I don't understand this about healthcare in the USA. Why not import a few thousand doctors from Asia through H1Bs, and drive down the cost of medical care? Remove artificial caps on licenses imposed by the AMA while at it.
Doctors Unionize to Resist the Medical Machine
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Re: Doctors Unionize to Resist the Medical Machine
#32I don't understand this about healthcare in the USA. Why not import a few thousand doctors from Asia through H1Bs, and drive down the cost of medical care? Remove artificial caps on licenses imposed by the AMA while at it.
http://www.npr.org/sections/money/2013/02/15/172108835/shoul...
And that's putting aside the fact H1-Bs are not exactly easy to come by right now.
Re: Doctors Unionize to Resist the Medical Machine
#33I don't understand this about healthcare in the USA. Why not import a few thousand doctors from Asia through H1Bs, and drive down the cost of medical care? Remove artificial caps on licenses imposed by the AMA while at it.
Especially older people, who are the largest consumers of healthcare.
Re: Doctors Unionize to Resist the Medical Machine
#34One thing that I never understood about the US medical education is the requirement of the bachelor's degree (pre-med) before applying for most med schools. In my home country and many others, you can directly apply to med school. Now that the college costs are quite considerably expensive, four-additional year of college studies simply adds to the cost of becoming a doctor and therefore, the newly minted doctors exp…
I actually prefer the US system in that it potentially provides doctors with a more well-rounded education.
Re: Doctors Unionize to Resist the Medical Machine
#35Earlier quoted context omitted.
And yet, when Texas put a cap on medical malpractice awards, the cost of medical care didn't go down at all. Surely you have a good explanation for that and you're not just repeating discredited talking points for personal gain.
You're incorrect, the cost of medical care is measurably lower as a result of tort reform in Texas. And maybe more importantly, accessibility of care has increased. You see price reflected in at least two places: 1) the variable in the formula for medicare reimbursements that reflects practice environment costs, and 2) more visibly, in Obamacare rates for the State of Texas, which would be significantly higher in the…
Further, your first link actually disputes your claim, not supports it.
> Theoretically, states that have enacted special laws to reduce unreasonable litigation (expert witness reform, case certification requirements, and medical review panels) and curb excessive rewards (damage caps) should have the most favorable environments, with physicians paying the lowest annual premiums. However, this is not always the case. The relationships between tort reform, malpractice costs, and medical liability environment favorability are complex and nonlinear.
Re: Doctors Unionize to Resist the Medical Machine
#36Earlier quoted context omitted.
I believe you, but when I worked in a medical office in 1993 vendors were saying that exact same thing.
I know, I hope my Background as MD and CS plus the idea we had will make it different. We are working on something similar to an IDE :)
And whatever you do, just don't let anyone deploy it on some overloaded Citrix server.
Re: Doctors Unionize to Resist the Medical Machine
#37All of this rings true from what I've heard my dad, a GP, complain about for years. It's hard for him to watch other doctors game the system to increase their earnings -- not only seeing more patients with unaccountably short sessions, but also up-coding their maladies and ordering unnecessary tests. In addition to the pressure of seeing more patients per day, they have all this new administrative bullshit (ironicall…
My doctors usually spend less than 5 minutes talking to me and 10 minutes hunting and pecking at the computer. Some offices will have other staff do much of the data entry, but it doesn't seem to result in the doctor any spending more time with me.
I wrote a bit about it recently:
Http://micheleincalifornia.blogspot.com/2015/12/how-to-fix-americas-financial.html
Re: Doctors Unionize to Resist the Medical Machine
#38I've seen this with the NHS in the UK. They have a bunch of numbers they have to make, but what do the numbers actually mean? What happens when people end up gaming the system, because the rules tell them to?
Re: Doctors Unionize to Resist the Medical Machine
#39Re: Doctors Unionize to Resist the Medical Machine
#40Earlier quoted context omitted.
And yet, when Texas put a cap on medical malpractice awards, the cost of medical care didn't go down at all. Surely you have a good explanation for that and you're not just repeating discredited talking points for personal gain.
You're incorrect, the cost of medical care is measurably lower as a result of tort reform in Texas. And maybe more importantly, accessibility of care has increased. You see price reflected in at least two places: 1) the variable in the formula for medicare reimbursements that reflects practice environment costs, and 2) more visibly, in Obamacare rates for the State of Texas, which would be significantly higher in the…
Do you have any other sources for your belief?