It is currently Sat Feb 22, 2025 8:57 am

All times are UTC - 6 hours [ DST ]




Post new topic Reply to topic  [ 71 posts ]  Go to page Previous  1, 2, 3
Author Message
PostPosted: Thu Feb 01, 2018 6:05 pm 
Offline
User avatar

Joined: Wed Jun 21, 2006 6:57 pm
Posts: 93616
Location: To the left of my post
Ogie Oglethorpe wrote:
Boilermaker Rick wrote:
Ogie Oglethorpe wrote:
Time will tell, but we're really seeing a lot of the projected shortages in family practice and primary care. It seems PA's are going largely into specialty areas.
I think they'd be better served paying more in the needed specialties for those. Flooding the market with foreign doctors with questionable training and low test scores on our standardized tests can put the whole system in question.

I"m not saying docs who can't pass the tests should be practicing, but foreign trained docs who can pass the boards should not have to go through 4 years of residency. having them do so both wastes 4 years that they could be practicing medicine and also denies a slot to a US med school grad.

The problem is that passing the boards alone doesn't really tell you if they are a safe doctor or not. There are countries where you become a doctor with a laughably small amount of extra work.

_________________
You do not talk to me like that! I work too hard to deal with this stuff! I work too hard! I'm an important member of the CSFMB! I drive a Dodge Stratus!


Top
 Profile  
 
PostPosted: Thu Feb 01, 2018 6:07 pm 
Offline
User avatar

Joined: Mon May 02, 2011 4:29 pm
Posts: 40939
Location: Everywhere
pizza_Place: giordanos
One Post wrote:
pittmike wrote:
One post, quick question for only the last part. Why is malpractice insurance said to be so expensive for docs and hospitals?


This gets back to my post above? Who says it is so expensive?

I don't know if it it, I have no idea about insurance expenses for the medical profession. I don't have any idea about the insurance expenses for any other profession. I'm not an expert in either insurance, or more specifically in medical malpractice insurance.

So is it expensive? I have no idea if it is or not, and I'm guessing you don't either.

If it is expensive, why is it so? Again, I have no idea and I'm guessing you don't either.

More importantly, is will curbing malpractice verdicts lead to lower overall healtcare costs, and provide better care? I really don't know.


Yes I do not that is why I asked the highlighted question. You posted so authoritatively I was sure you knew all the answers right here. And yes my hunch is the bitching I heard in general about malpractice costs factors into overall healthcare costs. Just a little hunch though.

_________________
Elections have consequences.


Top
 Profile  
 
PostPosted: Thu Feb 01, 2018 6:09 pm 
Offline
User avatar

Joined: Mon May 02, 2011 4:29 pm
Posts: 40939
Location: Everywhere
pizza_Place: giordanos
Boilermaker Rick wrote:
That's not exactly true. Physicians assistants and nurse practictioners are getting used in larger numbers to help offset it.

Also, like with almost all shortages about a specific industry, it's about taking away the leverage of workers more than it is about actual shortages. Outside of small areas that don't have the patient population to ever have specialists, there isn't an area in the country without access to doctors. There may be a wait to get admitted as a new patient but it's not like hospitals are shutting down with a sign that says "No doctors available".

Now, there are certainly unfilled jobs, but any industry that isn't failing has unfilled jobs.


Related, I know personally grads from our med school that are enticed to serve smaller populations. They generally have the bulk of their med school costs paid for in exchange for a few years service.

_________________
Elections have consequences.


Top
 Profile  
 
PostPosted: Thu Feb 01, 2018 6:14 pm 
Offline
User avatar

Joined: Thu Nov 16, 2006 6:29 pm
Posts: 56730
pizza_Place: Lou Malnati's
pittmike wrote:
Boilermaker Rick wrote:
That's not exactly true. Physicians assistants and nurse practictioners are getting used in larger numbers to help offset it.

