Live data from Hacker News

‘Out here, it’s just me’: one doctor for 11,000 square miles

washingtonpost.com

21–30 of 137 posts

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#21

Earlier quoted context omitted.

Theoretically if the podunk town is willing to pay 5x, 10x, 100x, etc. A doctor would definitely take up that. Hell, I would do software development in a podunk town for a million dollar salary. Maybe even a 750k salary.

I'd happily do my software job remotely in a podunk town for just my current salary. The dollars would go almost twice as far.

Good news for you, there are tons of remote software jobs that allow you to live wherever you want.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#22

Earlier quoted context omitted.

Theoretically if the podunk town is willing to pay 5x, 10x, 100x, etc. A doctor would definitely take up that. Hell, I would do software development in a podunk town for a million dollar salary. Maybe even a 750k salary.

They do literally pay almost 2x. And that's in towns where your dollar goes much, much further. It's effectively 5x. Doctors still don't want to go.

Guess it's time to offer 3x. It's how supply and demand work, right?

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#23
post #14

Earlier quoted context omitted.

If the final user is losing, it's a bug.

At least in the IT world, there are lots of contractors sold on their certifications who end up being complete frauds. I'd like there to be some sort of way to prove your merit especially when you have people's lives in your hands.

In my experience being at the receiving end of many arrogant and unprofessional "doctors", having that medical license is far from proof of anything. If anything, the licensing requirement functions as little else than yet another barrier to competition, which ultimately harms the patients.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#24

The picture at the end of the article says it all, "No services next 74 miles". If you choose to live in rural US, you are signing up for this kind of lifestyle; you're on your own. As long as that's advertised I don't see a real problem. If you need health care then you should live near health care. Don't expect the same level of support in rural MN as you would get in NYC.

sqrt(11000 miles) ~= 105 miles. If we assume the doctor is referring to a center of a square, then according to pythagoras formula, the longest distance to this doctor is 74 miles. Interesting how it matches like that.

When I hear stories about rural lifestyle and people driving for an hour to get to grocery store, it doesn't seem that out of place.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#25

Earlier quoted context omitted.

Theoretically if the podunk town is willing to pay 5x, 10x, 100x, etc. A doctor would definitely take up that. Hell, I would do software development in a podunk town for a million dollar salary. Maybe even a 750k salary.

Yeah that's a dynamic I can't understand. Most software professionals talk about relocating away from the cities the first chance they get, but everybody else is rushing to the same cities that only software developers seem to be able to afford. This dynamic extends beyond usa. Even in India, doctors command high salaries in rural areas, often 2-3x what they can in metropolitan cities.

I think people are more talking about working towns and cities that aren't SF levels of prices, which can be non rural towns of +100k people.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#26

The picture at the end of the article says it all, "No services next 74 miles". If you choose to live in rural US, you are signing up for this kind of lifestyle; you're on your own. As long as that's advertised I don't see a real problem. If you need health care then you should live near health care. Don't expect the same level of support in rural MN as you would get in NYC.

People are told they should live in places like this because the rent in more populated places is too high.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#27

Earlier quoted context omitted.

I'd happily do my software job remotely in a podunk town for just my current salary. The dollars would go almost twice as far.

Good news for you, there are tons of remote software jobs that allow you to live wherever you want.

And pay two thirds less. The qualifier is equal pay.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#28

The picture at the end of the article says it all, "No services next 74 miles". If you choose to live in rural US, you are signing up for this kind of lifestyle; you're on your own. As long as that's advertised I don't see a real problem. If you need health care then you should live near health care. Don't expect the same level of support in rural MN as you would get in NYC.

> If you choose to live in rural US, you are signing up for this kind of lifestyle; you're on your own.

Some people don't choose, and other people do choose, but more importantly: your food comes from the rural US and you should keep that in mind before being flippant about their fate.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#29
post #5
post #4

Earlier quoted context omitted.

Friend married a Russian cardiac surgeon, one with 20 years of experience, brilliant woman. She was not allowed to practice in the US without years of redoing residency and entry level exams and loads of money. She ended up changing careers as it was so much bother. Patients ended up losing out on a caring and bright provider.

That is a feature, not a bug. Why would a well-paid, highly regulated profession allow people to come into their turf and undercut them? Not saying this is a GOOD thing. Merely pointing out that the system is working as intended.

There is no "undercutting" in health care. Vast majority of services are already priced out by insurance companies, there just aren't enough people to do all of them.

Re: ‘Out here, it’s just me’: one doctor for 11,000 square miles

#30
post #22

Earlier quoted context omitted.

They do literally pay almost 2x. And that's in towns where your dollar goes much, much further. It's effectively 5x. Doctors still don't want to go.

Guess it's time to offer 3x. It's how supply and demand work, right?

Keep in mind, people have to pay for these services. Pay doesn't go up in a vacuum.
Post reply on HN