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How America's universities became debt factories

anandsanwal.me

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Re: How America's universities became debt factories

#561

Earlier quoted context omitted.

What the U.S. actually has is a group of people intent on keeping their doctor wages high by limiting supply through regulation and bottleneck creation.

As a med school dropout (best decision of my life), were I to "go back" to early college: I would have instead pursued a BSN (which my college offered!), to set myself up into eventually becoming a nurse practitioner. That way, if I decided to not complete graduate school, I'd still have an applicable role/job within medicine. Were I to have graduated that program, I also would have been able to practice much earlier…

Nurse practitioners are the overused. If you are on medicaid, at least in my state, you are almost guranteed to be seen by a nurse practitioner rather than an actual pyschiatrist. Even if you aren't on medicaid, which medicaid is usually better than any other marketplace insurance for selection of providers and service, getting seen by a nurse practitioner is very common.

Additionally, while many may be knowledgable about the medications they prescribe, I have had nurse practitioners prescribe me medication they didn't even know existed, as in during my session I asked for a specific medication based on a personal recomendation from a freind in the field, they didn't know what the medication was and looked up on google and then prescribed it to me.

There are good nurse practitioners, but they simply should not be prescribing long term pyschiatric medication with the level of schooling they have.

It takes 2 years to become a nurse, and 3 years to become a nurse practitioner. Additional certification is required to prescribe certain medications, but even then the amount of training and classes a nurse practitioner will take to understamd medications is very small compared to a psychiatrist.

It's absurd. NP's have been the solution to psychiatist shortage and it seems no one cares. Most likely, because anyone who knows is zombified by SSRIs by shit NPs or is in the medical field so their vision is already clouded by bias. Nurse takeover is a joke. Anybody with 2-3 years of schooling should be relagated to changing bedpans and putting in IVs. Not functioning as psuedo doctors.

Re: How America's universities became debt factories

#562

Earlier quoted context omitted.

What the U.S. actually has is a group of people intent on keeping their doctor wages high by limiting supply through regulation and bottleneck creation.

As a med school dropout (best decision of my life), were I to "go back" to early college: I would have instead pursued a BSN (which my college offered!), to set myself up into eventually becoming a nurse practitioner. That way, if I decided to not complete graduate school, I'd still have an applicable role/job within medicine. Were I to have graduated that program, I also would have been able to practice much earlier…

You are right in the context of the power NP's have compared to regular doctors. The primary difference in an NP and a doctor practically is pay. They do so much similar stuff, even though they shouldn' be allowed to. NP's prescribing meds, like a child with bazooka shooting at mentally ill people.

Re: How America's universities became debt factories

#563

Earlier quoted context omitted.

As a med school dropout (best decision of my life), were I to "go back" to early college: I would have instead pursued a BSN (which my college offered!), to set myself up into eventually becoming a nurse practitioner. That way, if I decided to not complete graduate school, I'd still have an applicable role/job within medicine. Were I to have graduated that program, I also would have been able to practice much earlier…

Nurse practitioners are the overused. If you are on medicaid, at least in my state, you are almost guranteed to be seen by a nurse practitioner rather than an actual pyschiatrist. Even if you aren't on medicaid, which medicaid is usually better than any other marketplace insurance for selection of providers and service, getting seen by a nurse practitioner is very common. Additionally, while many may be knowledgable…

>they didn't know what the medication was and looked up on google and then prescribed it to me.

How human that this practitioner admitted to not knowing something; then took the time to look up the drug's factsheet; and then trusted you enough to take your friend's personal recommendation.

>There are good nurse practitioners

Agreed. And terrible physicians, as well as good.

>...but they simply should not be prescribing long term pyschiatric medication with the level of schooling they have.

Agreed – with the additional thought that even physicians overprescribe these mind-altering substances in far-too-abundance.

>NP's have been the solution to psychiatist shortage and it seems no one cares...Nurse takeover is a joke.

I think most people "on psych meds" really just need better friends / families / societies / healthcare . It is most unfortunate that we are our own worst enemies, sometimes; particularly in allowing US healthcare expenditures to be highest with no obvious benefit (to patients).

It all made me so sick decades ago that I quit before even starting.

Re: How America's universities became debt factories

#564

I don't know if this is some kind of heresy, but here we go. I don't think universities provide much value at all to the common student who is not going to be a PhD. I went to a very well-known institution known for putting the students in a room with the professors, maybe two or three students, to one professor. My economics professor taught me one on one. I still think, in the end, the work is mostly done alone, in…

My university has a space mission ground station. I wasn't an engineering major, I was a computer science major, but I still asked and was allowed to work evenings in the facility. I got on the job training from experienced experts on orbital mechanics, the practical operation of spacecraft, and the infrastructure behind space flight activities. I also got to write some software that is used in the command and contro…

When did you go to college? It might as well be that is the primary differentiator between your experience and others.
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