DarkSteven
Posts: 28072
Joined: 5/2/2008 Status: offline
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quote:
ORIGINAL: tazzygirl quote:
If I buy that there will be a shortage of general practitioners, then how would I meet that? The article never addresses that, simply stating that there will be a problem and offering up a single solution. Note that the solution is predicated on two things: 1. That there are unfilled slots in med school right now. 2. That these slots are unfilled due to financial issues for the students. The article states neither, DS. It states there is a shortage of Primacy Care Physicians because most who are in medical school prefer the bigger bucks to be found in specializing. quote:
The article does not mention the first premise, Because its not the premise they are working under. quote:
and implies that the second is true with no proof. If the second is your second, then again its not what the article is about. quote:
If anyone remembers the Bakke case, it was a bitter fight over someone landing a coveted slot at a med school, implying that there is a shortage of med school positions, directly contradicting the first premise. There is a limited number of med school positions, that is true. quote:
If we have no unfilled slots in med school, then why are we proposing a solution for making it easier to fill the open slots that do not exist? Ah, now I get where you are coming from. The slots that are limited in Med School is because those slots are limited in residency. Medicare pays for residency slots in this country and there are only so many to go around. To prevent a huge bottle neck, school openings are limited. quote:
Moving on, if we accept that there will be a shortage, what are different ways to meet this need? Some obvious ones that come to mind, and none of which are addressed by the article, include accrediting more schools, allowing foreign doctors to transfer their license to the US (which my grandfather did from Germany in the 1930s but for some reason is not done today as far as I can see), setting up ways to use Mexican doctors' services, etc. This is the engineering mindset: Identify problem, propose solutions, analyze solutions, pick the best one. Unfortunately, most of the normal process today is Propose solution, make up bullshit numbers to justify it, lobby for it. In the proposed case, it would subsidize one of the wealthiest groups in the US, which is the last thing we need to do. What the article offered was a possible solution to the shortage of Primary Doctors we have in this country... not the shortage of physicians as a whole. Okay. In that case, the very first thing that should be done is to determine WHY specialists get paid more. Find that and fix it - no more problem. The article seems to believe that the only reason doctors would go for higher pay is because they have student loan debt to pay off. And if they didn't, that they would have no incentive to go for the higher paid specialist positions. That's preposterous, that if they're not indebted, they will not care for money. Finally, if there's such a big fuss that requires SOMEONE to pay, why not shift that burden onto the specialists themselves? I don't like subsidies paid for by the general taxpayer and don't want another one.
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