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

niskanencenter.org

241–250 of 377 posts

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

#241

Being a physician is a horrible career move right now. As a former Math/CS major turned eye surgeon, I can't help but think about how much easier my life would be had I stuck with tech. It's hard to understand exactly how hard the job is until you've lived it. I saw 40 patient's in clinic today in 8 hours without lunch or any kind of downtime and then spent 2 hours at the hospital because a patient needed an emergent…

I've no doubt the stress of your work is immense and the constant threat of litigation (and the expense of the insurance to fight it) can be overwhelming. As a recipient of multiple eye surgeries (I had strabismus as a kid), I am grateful for competent professionals like you. But I think you buried the lede. In the 2010s I owned a high-end bicycle and sporting good store. It was 7 days of 10+ hours a day most weeks.…

goodness gracious there is a lot to unpack here.

> As I confronted my busy, work-filled weekend cemented to the shop to deal with the fickle and spoiled public

> And it was very nearly non-profit or barely-profit for most of its run. If you know anyone that owns a bike shop, you should give them a hug. They need it.

some serious mental gymnastics to land this hypocrisy. someone else struggling differently? here’s an anecdote about how “their kind” are bad. incredible stuff.

read carefully, your comment suggests you don’t much like anyone other than bike shop owners.

maybe that’s why things felt so hard?

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

#242

Earlier quoted context omitted.

I've no doubt the stress of your work is immense and the constant threat of litigation (and the expense of the insurance to fight it) can be overwhelming. As a recipient of multiple eye surgeries (I had strabismus as a kid), I am grateful for competent professionals like you. But I think you buried the lede. In the 2010s I owned a high-end bicycle and sporting good store. It was 7 days of 10+ hours a day most weeks.…

goodness gracious there is a lot to unpack here. > As I confronted my busy, work-filled weekend cemented to the shop to deal with the fickle and spoiled public > And it was very nearly non-profit or barely-profit for most of its run. If you know anyone that owns a bike shop, you should give them a hug. They need it. some serious mental gymnastics to land this hypocrisy. someone else struggling differently? here’s an…

Well Dr. Freud, I was just pointing out anecdotally that perspective is important. That’s all.

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

#243

Earlier quoted context omitted.

You’re on the wrong forum to complain about the medical field. These SWE think you’re a privileged complaining brat (ironic) who breezed through the 15 years of school and training and don’t deserve anything but disrespect. You’re part of the medical cartel and for the most part, they despise you. Your salary is deemed too high and you are expensive overhead that needs to be decreased - hence the outrage and populari…

In my experience, most of the outrage against the medical system is that it is so expensive, and has such variable outcomes. I don’t think overworking doctors (even more than they already are) is the solution, but I do feel something has to give. What do you think is the problem. What could be productively changed that would make access to healthcare more affordable?

The simplest thing we could do to make access to healthcare more affordable is that Congress could increase Medicare funding for residency program slots. That would boost the number of practicing physicians within a few years.

https://savegme.org/

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

#244
post #179

Earlier quoted context omitted.

Your circle of 2/300k engineers does not represent average people. 99% of Americans should not be able to get a faang job even if the exact park was laid in front of them before college.

I have never worked for a FAANG company, or anything close, and can usually not get in the front door at any "prestigious" company. In my last round of interviews nearly all startups/small companies I talked to where offering 200k+ for remote senior engineers. It's not hard to break 200k remote as a software engineer. If you're not there I highly recommend you start looking around, even in this market, rather than si…

I do hiring for small companies, no one is paying that much. 130-150k is base for seniors. Also seeing a decrease in US based developer jobs, lots of offshoring happening. I'm halfway considering moving to Costa Rica and running a firm down there.

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

#245

Earlier quoted context omitted.

The job security issue is huge. Many of my tech and finance friends in their early 50's are getting pushed out of their jobs, while my physician friends in their 60's can keep their career as long as they want. A family member recently visited a dr. in his late 70's.

It's interesting that places value seniority and experience so much more in medicine vs tech. Things change daily in both fields--new procedures, new findings--yet tech seems to have far more ageism. Why is an older doctor so much more valuable than an older developer?

