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Physician shortage created by physicians "to pad their own bottom line

By tovarichpeter   2013 Jan 23, 3:43am   1 link   1,236 views   13 comments   watch (0)   quote

According to a new University of Virginia study, half of the 50 states could end their primary care physician shortages, and save billions annually in health care costs, by a simple policy change: equalizing the licensure requirements for foreign-educated physicians and U.S.-educated physicians.

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1   Ceffer   566/566 = 100% civil   2013 Jan 23, 4:04am  ↑ like   ↓ dislike   quote    

I think foreign medical schools have courses in filling out American government and insurance/medicare/gov. grant paperwork. Like chiropractor schools teaching marketing and iridology. No hard science, just hard economics and snake oil artistry.

Just bring in dump truck loads of foreign graduates, problem solved. They may not know anything about medicine or treatment, but they know how to set up a collection mill, and will just go home if they leave too many stiffs lying around or garner too much litigation attention. Families teach the secrets to their relatives, kind of like top feeding welfare queens.

Americans are idiots, tap the great money spigots of the foolish nation.

If you want third world treatment and fourth world ethics, that is certainly the best way to accomplish it, but at least it will give the appearance of being "cheap" or "free".

2   curious2   613/613 = 100% civil   2013 Jan 23, 5:28am  ↑ like (2)   ↓ dislike   quote    

People should be allowed and encouraged to take control of their own health. In particular, mandatory insurance and the Rx mandate should not exist. They enforce dependence and induce learned helplessness. The purported "protection" gets subverted by PhRMA and other lobbies into prescribing the most dangerous and useless pills at the highest prices. Those policies create an artificial increase in demand. Allowing more foreign-educated physicians would help marginally, by increasing supply to meet the artificial demand, but as Bob2356 pointed out in another thread, increasing the supply of physicians can backfire as they can form referral networks for their own enrichment. As long as you have artificial increases in demand (e.g. mandatory insurance and the Rx mandate), there are likely to be higher costs and shortages.

3   APOCALYPSEFUCKisShostikovitch     2013 Jan 23, 5:37am  ↑ like   ↓ dislike   quote    

Why do you hate innovation?

4   curious2   613/613 = 100% civil   2013 Jan 23, 5:39am  ↑ like   ↓ dislike   quote    

APOCALYPSEFUCK is Shostakovich says

Why do you hate innovation?

Oops - I forgot to get with the doubleplusgood program - policy innovation (e.g. ObamaCare) is paving the way for our fantastic Matrix future where we all live imaginary lives while intubated and comatose at very profitable hospitals. All other services can be eliminated entirely - we won't need roads because we won't be driving anywhere, and teachers can be replaced by computer programs. But how will we pay for it all when the Chinese stop lending us money? I guess that's when the benevolent zombies will arrive, and feast on what remains of our brains.

5   beetlechick     2013 Jan 23, 5:42am  ↑ like (2)   ↓ dislike   quote    

It is outrageous that the US can not produce enough Medical School graduates. There is no shortage of individuals that want to be doctors. The last time I checked there were 4,000 applicants for 15 openings at John's hopkins medical school. With the funds intended for education, why can't more medical schools be established for rising demands for doctors?

6   curious2   613/613 = 100% civil   2013 Jan 23, 6:51am  ↑ like (3)   ↓ dislike   quote    

beetlechick says

why can't more medical schools be established for rising demands for doctors?

The AMA cartel controls accreditation and places in medical school are severely limited to constrict supply, but a better question would be: why do doctors need so many years of medical school being indoctrinated into allopathy? NYU is now offering a somewhat shorter program, 3 years instead of 4, but 2 should be plenty for most people. The Rockefellers and others basically took over American medicine by investing in drug companies and "donating" to medical schools, turning them into allopathy programs. There are useful medicines, but the Rx and insurance requirements lock them inside a system that maximizes revenue not health.

7   Ceffer   566/566 = 100% civil   2013 Jan 23, 10:23am  ↑ like (2)   ↓ dislike   quote    

People are surprised when they find out I am actually in favor of some type of nationalized health care.

It is the ONLY way to resolve the tower of economic babel that comprises the present shuck, dodge, dive and profit insurance racket with grotesque fee disparities, no uniformity and spot coverage mostly through job servitude. There need to be some guidance of universal standards and a system that does not invoke automatic bankruptcy.

