131–140 of 221 posts
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The government would act as an insurer, that is all. All hospital services stay private. And having all medical services have to go through one system to get paid would streamline it SIGNIFICATLY.
If they are the only payer, they control the prices. And when prices are controlled, shortages are the result.
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> For example, the US has extremely high standards restricting who can practice medicine compared to the rest of world Rest of the world, yes. Rest of the developed world, not at all. The major difference is that becoming a doc in the US is much more expensive than pretty much anywhere else. You could also argue it's proportionally harder because of the more numerous competitors. But on an absolute level of knowledge…
I believe it takes longer in the US, when all is said and done. It’s hard to casually verify this because each country uses different terms and has a different track but I think, when you include the various phases of training, starting from the bachelors degree, the US one is more total years. Edit: So for example the UK and France don’t appear to require any sort of bachelor’s degree as a prerequisite for medical.…
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all those immigrant physicians went thru the same programs as the non-immigrants. In fact, I hear this is continuously a problem for well qualified , practicing, and established physicians to migrate to the US. They are fed up with their own home countries lack of security, opportunities for their children, freedom etc, but they cannot imagine going back to medical school to be accredited to practice in the US. This…
No, they most certainly did not. I've spent a large chunk of my career in healthcare technology, and one thing I can say for sure is that with very few exceptions, foreign doctors are no where close to the knowledge and capability of those educated in the US. I'm not going to specify to avoid slamming particular countries, but I would definitely refuse to be treated by doctors from several major countries that crank…
The word ‘foreign’ is doing a lot of work here. It encompasses nearly everywhere, and likely includes the best and worst training systems in the world.
I agree with the three issues they identify driving up costs. But I fear “Medicare for All” won't fix all the issues, which go much deeper. For example, the US has extremely high standards restricting who can practice medicine compared to the rest of world, limiting the supply of doctors and artificially driving up their demand. There is a need for standards, but perhaps the AMA has too much political influence. Like…
> For example, the US has extremely high standards restricting who can practice medicine compared to the rest of world Rest of the world, yes. Rest of the developed world, not at all. The major difference is that becoming a doc in the US is much more expensive than pretty much anywhere else. You could also argue it's proportionally harder because of the more numerous competitors. But on an absolute level of knowledge…
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The rest of your post I agree with but > just make the disease illegal, like ADHD in the UK What in the world are you talking about?[1] 1. https://www.nhs.uk/conditions/attention-deficit-hyperactivit...
You need a psychiatric evaluation for diagnosis, which is exceptionally hard to get. So there's a nice shiny website and then there's the reality. Getting the diagnosis and then medication can literally take years, and it looks like this is on purpose.
You make some good points otherwise, I don't understand why you're resorting to hyperbole or distortion like this.
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> I would like you to start from the beginning of the person's medical training and not include the gatekeeping bit of having to get a bachelors in a random subject unrelated to medicine. Why? An apples-to-apples comparison would be to see how long it takes to become a general physician after completing secondary school. In the UK or India it's something like 5.5-6 years.[1] In the US it's 3-4 years of "pre-med", the…
Not at all, because the question at hand was 'how long does it take to train to be an doctor in the US'. I don't understand why one would include time spent training to be something else? It is like saying 'it took me 30 years to learn to code, 3 months on Udemy and 29 years learning to solve problems as a carpenter'. Premed is gatekeeping, and not all countries enforce that form of gatekeeping.
Because you can't train to be a doctor in the US without that gatekeeping? I thought the point GP was making was it takes in the longer because of this pointless gatekeeping.
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I believe it takes longer in the US, when all is said and done. It’s hard to casually verify this because each country uses different terms and has a different track but I think, when you include the various phases of training, starting from the bachelors degree, the US one is more total years. Edit: So for example the UK and France don’t appear to require any sort of bachelor’s degree as a prerequisite for medical.…
Well, I can answer that very clearly from personal experience: you are wrong. Medical education is much shorter in the US compared to most western countries. You have to understand that in medicine, school years are not all there is to it. The real issue is when do you get to truly practice without supervision, and that's much earlier in the US. Basically, a short residency and 1-2 years of fellowship and... done! In…
Is it? If a doctor in the UK can graduate from medical school and practice as a GP 6 years out of secondary school, but for a US doctor it takes 8-9 years, it's not really "earlier". What you're talking about is status within the profession.
Worthless paper, administrative costs is only a piece of the many issues with US "Healthcare". Medicare For All is the better and cheaper way forward. No one ever talks about what is the value all these Health Insurance companies bring? The whole point of their existence when they were created was to control costs. Obviously they have failed miserably. Medicare For All handles lowering or eliminating student loans fo…
I'm puzzled why the article prefaces one of its rationales with this:
'...“With Medicare for All seemingly off the table, our paper suggests we can still tackle administrative costs through structural changes to the payment process,” said Kevin Schulman, MD, MBA, ...'
Why is that Medicare for All is off the table?
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Free goods have infinite demand. Medicare for All will simply degrade outcomes a lower common denominator. Interestingly, will the government allow private medical practices to exist in a Medicare for All regime? If so, it seems we would simply end up where we are now.
> Free goods have infinite demand. I, too make unnecessary doctor appointments and hospital trips because my insurance covers them. I've developed a paraphilia for having blood drawn, and I'm considering having some perfectly functional limbs amputated.
One study found 20.6% of overall medical care was unnecessary. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587107/
Simple example is testing. If free to consumer, they will get too many cat scans and other expensive tests, "just in case."
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It really is harder in the US. The standards are much higher in the US than anywhere else. The US only accepts doctors who went to Canadian or American medical schools. And then on top of that, it is much harder to get into a medical school here in NA than practically anywhere else, except maybe India. I know that in the UK you can go directly from high school, meanwhile in the US & Canada you need a 515 MCAT, 3.7 GP…
You are either deliberately misleading people or are ignorant of the UK education system. Highschool in the uk ends at 16, you graduate with GCSEs. After this there are 2 extra years of education (compulsory in England), you start university at 18 (at the youngest). Medical schools are competitive and require strong a-level results, typically 3 As (the second highest grade, after A*) [0]. It's a 4 year degree, you th…
I don't think either is necessarily the case - he isn't saying it's easy to become a doctor in the UK, he's saying it's easier than in the US, and that's sort of true, if not by all that much.
In the US you also start university at 18 - med school is a 4 year degree you must have completed your undergraduate degree to begin, then you go on to train for 3-7 years as a resident, depending on specialization. Then maybe more for a fellowship.
That said, I've got both doctors trained in the UK and in the US in my immediate family, I don't really see much of a distinction in difficulty of training to be honest but I'm not a doctor myself so what do I know.