> Why is an older doctor so much more valuable than an older developer?

which would you take with you on a one way trip to a desert island?

that’s a meaningless question, it assumes their jobs are their siloed experience, and that nothing outside of job is real.

training. licensing. you can’t just go become a doctor. yes, there can be new doctors, cheaper, maybe better, maybe not. but the funnel is finite.

got a computer? or a smartphone? device with screen and input? with a little work, you’re gonna be writing code in no time. call yourself an engineer and mostly nobody gets mad that you have no license, no certification, possibly no degree. because none of that matters.

no, that isn’t capturing nuance, context, or detail. just the macro. it’s enough.

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

#246

Being a physician is a horrible career move right now. As a former Math/CS major turned eye surgeon, I can't help but think about how much easier my life would be had I stuck with tech. It's hard to understand exactly how hard the job is until you've lived it. I saw 40 patient's in clinic today in 8 hours without lunch or any kind of downtime and then spent 2 hours at the hospital because a patient needed an emergent…

> There's just no reason to do the job when you can get the same compensation working remotely in tech. Looking through the "Who's Hiring" thread is soul-crushing. Physician salaries are the only ones that do not grow relative to inflation and have decreased year-on-year relative to inflation for decades. What ? Most U.S physicians make 300K + after residency with job security set for life. The real bright ones, the…

Exactly. Longevity is much greater outside of tech.

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

#247
post #209

Earlier quoted context omitted.

I've heard of the "tech bro" stereotype (and seen it many times first hand), but struggle to recall a "doc bro" or equivalent one. I've also never heard of the term "culture fit" when discussing a potential hire in the medical industry like I do tech, software specifically. I wonder if the majority of the types of people who go into tech are different than the majority that go into medicine. > It's interesting that p…

Stereotypically, surgeons are the doc bros.

I, too, watched the early 2000s medical sitcom Scrubs, featuring the beloved Dr. Todd.

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

#248

Being a physician is a horrible career move right now. As a former Math/CS major turned eye surgeon, I can't help but think about how much easier my life would be had I stuck with tech. It's hard to understand exactly how hard the job is until you've lived it. I saw 40 patient's in clinic today in 8 hours without lunch or any kind of downtime and then spent 2 hours at the hospital because a patient needed an emergent…

>That said, is anyone hiring an ophthalmologist with CS and Math degrees?

I mean there's a bunch of AI stuff/hype now, you could probably find something if you want to leverage your MD? I imagine you'd have a lot of insight into what would actually work well in practice and improve outcomes.

I just skimmed your comment history, so you already know about AI diagnostics e.g. https://health.google/caregivers/arda/

And worldcoin probably needs an opthamologist who can help ensure the retina id scans are stable... there are also a lot of retina scan companies anyway for digital identification that probably need an opthamologist. It may be as simple as keeping a set of scans over time so you reauthenticate in person and get your token updated like when you get a passport renewed for example. But maybe there's other stuff like preventing adversarial attacks.

Or maybe robotic surgery? Or maybe start your own? You might be able to patent something even.

This being HN, the world is your oyster and all.

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

#249

Earlier quoted context omitted.

goodness gracious there is a lot to unpack here. > As I confronted my busy, work-filled weekend cemented to the shop to deal with the fickle and spoiled public > And it was very nearly non-profit or barely-profit for most of its run. If you know anyone that owns a bike shop, you should give them a hug. They need it. some serious mental gymnastics to land this hypocrisy. someone else struggling differently? here’s an…

Well Dr. Freud, I was just pointing out anecdotally that perspective is important. That’s all.

yet your perspective seems to be that this doctor and all like them are inferior, your tone drips with it.

why do you think that is?

do you hate psychiatrists? your jump to using “Dr Freud” was rather interesting.

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

#250
post #209

Earlier quoted context omitted.

I've heard of the "tech bro" stereotype (and seen it many times first hand), but struggle to recall a "doc bro" or equivalent one. I've also never heard of the term "culture fit" when discussing a potential hire in the medical industry like I do tech, software specifically. I wonder if the majority of the types of people who go into tech are different than the majority that go into medicine. > It's interesting that p…

Stereotypically, surgeons are the doc bros.

And orthopedics specifically are the broiest of the doc bros
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