
Quote:
Originally Posted by dechatelet
They seem to be doing pretty well to me.
With years and years of no vacation or travel? Shrug. I guess it takes all types.
What's with all the eye-rolling? What are you not understanding?
I didn't claim doctors see patients all over the world. I mentioned "highly educated professionals" being afraid to travel. You know, professionals in fields such as IT, finance, logistics, banking...
Seriously, why all the eye-rolling? Why on earth would the "five star tropical resorts" need to be in Somalia, Iraq, Syria...??? Or the conferences?? Or the corporate offices??
What is it you think we're discussing...?
With years and years of no vacation or travel? Shrug. I guess it takes all types.
Liberal are so beside themselves they do not understand vetting or addition security for the country.
They will be fine if they pass security!
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when this crap started, now they are just 