Yeah, big pharma sucks, the best medicine for them is one that doesn't cure, only allows temporary relief of symptoms, but is needed forever, or at least until the patents run out. They have decided to do the end run around the prescribers and providers with the glossy direct marketing, creating new fake pathologies requiring fake chronic medication.

8   zzyzzx   571/571 = 100% civil   2013 Jan 23, 10:47am  ↑ like (1)   ↓ dislike   quote    

tovarichpeter says

equalizing the licensure requirements for foreign-educated physicians and U.S.-educated physicians.

I'm sure that there are plenty of unemployed Americans who could be trained to do those jobs.

9   jvolstad   146/146 = 100% civil   2013 Jan 23, 10:52am  ↑ like   ↓ dislike   quote    

I have two doctors. One with the VA (I'm a veteran), the other at Lackland AFB (I'm a retired soldier).

10   elliemae     2013 Jan 23, 12:17pm  ↑ like   ↓ dislike (1)   quote    

Me and my insurance company bought a new car for my doctor last year.

11   bob2356   494/498 = 99% civil   2013 Jan 23, 1:28pm  ↑ like   ↓ dislike   quote    

What physician shortage? The Us dead square in the middle of the oecd doctors per capita. There is actually a better ratio of GP's to specialists in the US than in most of Europe.

I read the actual report. Someone desperately needed to publish something, I'll say that much. Yep yet another phd candidate doing meaningless scut work so the professor will have something/anything to publish. The department of politics is certainly a good source for research into medical.

"We map the predicted increase in foreign trained physicians for the period 2005-2010 under the counterfactual condition that the IMG residency requirement is equal to that applied to US-educated physicians for all states in that period. Large states are the biggest gainers under this scenario with California, New York and Illinois gaining an estimated 3321, 2816 and 1030 foreign trained physicians respectively over six years. Other states do not gain as substantively: we estimate Idaho and Wyoming to gain fewer than two physicians in this period. Nonetheless, a policy change over six years would generate large savings in healthcare costs. The average US state would see an approximately $139 million decline in annual health care costs through fewer hospital visits alone."

Let's see, according to the report there are only 5 states that actually gain, with CA being the biggest. A whole 3000 doctors over 6 years in CA . So 400 doctors a year is what percentage of 125,000. That's including a whole bunch of very dubious assumptions. Like how 5000 additional doctors over 6 years will result in the average state seeing $139 million PER YEAR decline in spending through fewer hospital visits. WTF? That's 6.7 billion a year from those 5000 docs. Pretty damn impressive.

12   curious2   613/613 = 100% civil   2013 Jan 23, 1:55pm  ↑ like   ↓ dislike   quote    

bob2356 says

the average state seeing $139 million PER YEAR decline in spending through fewer hospital visits. WTF? That's 6.7 billion a year from those 5000 docs.

Actually $6.95 billion. If you assume 1,000 patients per primary care doctor, that's $1,390/patient per year. A single hospital visit can often cost over $100k.

Where the report seems to go wrong is in assuming that more doctors and prescriptions will result in fewer hospital emergencies. If you accept that myth, then the math works. In reality, prescriptions are a major driver of hospital emergencies, and Massachusetts found that putting more people on insurance resulted in more emergency hospitalizations.

Regarding the motive, I think you were probably nearer the mark in a previous comment, when you alluded to the fact that American policy is driven by the revenue recipients that make money from it. I suspect this article might perhaps be traced back to HMOs that want to reduce their physician costs (salaries). If they can hire more foreign doctors for less $, they can increase executive salaries and perks. It's like the software industry using H1B visas.

13   Dan8267   2661/2694 = 98% civil   2013 Jan 23, 1:58pm  ↑ like   ↓ dislike   quote    

tovarichpeter says

Physician shortage created by physicians "to pad their own bottom line

The problem with such fake shortages is that they distract from the very real and important shortages that America faces such as the catastrophic shortage in computer programmer sperm. There simply isn't enough to meet demand now that it has been discovered that computer programmers produce healthier, smarter, and better looking children than any other sperm providers.

Already sperm banks are out of programmer seed. Luckily women can secure this precious and limited commodity by calling me at 561-210-4748, but time is running out.

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