Also, like with almost all shortages about a specific industry, it's about taking away the leverage of workers more than it is about actual shortages. Outside of small areas that don't have the patient population to ever have specialists, there isn't an area in the country without access to doctors. There may be a wait to get admitted as a new patient but it's not like hospitals are shutting down with a sign that says "No doctors available".

Now, there are certainly unfilled jobs, but any industry that isn't failing has unfilled jobs.


Related, I know personally grads from our med school that are enticed to serve smaller populations. They generally have the bulk of their med school costs paid for in exchange for a few years service.

Wasn't this the premise of Northern Exposure?

_________________
Molly Lambert wrote:
The future holds the possibility to be great or terrible, and since it has not yet occurred it remains simultaneously both.


Top
 Profile  
 
PostPosted: Thu Feb 01, 2018 6:15 pm 
Offline
User avatar

Joined: Sun Aug 21, 2016 3:24 pm
Posts: 17331
pizza_Place: Pequods
Boilermaker Rick wrote:
Ogie Oglethorpe wrote:
Boilermaker Rick wrote:
Ogie Oglethorpe wrote:
Time will tell, but we're really seeing a lot of the projected shortages in family practice and primary care. It seems PA's are going largely into specialty areas.
I think they'd be better served paying more in the needed specialties for those. Flooding the market with foreign doctors with questionable training and low test scores on our standardized tests can put the whole system in question.

I"m not saying docs who can't pass the tests should be practicing, but foreign trained docs who can pass the boards should not have to go through 4 years of residency. having them do so both wastes 4 years that they could be practicing medicine and also denies a slot to a US med school grad.

The problem is that passing the boards alone doesn't really tell you if they are a safe doctor or not. There are countries where you become a doctor with a laughably small amount of extra work.

Even then the doctors are supervised. usually a foreign born doctor is going to be entering another doctor's practice rather than starting out directly on their own. In the end we are putting qualified docs through an unnecessary residency while simultaneously denying US med school grads a residency match which allows them to start their medical careers. It seems the solution to the doctor shortage (or at least a way to mitigate its overall effects) is at hand with relatively simple measures.

_________________
“When I walked in this morning, and saw the flag was at half mast, I thought 'alright another bureaucrat ate it.'" - Ron Swanson


Top
 Profile  
 
PostPosted: Thu Feb 01, 2018 6:15 pm 
Offline
User avatar

Joined: Sun Aug 21, 2016 3:24 pm
Posts: 17331
pizza_Place: Pequods
pittmike wrote:
Boilermaker Rick wrote:
That's not exactly true. Physicians assistants and nurse practictioners are getting used in larger numbers to help offset it.

Also, like with almost all shortages about a specific industry, it's about taking away the leverage of workers more than it is about actual shortages. Outside of small areas that don't have the patient population to ever have specialists, there isn't an area in the country without access to doctors. There may be a wait to get admitted as a new patient but it's not like hospitals are shutting down with a sign that says "No doctors available".

Now, there are certainly unfilled jobs, but any industry that isn't failing has unfilled jobs.


Related, I know personally grads from our med school that are enticed to serve smaller populations. They generally have the bulk of their med school costs paid for in exchange for a few years service.

It's similar to measures to help bring teachers into difficult schools. If they teach there for a certain period, they can have their school loans forgiven.

_________________
“When I walked in this morning, and saw the flag was at half mast, I thought 'alright another bureaucrat ate it.'" - Ron Swanson


Top
 Profile  
 
PostPosted: Fri Feb 02, 2018 11:02 am 
Offline
User avatar

Joined: Mon Aug 07, 2006 8:35 pm
Posts: 10885
Location: Parrish, FL
pizza_Place: 1. Peaquods 2. Aurelios
This will be very interesting to monitor. Obviously, they’ve seen an opportunity to take something that’s crap and do it better. Even if they provide healthcare as a “non-profit” If they can do it cheaper it will be a cost savings.

