But the big ask here is, what is wrong with the US educational System that forces people to avoid becoming medical professionals ?
Maybe when Trump is gone, this specific situation may revert back to pre-trump. But that does not mean education will be fixed.
Can you provide evidence of this? The services are top notch, and over 90% of people have health insurance. Moreover, in other single payer systems (Canada, Poland) I keep hearing about months long wait for procedures until you go private/out-of-pocket.
I don't know my guy, your system isn't exactly top notch for most people - I don't think you need to look very hard to see that if you try.
Random examples:
- https://upload.wikimedia.org/wikipedia/commons/0/0b/OECD_hea... - https://upload.wikimedia.org/wikipedia/commons/d/d6/Life_exp...
There's something very very wrong here when your paying that much per capita and a lot of people are still struggling.
In fact they actively try to provide as little care as possible. It's a negative signal, not a positive one as you seem to think.
> The services are top notch
Healthcare is a plethora of services, ranging from something as simple as a blood draw to open-heart surgery. I can tell you from experience that many diagnostic services are definitely NOT top notch, and the service of getting billed after is an absolute nightmare.
Examine your priors.
The demand for healthcare procedures is unlimited.
Instead queues are used to limit access to expensive procedures, because waiting lists are the only solution that is palatable to voters.
Although in theory queues shouldn't actually reduce total costs (just delay the costs?)
Today there is a lot more prerequisite grind to become a doctor that parents don't feel good about forcing on their kids. Five decades of movies villifying parents for pushing their kids too hard will do that.
Meanwhile, parents in/from China and India and Nigeria and many other places are more than willing to force their kids to grind to move up the economic ladder.
(This is sort of an aside. Yes, bring all the hardworking immigrants here, please. And maybe let them have those road trips, too.)
Most companies don't do anything, most investors make money without putting in any labor, and money just... poof, appears. But not for us. Nothing really seems to make sense anymore.
Things that were trivial before, like having a receptionist to answer your phone, now seems economically impossible. And yet, our GDP continues to rise. We run companies with a tenth of the people we did before - everything is computerized, automated. But the wages are lower.
- an ever increasing standard of living
- stonks go up to prevent a pensioner revolt and to inflate egos of billionaires
We are kind of equivocating about "the grind" though. There is the grind of a student keeping their heads in books and activities while friends play video games or party or whatever. This grind has a light at the end of the tunnel in the form of obvious graduation dates and similar rites of passage.
Then there is the grind of working at McDonalds or Walmart because that is the only opportunity left to you, and that is a grind that might easily go on forever unless you win the hunger games and get into a management track rat race.
Bad news for New York, New Jersey, California, Maryland; or more aptly labelled democrat controlled states.
Probably the only republican state impacted will be florida, but they often buck trends like this. they'll keep their immigrant doctors.
$200k urban vs $205k rural median offers to new doctors overall. But, in surgical practices, that flips well in favor of urban offers. But, that's just for new MDs. Career numbers skew even more to rural doctors
https://resources.nejmcareercenter.org/article/demystifying-...
I had only anecdotal knowledge(I know Canadian doctors are all going to the big cities) and I looked it up before posting for who would be most impacted.
You are correct the article tried to suggest rural, but fact check false. It's easy to see why NPR did this.
NPR represents urban liberals; their readers won't like reading that their healthcare costs are about to go way up.
https://www.openhealthpolicy.com/p/medical-residency-slots-c...
nis0s•2mo ago
cj•2mo ago
It's most likely the case that there are multiple different bottlenecks. It's not just 1 person in a room somewhere saying "we need to make protect the elite!" - it's more likely just a lot of people continuing the status quo and few people fighting the change it.
nis0s•2mo ago
> The AMA pushed for limited residency slots ~20 years ago, as they feared too many doctors would cut their own incomes.
alistairSH•2mo ago
For some reason, residencies are paid by the federal government. Not sure of the history there - I find it hard to believe a resident doctor is a net-loss for the hospital system. Either way, I can't find any legal cap on number of residents - only a cap on funded slots (ie, a hospital could hire more residents and pay them out of pocket).
paleotrope•2mo ago
alistairSH•2mo ago
What I can't quite figure out is patient outcomes... morbidity appears to have increased (very slightly) as resident working hours were reduced (possibly more risk from handoffs than tired MDs?) - how does the EU compare in this regard? Somebody must have done a study...
Anyway, some form of on-the-job training seems reasonable here. But the current residency system in the US definitely appears broken, for several reasons.