When I aim to accomplish something, to destroy some institution, I tend to favor the direct way, because it relies on fewer intermediate points of failure than the indirect way.
This is the policy I was always told to exercise about cold emails, both those I receive and those I send. Someone seems to have spent weeks reading your books and papers before emailing to meet with you? Make time for that guy. Someone just asks if you've got time to meet about your work because they'd like to work for you? LOL they didn't check enough to realize you're not a supervisor.
Because the American Medical Association artificially restricts residency spots in hospitals. There's really not much more to it. This explains the proliferation of NPs, PA-Cs, etc acting as GPs. In reality, we simply need more doctors, so we should uncap the # of spots.
This can't be stated enough. I should have my comment w/ citations on standby, but I don't.
The AMA was concerned in the 90s re: "oversupply" of doctors and the impact on doctor salaries, lobbied the Republicans (around the "Contract with America" timeframe) and got language limiting NIH-funded residency slots codified.
The AMA is backpedaling on that stance now but the damage is already done.
A reasonable compromise would be a scheduled increase in the number of slots until it is eventually uncapped. Yes, this will reduce doctors salaries in the long-term. You know what else reduces doctor salaries? Importing medical doctors from foreign countries with worse wages and working conditions, and then grinding these individuals to the ground under the threat of immigration. The market finds a way, whether the AMA wants it or not. As Americans get richer, many are even just going to foreign countries to get treatment. I know several 'third world' countries have fairly good medical care available for very cheap.
Doctors salaries should be reduced, as should nurses and dentists. We pay them nearly twice as much in the US as in countries with socialized medicine.
What does the AMA have to do with the Clinton-era cap on federal DGME and IME residency payments? New York spends billions every year, California spends none. These are choices that Congress and California make every year, not the AMA.
They taxes vacancies so vacancies went down - but that doesn’t mean that someone who was happy keeping their property empty put it on the market and found some random tenants with all of the hassles that entails - you can never get rid of them as the laws strongly favour tenants. So you lose control of your “property”
Instead they find someone in their network, like a friend or friends adult child that is studying who can stay there and they pay a trivial rent to “take care of the house”
Yes, collective punishment of the smaller collective who can self-police (cops, no pun intended) rather than the larger collective who can't (citizens and taxpayers at large).
I'm not sure what 'film' America is trying to be but I've seen plenty of real life references that could have come straight from either the Handmaids Tale, Idiocracy, The Dead Zone or Civil War the past few years. Life does seem to imitate art sometimes.
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