251–260 of 377 posts
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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.
FWIW, 200-300k is not that uncommon far outside of FAANG or the usual tech cities for experienced senior engineers with current skills. We are not even talking startups necessarily but boring industrials and other companies no one thinks of as tech companies. Every large business is being forced to be much tech savvier and this reality has diffused high-paying tech jobs among a much wider range of companies and local…
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> super high income (radiology) jobs Weren't these replaced by outsourcing imaging reading to third world doctors?
Mostly no. Foreign doctors can't legally practice medicine on US patients. Those third-world doctors are mostly used for things like insurance case review. Some radiologists also perform interventional procedures, which requires being physically present (at least until teleoperated surgical robots become common).
We have multidisciplinary case conferences every day which can't be outsourced and perhaps most importantly you also want to know who your radiologist is.
Reporting of anything remotely complex (e.g. oncological studies, inflammatory bowel disease, interstitial lung disease) isn't black/white and is adjusted to local practice environments/treatments options with feedback from clinicians continuously adjusting how we report.
Every center I've worked at in US & Canada won't even accept an outside report from another North American academic institution for oncological studies and will request a formal second opinion even if the scan and report came from MGH/Mayo/Hopkins.
Some of this is medicolegal risk but it's apparently backed up by research/quality improvement studies although I'm not familiar with the literature.
The stuff that's outsourced to licensed physicians (within continental US or abroad) is the easy stuff like ER/acute care.
I'm a physician as well (radiologist). I started practicing a few years ago, and I'm currently working part time and doing my masters in AI/data science. After a few years I hope to leave the field as well. It isn't because of lack of jobs (in fact, radiologist shortage is dire). It is because it is very stressful and demoralizing to be a physician in america, and the seemingly "high" pay does not make up for the dow…
I do know some radiologists and they certainly don't appear stressed to me. At least one of them works from home pretty much full time; not sure about the others.
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> Physician salaries are the only ones that do not grow relative to inflation Same has been happening to software engineers for the last 10 years at least. Salaries go up but not as fast as inflation. I’ve gotten higher titles and more responsibility over the years but inflation is still winning compared to 5+ years ago. > That said, is anyone hiring an ophthalmologist with CS and Math degrees? As soon as the job mar…
Last 10 years? You must be joking. Software engineer salaries have done much better than inflation over the past ten years. If yours personally hasn't, you should have been asking for a raise or looking for a new job. Over the past one year, they've probably done worse.
Unless 10 years ago you started at a very low salary I don’t think they’ve gone up significantly after inflation. If you were already a senior engineer 10 years ago for example.
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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.
However if you're dealing with dev roles that are being actively outsourced I suspect you're dealing with an entirely different class of software jobs.
What is a nutshell explanation of how healthcare got to the overall shortage state? (For the USA, but curious about other countries.) In the past 20 years, costs have shot up, doctors are seeing many more patients, and quality of care seems to have generally declined. Where have the resources gone? In the 1990s my GP had time to shoot the breeze for 20 minutes or more. Now I get a 5-minute diagnosis on the run, after…
Grossly insufficient pay for the work concerned. This applies to everywhere, US and otherwise. Unless you are a saint given existence upon this mortal plane instead of the high heavens, there are simply no objectively good reasons for ordinary men to pursue a career in medical.
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…
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That makes no sense, if the capital is expensive then you should hire more labor.
UK: there was a proposal to introduce weekend surgery to make better use of operating theatres. The problem is staffing the facilities. Lead times on training people are long. And in UK the training process is not cheap and has significant up-front costs for the people being trained. Nurses as well as surgeons. We used to have bursaries to cover the cost of training for nurses, but, austerity and all.
Perhaps this is a problem with the UK system.