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NYU Makes Tuition Free for All Medical Students

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Re: NYU Makes Tuition Free for All Medical Students

#12
post #2

I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed. edit: Just so I am clear I know that there are lots of other influences on healthcare costs and doctor debt isn't the only pressure they face. Doctors do have some influence on cost (if not large) and if pressure on them is re…

> I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed.

Physician earnings account for about 7% of total spending on healthcare. Of that 7%, the fraction due to student debt specifically is significant from the physician's perspective, but negligible from a systemic picture.

This is, of course, assuming that physicians are charging for services that are not be needed in order to boost their earnings, which happens in some cases, but is not as systemic or widespread as people often think, due to the shift away from fee-for-service payment models and towards capitated care, and the opacity of the payment model to the physician at the point-of-care in many care delivery situations.

Re: NYU Makes Tuition Free for All Medical Students

#13
post #2

I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed. edit: Just so I am clear I know that there are lots of other influences on healthcare costs and doctor debt isn't the only pressure they face. Doctors do have some influence on cost (if not large) and if pressure on them is re…

Changing how compensation is structured, would probably be the most effective way to discourage things that might not be needed.

Re: NYU Makes Tuition Free for All Medical Students

#14
This is awesome! So many medical students are kinda forced into more profitable healthcare practices than ones which people need more desperately (e.g. plastic surgery vs rheumatology).

I especially love that this was done with private fundraising over government funding. Philanthropy can be effective, often far more so than governments!

Re: NYU Makes Tuition Free for All Medical Students

#15
post #7
post #2

I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed. edit: Just so I am clear I know that there are lots of other influences on healthcare costs and doctor debt isn't the only pressure they face. Doctors do have some influence on cost (if not large) and if pressure on them is re…

From my (limited) understanding, the high cost of malpractice insurance that doctors must pay is what drives up the cost of healthcare, more so than their student debt.

>high cost of malpractice insurance

results from high cost of malpractice. So instead of treating the symptom - insurance, one has to treat the original condition - malpractice. To continue the analogy - the trial lawyers in case of malpractice is just like the immune system. When infection (malpractice) happens you see the heavy effects of immune system acting like high fever, yet it would be a grave mistake to suppress immune system instead of dealing with the original cause - infection (malpractice).

Re: NYU Makes Tuition Free for All Medical Students

#16
post #10
post #4

This is amazing. I graduated from medical school two years ago with $300,000 in debt. I'm a software developer on the side and would love to stop residency to try a healthcare startup and/or pursue a research, but the risk is too great - I need the attending salary to pay off the debt.

>I'm a software developer on the side and would love to stop residency to try according to TV series residents don't even have time to sleep :)

TV series residents don't even have time to sleep

Unless it's with each other...

Re: NYU Makes Tuition Free for All Medical Students

#17
post #4

This is amazing. I graduated from medical school two years ago with $300,000 in debt. I'm a software developer on the side and would love to stop residency to try a healthcare startup and/or pursue a research, but the risk is too great - I need the attending salary to pay off the debt.

Fellow MD student here. I feel your pain. I've planning to just do PGY-1, work as a GP at urgent care night/weekends and do software dev full time.

Re: NYU Makes Tuition Free for All Medical Students

#18
post #10

Earlier quoted context omitted.

>I'm a software developer on the side and would love to stop residency to try according to TV series residents don't even have time to sleep :)

TV series residents don't even have time to sleep Unless it's with each other...

Or with a stuffed golden retriever

Re: NYU Makes Tuition Free for All Medical Students

#19
post #2

I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed. edit: Just so I am clear I know that there are lots of other influences on healthcare costs and doctor debt isn't the only pressure they face. Doctors do have some influence on cost (if not large) and if pressure on them is re…

> I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed. Physician earnings account for about 7% of total spending on healthcare. Of that 7%, the fraction due to student debt specifically is significant from the physician's perspective, but negligible from a systemic picture. This…

I'm really interested in this info, can you tell me where you got the 7% from? Are there good in depth breakdowns of this?

Re: NYU Makes Tuition Free for All Medical Students

#20
post #2

I hope this helps to decrease the costs of medical care in the US to some extent as it removes one pressure for doctors to earn extra money charging for things that might not need to be needed. edit: Just so I am clear I know that there are lots of other influences on healthcare costs and doctor debt isn't the only pressure they face. Doctors do have some influence on cost (if not large) and if pressure on them is re…

Doctor's pay is not the driving factor behind increasing medical bills... administrative expenses at providers in insurance, opaque and arcane cost structures negotiated as deals between providers and insurance companies, and record profits at both insurance companies and providers point to a system that's cannibalizing itself. This will do nothing to costs even if implemented universally as it does nothing to address the actual causes of rising medical expenses.
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