Live data from Hacker News

The planning of U.S. physician shortages (2020)

niskanencenter.org

11–20 of 377 posts

Re: The planning of U.S. physician shortages (2020)

#12

[flagged]

Wherever a major problem existed in the past in the US, you can trace its solution back to the federal government almost every time. There's some truth in both statements, but neither is specific enough to be particularly useful.

And you can trace the origins and overwhelming priorities of the Federal Government to bare brutal bourgeoise capitalism.

Re: The planning of U.S. physician shortages (2020)

#13

discriminatory MCATs, brutal STEPS, insane Pre-Med curriculum, and more nonsense designed to cater to white elites who gamed the educational system and less to those who are genuinely trying to help the disenfranchised, unremembered, diverse and more. Hopefully one day, we'll make it as easy to become a doctor as it is to -- say -- become an Engineer.

I hope it’s not as easy to make a doctor as it is to make an engineer.

I am an engineer dating a surgical resident who has to go through so much training that an engineer would never even come close to an engineer. The room for error is quite small. If it was as easy to make a doctor as an engineer I would lose faith in the medical system and would never want such a doctor opening me up.

Re: The planning of U.S. physician shortages (2020)

#14
post #6

Planning and predicting highly variable systems is hard. Long-range interventions are especially risky given the possibilities for unexpected consequences and also the long lead times in fixing the problems. Central planning on resources has been especially rife with failed examples (the USSR being the all-in poster child.) As the article points out, the concept of central planning is orthogonal to who is providing t…

"Communist" Cuba has 64 physicians per 10K population, which is 2nd in the entire world for physicians per capita.

https://en.m.wikipedia.org/wiki/List_of_countries_and_depend...

During the pandemic, they were sending droves of doctors to Europe. They offered to assist in NYC but Trump turned them away as our population dwindled. Famously, when a British cruise ship with ill passengers aboard was denied by ports in Florida, Cuba took them in and saved many lives.

Re: The planning of U.S. physician shortages (2020)

#15
post #6

Planning and predicting highly variable systems is hard. Long-range interventions are especially risky given the possibilities for unexpected consequences and also the long lead times in fixing the problems. Central planning on resources has been especially rife with failed examples (the USSR being the all-in poster child.) As the article points out, the concept of central planning is orthogonal to who is providing t…

I feel like we are going too far. Central planning in presence of hostile adversaries unrestricted by any ethical systems failed. And by what measures has “free market” has proven itself as successful? You can come up with your measures of success and others will propose measures of shortcoming. Others will even dispute the claim the American-led west is anything different from a centrally planned set of cooperating economies.

Re: The planning of U.S. physician shortages (2020)

#17
post #16

they better change how it works, or we're going to be out here doing minor surgeries on ourselves with scalpel in one hand and watching youtube tutorial on our phone in the other, with gpt on speaker

Multimodal ChatGPT is already capable of generating diagrams for a DIY appendectomy (in the style of LEGO instructions!).

Unfortunately, it completely hallucinates on the instructions on how to stitch oneself up afterwards, inevitably resulting in fatal internal bleeding. Thankfully it also forgot about anesthetic so I didn’t get that far.

Re: The planning of U.S. physician shortages (2020)

#18
post #16

they better change how it works, or we're going to be out here doing minor surgeries on ourselves with scalpel in one hand and watching youtube tutorial on our phone in the other, with gpt on speaker

Multimodal ChatGPT is already capable of generating diagrams for a DIY appendectomy (in the style of LEGO instructions!). Unfortunately, it completely hallucinates on the instructions on how to stitch oneself up afterwards, inevitably resulting in fatal internal bleeding. Thankfully it also forgot about anesthetic so I didn’t get that far.

[deleted]

Re: The planning of U.S. physician shortages (2020)

#19

discriminatory MCATs, brutal STEPS, insane Pre-Med curriculum, and more nonsense designed to cater to white elites who gamed the educational system and less to those who are genuinely trying to help the disenfranchised, unremembered, diverse and more. Hopefully one day, we'll make it as easy to become a doctor as it is to -- say -- become an Engineer.

I hope it’s not as easy to make a doctor as it is to make an engineer. I am an engineer dating a surgical resident who has to go through so much training that an engineer would never even come close to an engineer. The room for error is quite small. If it was as easy to make a doctor as an engineer I would lose faith in the medical system and would never want such a doctor opening me up.

You're only referring to SWE, right? I've noticed that there are no bootcamps for becoming an aerospace engineer and getting a job at Boeing.

Re: The planning of U.S. physician shortages (2020)

#20
post #6

Planning and predicting highly variable systems is hard. Long-range interventions are especially risky given the possibilities for unexpected consequences and also the long lead times in fixing the problems. Central planning on resources has been especially rife with failed examples (the USSR being the all-in poster child.) As the article points out, the concept of central planning is orthogonal to who is providing t…

I feel like we are going too far. Central planning in presence of hostile adversaries unrestricted by any ethical systems failed. And by what measures has “free market” has proven itself as successful? You can come up with your measures of success and others will propose measures of shortcoming. Others will even dispute the claim the American-led west is anything different from a centrally planned set of cooperating…

What are those adversaries and why were they unrestricted ethically?
Post reply on HN