Rantings and tirades of a frustrated economist.
The law never address the root of the problem for creating more doctors, as the article states: "bottleneck is due partly to a 1997 federal law that limits the growth in federal Medicare funding for residency programs". This is the major problem with medical training. Residency, is where we actual learn how to be doctors. As Conrad Fisher, a popular medical lecture for Kaplan Medical Prep once said, medical school is 10 years behind clinical practice in terms of knowledge and treatments. I'm Caribbean medical student, so under the Cappy's eyes I'm in same league as dumbfucks who get useless liberal art degrees. Medical student get gutted financial by the exams fees, testing, and application for residency spots. Being a doctor now is being cattle to fucks in Washington in government and medical societies that provide certification. Sad part is I knew was going to happen, but I too stubborn to give up.
Maybe medical school graduates should join the military. I mean, shit, war sucks but you're probably going to get rapidly promoted. You may even be kept out of any direct action, instead serving in military hospitals. Maybe that can count as a residency?What do you think Captain?
I have a relative that recently graduated from medical school, and she is making less than minimum wage per hour, because her residency position pays a flat salary no matter how many hours they make her work. She works more hours every week than I ever worked in my three years at a coal mine. Plus I got $22/hr with time and a half after 40 hours in a week, and triple time on holidays. And to think she just got through 8 years of school with who knows how much debt to make less than a burger flipper for the first 3 years of her career.
The problem lies in the way the USA structures residency. Short version: it does not work. The training is too variable and people who don't cut it are not weeded out.And the costs are too great: ironically there are a lot of US doctors in NZ on much lower salaries so one can have a life.
Saw this coming a long time ago. This is what happens when you get the government involved in anything.
What's the old M Friedman line...if put .gov in charge of the Sahara Desert there will be a sand shortage. Blogger Karl Deniger has been hammering home how health care (like any special interest) writes the laws, ensues crony capitalism's continuance...and just basically fucks us over. We need a new marvel comic hero who eviserates evil. And the thing is it's more of an emergent phenomenon akin to nature. For example, how flock of black birds launch after a leader staying within close proximity...unison. The emergent properties will be psychological ...or in long distance motorcycle symbollism like a dark horse picking up speed. The opposite of enjoying the decline...but emergent victory.
I would not want to become a doctor these days. In the long scheme of things, as Obamacare collapses the Pols will go NHS style on the whole deal and the doctors will become GS13 on the federal payroll. Not a great outcome for all the time and energy spent to become one.
I am a newly retired physician and have to say Cappy is dead right. Although my pay topped out at $500,000 per year plus when you factor in the many years of working for little money and heavy workload you are much better off in many other professions. Stay away from medical school
Post a Comment