(02-13-2020, 11:39 PM)flsprtsgod Wrote:

(02-13-2020, 09:37 PM)HandsomeRob86 Wrote: Medicare enrollees have so much less choice in Meds already. You might as well make the only meds available to Medicare recipients the $4 list at Walmart cause that’s basically what it will be if they try to ‘negotiate down’ prices.

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There are over 10000 more docs applying for residency than there are spots right now. Almost all the extra docs are foreign tho.

Hence my point about the American Medical Association chiming domestic supply.

Those days are over. That was true from 70’s to the 90’s, but no longer. The bigger issue is that many of the new schools cannot produce the same kind of experience the old ones did. The old schools all have large teaching hospitals, the new ones are sending their students to small community hospitals all over the state. It’s a very different experience. 

Either way, it doesn’t matter, the number of Domestic grads has increased dramatically to the point where we are very close to not having any slots for people from non-US medical schools. Something to point out is that not all foreign grads are actually foreign. The Caribbean has been a place for US students who couldn’t get into medical school stateside have gone to for years. Here’s some light reading about that: https://www.mdmag.com/medical-news/the-e...al-schools
Just as a public service announcement, if you have a kid or relative who wants to goto the Caribbean for med school, don’t let them. 

Anyway, if more physicians are really what the system needs, we will certainly have it within ten years. We have almost doubled the amount of physicians graduating basically the last 20 years. We already have ten times as many nurse practitioners and PAs graduating as we did 20 years ago, but I completely understand wanting to see a physician over a mid level as there are vast differences in training. But it takes a long time to produce physicians so it’s not something that happens overnight, and many physicians want to go to the same popular areas everyone else does, so distribution will not be equal.

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