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

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

#61
post #16

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.

If they're willing to pay. Doctors are very sensitive to the pay issue these days. I'd imagine there are a ton of poor folks out there that would happily get treatment, but won't pay when they get that bill in the mail.

[deleted]

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

#64
11,000mi^2 is quite a hyperbolic way of saying "nearest service within 100mi". It is also true that there's just one doctor for 1,150,000mi^3, but we typically don't talk about volumes since almost everything we do on earth is distributed over the surface.

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

#65
post #59
post #3

The decades long wait times for green cards for immigrant doctors is also hurting health care in rural America. https://money.cnn.com/2018/06/08/news/economy/immigrant-doct... https://www.wusa9.com/article/news/local/maryland/communitie... https://time.com/5299488/international-medical-graduates/

I believe the American Medical Association (AMA) lobbying congress to shut down medical schools and artificially limit residencies and thus the supply of doctors is a much bigger factor. A lot of people who are capable and motivated to be doctors for good reasons are shut out because doctors don't want there to be more doctors who will serve to limit their wage growth.

Do you have sources for this? I see this claim a lot on HN.

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

#66

It should be illegal for the government to detain people in areas with inadequate access to medical care. If they want to put immigration detention centers (or any prison) in the middle of nowhere, they should be required to pay for a doctor to be there too. And it isn't a case of 'well migrants cross the border in the middle of nowhere so it's their fault' - almost all immigrants held in this place are transferred f…

Yes this sounds criminally negligent.

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

#67

Earlier quoted context omitted.

I understand a lot of poor people in these regions lack the resources to move to more populated areas. Would you support a federal or state rehousing program to enable that? It's a genuine question; should the US taxpayer pony up so poor people trapped in rural areas can move to population centres and enjoy the benefits thereof?

In most cases, people live there because that is where their lives and family are, not because they are poor per se or "trapped". In fact, many of them are not poor by any constructive definition. These populations, while shrinking and aging, have productive lives often related to resource extraction industries such as farming and mining which are not going away. People are simply choosing to remain in the areas wher…

Show some data on this, because by and large, people in rural America are absolutely poor. https://www.ers.usda.gov/topics/rural-economy-population/rur...

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

#68

Earlier quoted context omitted.

Some smart business in a foreign country should start providing tele-medicine to the US for reasonable prices. We could send blood work overseas cheaper than the piracy prices of labcorp, for that matter. They could explain it legally as "not medical advice" to skirt any FDA laws, but provide world class health care in reality. It's a business model that could really work. The "skirt America's dumb self-inflicted cra…

That would be illegal because they would need to be licensed as doctors in the state of the patient, nothing to do with the FDA. https://www.ruralhealthinfo.org/toolkits/telehealth/1/barrie...

More likely, it would need to be legal in the country of the provider, and they would need to be out of reach of the US justice system, would seems doable in principle.

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

#70
post #59

Earlier quoted context omitted.

I believe the American Medical Association (AMA) lobbying congress to shut down medical schools and artificially limit residencies and thus the supply of doctors is a much bigger factor. A lot of people who are capable and motivated to be doctors for good reasons are shut out because doctors don't want there to be more doctors who will serve to limit their wage growth.

Do you have sources for this? I see this claim a lot on HN.

https://www.washingtonexaminer.com/thanks-to-doctors-there-a...

I also like this 45 minute lecture Milton Friedman gave to physicians telling them how they were making healthcare worse due to this type of lobbying by their representatives. https://www.youtube.com/watch?v=rWlk9HreE7U

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