_________________
This Ends in Antioch wrote:
brick (/brik/) verb
1. block or enclose with a wall of bricks
2. Proper response would be to ask an endless series of follow ups until the person regrets having spoken to you in the first place.


Top
 Profile  
 
PostPosted: Sat Feb 03, 2018 1:41 am 
Offline

Joined: Fri Oct 24, 2008 10:28 am
Posts: 4137
pittmike wrote:
One Post wrote:
pittmike wrote:
One post, quick question for only the last part. Why is malpractice insurance said to be so expensive for docs and hospitals?


This gets back to my post above? Who says it is so expensive?

I don't know if it it, I have no idea about insurance expenses for the medical profession. I don't have any idea about the insurance expenses for any other profession. I'm not an expert in either insurance, or more specifically in medical malpractice insurance.

So is it expensive? I have no idea if it is or not, and I'm guessing you don't either.

If it is expensive, why is it so? Again, I have no idea and I'm guessing you don't either.

More importantly, is will curbing malpractice verdicts lead to lower overall healtcare costs, and provide better care? I really don't know.


Yes I do not that is why I asked the highlighted question. You posted so authoritatively I was sure you knew all the answers right here. And yes my hunch is the bitching I heard in general about malpractice costs factors into overall healthcare costs. Just a little hunch though.


Assface, I had one whole post detailing how I admittedly have no answers.


Top
 Profile  
 
PostPosted: Sat Feb 03, 2018 2:31 pm 
Offline
User avatar

Joined: Sun Aug 21, 2016 3:24 pm
Posts: 17331
pizza_Place: Pequods
One Post wrote:
pittmike wrote:
One Post wrote:
pittmike wrote:
One post, quick question for only the last part. Why is malpractice insurance said to be so expensive for docs and hospitals?


This gets back to my post above? Who says it is so expensive?

I don't know if it it, I have no idea about insurance expenses for the medical profession. I don't have any idea about the insurance expenses for any other profession. I'm not an expert in either insurance, or more specifically in medical malpractice insurance.

So is it expensive? I have no idea if it is or not, and I'm guessing you don't either.

If it is expensive, why is it so? Again, I have no idea and I'm guessing you don't either.

More importantly, is will curbing malpractice verdicts lead to lower overall healtcare costs, and provide better care? I really don't know.


Yes I do not that is why I asked the highlighted question. You posted so authoritatively I was sure you knew all the answers right here. And yes my hunch is the bitching I heard in general about malpractice costs factors into overall healthcare costs. Just a little hunch though.


Assface, I had one whole post detailing how I admittedly have no answers.

I'm still waiting for you to tell me what solution there is to the doctor shortage...

_________________
“When I walked in this morning, and saw the flag was at half mast, I thought 'alright another bureaucrat ate it.'" - Ron Swanson


Top
 Profile  
 
PostPosted: Sat Feb 03, 2018 6:55 pm 
Offline
User avatar

Joined: Mon May 02, 2011 4:29 pm
Posts: 40939
Location: Everywhere
pizza_Place: giordanos
Assface he has no answers. He just came to throw his shit up on the board.

_________________
Elections have consequences.


Top
 Profile  
 
PostPosted: Sat Feb 03, 2018 9:16 pm 
Offline
User avatar

Joined: Sun Aug 21, 2016 3:24 pm
Posts: 17331
pizza_Place: Pequods
pittmike wrote:
Assface he has no answers. He just came to throw his shit up on the board.

yeah he's a bit of a twat, but I guess that comes with being a Cub fan.

Always has to rip everything and never offers a solution or idea of his own.

_________________
“When I walked in this morning, and saw the flag was at half mast, I thought 'alright another bureaucrat ate it.'" - Ron Swanson


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 71 posts ]  Go to page Previous  1, 2, 3

All times are UTC - 6 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 47 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum

Search for:
Jump to:  
Powered by phpBB® Forum Software © phpBB Group