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'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

npr.org

21–30 of 55 posts

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#21
post #2

I suppose they could expand medical school admissions for Americans, why don’t they? It’s not for lack of talented people, the class size quotas are an archaic classist and partly racist way of thinking that have nothing to do with meritocracy, but instead are imposed to make sure that more undesirables don’t join the “elites” of society.

[deleted]

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#22
post #20

Earlier quoted context omitted.

The article states rural areas tend to be served by a higher proportion of immigrant doctors. The densely populated coasts will probably be fine - the higher salaries will continue to attract US-born and limited immigrant doctors.

Doctors are paid more in rural areas than in big cities, a reverse of most other professions.

Huh, true enough. I linked one summary.

$200k urban vs $205k rural median offers to new doctors overall. But, in surgical practices, that flips well in favor of urban offers. But, that's just for new MDs. Career numbers skew even more to rural doctors

https://resources.nejmcareercenter.org/article/demystifying-...

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#23
post #19
post #13

Earlier quoted context omitted.

> I don’t want a doctor who has another country they call home. I want a doctor who feels some blood and soil attachment to their patients. But like... why? Why does that matter at all?

The same reason a parent cares for their child more than a random strangers? Cultures and people matter.

Nope, sorry, still not seeing it. You'll have to spell it out for me.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#24
post #17
post #11

[flagged]

> I want a doctor who feels some blood and soil attachment to their patients. "Blood and soil (German: Blut und Boden) is a nationalist phrase and concept of a racially defined national body ("Blood") united with a settlement area ("Soil"). Originating in the German völkisch movement, it was used extensively by Nazi Germany, ... North American white supremacists, white nationalists, Neo-Nazis and members of the alt-r…

I’m not a nazi. There is nothing wrong with wanting to live and work with people of your culture.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#25
post #19
post #13

Earlier quoted context omitted.

> I don’t want a doctor who has another country they call home. I want a doctor who feels some blood and soil attachment to their patients. But like... why? Why does that matter at all?

The same reason a parent cares for their child more than a random strangers? Cultures and people matter.

Are you saying that if you were a doctor you'd care less about patients from another country?

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#26
post #24
post #17

Earlier quoted context omitted.

> I want a doctor who feels some blood and soil attachment to their patients. "Blood and soil (German: Blut und Boden) is a nationalist phrase and concept of a racially defined national body ("Blood") united with a settlement area ("Soil"). Originating in the German völkisch movement, it was used extensively by Nazi Germany, ... North American white supremacists, white nationalists, Neo-Nazis and members of the alt-r…

I’m not a nazi. There is nothing wrong with wanting to live and work with people of your culture.

I never said you were a Nazi. The Nazi party hasn't been active since 1945, in small part because of my grandfather's military service fighting fascism in Europe. I trust you respect his service and that of millions of other soldiers and civilians by also being against fascism.

Are you willing to define your culture?

Does your culture include Catholics? JFK famously was accused of being a papist, and Prohibition was in no small part due to xenophobia about Catholic immigrants to the US, who didn't share "our" culture.

What about Catholics who send their kids to Catholic school instead of public school? Mormons who do the same? Does it include Amish who speak their own German dialect, with their own religion, parochial schools, and culture?

What about atheists? Homosexuals? Trans people?

Does it include the children of Cuban refugees who grew up in the Little Havana part of Miami, with Spanish as their first language? Who celebrate Nochebuena and quinceañeras instead of Christmas Day and Sweet 16s?

Does it include native Spanish speaking New Mexicans whose family has lived in the state since Imperial Spain colonized Nuevo Mexico in the 1600s?

Does it include Native Americans? Would you shy away from medical care from a Native American physician? Would you prefer to not work with a Native Hawaiian?

Is your definition of "culture" simply "born in the US"? Does it include people from American Samoa? Puerto Rico? Guam?

Does it include people with US citizenship who have never lived in the US?

Does it include someone from Canada? Does it include someone from a Canadian First Nation?

I think you see how simply saying "your culture" doesn't really make sense given that the US - and I think nearly all countries - contain a multitude of cultures.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#27
post #20

Earlier quoted context omitted.

The article states rural areas tend to be served by a higher proportion of immigrant doctors. The densely populated coasts will probably be fine - the higher salaries will continue to attract US-born and limited immigrant doctors.

Doctors are paid more in rural areas than in big cities, a reverse of most other professions.

And rural hospitals are shutting down because they can't sustain operations. US healthcare is collapsing before our very eyes.

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#28
post #9
post #5

Earlier quoted context omitted.

US health care continues to fall behind other Industrial Countries. Can you provide evidence of this? The services are top notch, and over 90% of people have health insurance. Moreover, in other single payer systems (Canada, Poland) I keep hearing about months long wait for procedures until you go private/out-of-pocket.

The unique thing about the US healthcare system is that care is directly proportional to how much money you can spend on it. So as a top spender, yes the care is great. Though realistically we should look at the system as a whole for all people it "covers". Looking at infant mortality rate, life expectancy, etc, for the average person, the picture is bleak; the US is shockingly bad.

Exactly. The data tells the story, and the results data of healthcare in America is abysmal. I used to workout at a gym that was near a major hospital. I will never forget a conversation I overheard between two doctors in the steam room many, many years ago where they were talking about this issue and the one doctor quipped to the other "the United States has the best healthcare nobody can afford."

Re: 'Nobody wants to come': What if the U.S. can no longer attract immigrant doctors

#29
post #20

Earlier quoted context omitted.

Doctors are paid more in rural areas than in big cities, a reverse of most other professions.

Huh, true enough. I linked one summary. $200k urban vs $205k rural median offers to new doctors overall. But, in surgical practices, that flips well in favor of urban offers. But, that's just for new MDs. Career numbers skew even more to rural doctors https://resources.nejmcareercenter.org/article/demystifying-...

I spoke to a doctor at a bar a couple years back and he was telling me apparently out in North Dakota you can get a $400k salary as a family doctor.
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