Quote:Medical schools can sprout up but what is restraining the output is number of residency seats available here in the US, which is regulated by the ACGME. This issue of #medical students to #residency slots available is already occurring.
DO's can enter a DO residency, as well as an MD residency (but is generally harder for the higher-tier specialties).
There will be no more DO residency in 2020, they will all be one after the merger. And while new residency's are being added, they are pretty much exclusively primary care. ACGME reminds me of nursing schools a decade or two ago- Shortage shortage everywhere! Then they doubled the amounts of nurses being produced and when the market crashed suddenly new grads couldn't get jobs in a 'recession proof' profession. I was there, I remember it well.
The residency is the restriction, but we have a problem with geographic distribution of providers more than anything else. People want to live and work in the big population centers with the money and support. Also they want all the normal things that people want (good schools for kids, sports teams, costco etc). Most people do not want to work at some dinky hospital with less than 100 beds where the patients cry when they found out they were dropped there. Where you are basically a referral center for your flagship.
Quote:Why should someone proposing to build a hospital have to prove to some government bureaucrat that it's "needed?" Can't a better hospital with lower fees be good for everyone, whether or not there is already a hospital in place?
I can see the other side of the coin, hospitals only want to add a footprint where the moneys at. So instead of going to a medically needy area that's further out and poorer, they all want to get in the same middle upper Surburbia. When you have a resource like medicine you can't just let them line up next to each other like car dealers. People need emergency care in different places.
But overall I agree, you should be able to put were you want.
Quote:Are you also in the Public Health/Medical profession?
Thats a yes, I took a beating for 8 years on the floor and decided I wanted some more debt to go with the abuse and went back to school for more.
Quote:You know for a fact there would be lower fees?
Either it has lower fees or better health care. If the new hospital was no better than the old one no one would go there and it would fail. But that risk is on the builder, not the citizenry. Competition breeds lower prices and/or a better product. Government-enforced monopolies breed high prices and stagnation
(all monopolies do, but here we're talking about government meddling).
Wanted to add a quick note thanking everyone for their feedback. I will be adding my opinions in the next day or so, both general and with a bit of feedback from my recent efforts in setting up my primary care provider (switched insurance with my employer in December). I guess the short version is based on my recent experience my dog could build a better health care system (and I don't even have a dog). Good people in the system, but the mechanics suck.
Quote:Wanted to add a quick note thanking everyone for their feedback. I will be adding my opinions in the next day or so, both general and with a bit of feedback from my recent efforts in setting up my primary care provider (switched insurance with my employer in December). I guess the short version is based on my recent experience my dog could build a better health care system (and I don't even have a dog). Good people in the system, but the mechanics suck.
Eliminate the middle man. For profit healthcare shouldn't be a thing.
Quote:Eliminate the middle man. For profit healthcare shouldn't be a thing.
then they would just become a not for profit like the NFL...Make a [BLEEP] pot full of money but be a not for profit entity
If there were no money in healthcare than you would have a big brain loss. You could cut a lot of managment out and not feel it, but if you lose the Docs and the research, we would feel that. There are not alot of professions that I think are more important than healthcare. Profit is not bad, and isn't evil in itself, but we don't have a real capitalistic based healthcare system. Its more like an oligarchy. And that tends to lead to price gouging. Especially when the government gets involved as a payer. Nothing the government touches goes down in price.
Quote:Wanted to add a quick note thanking everyone for their feedback. I will be adding my opinions in the next day or so, both general and with a bit of feedback from my recent efforts in setting up my primary care provider (switched insurance with my employer in December). I guess the short version is based on my recent experience my dog could build a better health care system (and I don't even have a dog). Good people in the system, but the mechanics suck.
This is what happens when you don't have Fee for service or universal healthcare. The middle tends to combine the worst aspects of both. If it was all cash things would be cheaper, and you would have more control over your care. If it was universal you would have much less control but wouldn't go bankrupt. As is you don't have good control for the most part, and you still get to go bankrupt.
How long did conservatives have to draft a plan to replace Obamacare?
Quote:Eliminate the middle man. For profit healthcare shouldn't be a thing.
The best healthcare in the world is for profit healthcare
Quote:Which country?
I'd say almost all of them
Quote:Syria?
The war torn Syria? I doubt their healthcare systems are up to much but I'd wager their private system is better wouldn't you?
Still waiting for Biff's paper. I mean we basically wrote it for him, shouldn't we get the final results... He better have gotten an A (unless he route copied my terrible grammar in which case he gets a C).
Quote:Eliminate the middle man. For profit healthcare shouldn't be a thing.
Quote:Why?
Still waiting for some semblance of a reason for this statement.
Quote:Eliminate the middle man. For profit healthcare shouldn't be a thing.
You can't take the profit out of healthcare. Research and development are very expensive, and if the companies doing the R&D cannot sell the results for a profit, they won't do it.
I don't believe there will ever be a "solution" that makes health care less expensive, for the simple fact that people will pay anything, and I mean
anything, to save their own life.
About all we can do is decide if we want to help poor people afford health care, and are we going to spread the cost among the general population of the country. That's what the arguments about Obamacare, repeal and replace, etc, are really all about. But the politicians all try to sell their ideas on the basis that they are going to make health care less expensive. That is absolutely impossible.
Quote:The best healthcare in the world is for profit healthcare
I have no idea which countries you are referencing. Basically, we have four main systems that countries use, Beveridge, NHI, Bismarck, and pay as you go. In most of them the doctors and hospitals are for profit. In some of them the insurance companies are for profit. Which countries are you referring to and why?
Quote:I have no idea which countries you are referencing. Basically, we have four main systems that countries use, Beveridge, NHI, Bismarck, and pay as you go. In most of them the doctors and hospitals are for profit. In some of them the insurance companies are for profit. Which countries are you referring to and why?
Private healthcare is better than public healthcare no?