As a 20+ year physician in a large multispecialty group, I can tell you that we are seeing these things already.
Aren’t most non-primary care residencies currently restricted to graduates of American medical schools, thus guaranteeing a pool of FMGs for the less renumative specialties?
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I just left primary care (internal medicine) to become a hospitalist. I can tell you primary care is no longer a sustainable lifestyle. I make about 1/4 of what my brother, an anesthesiologist, makes, and he is 10 years behind me in practice.
If Hilarycare becomes a reality, I plan to quit and open a quilt shop. Making any less than I already do, and being told what to do by the government would be an intolerable situation. Otherwise, I plan to hang in another 10 years or so until retirement (somewhat early)
We are not the only ones. Even in the hospitalist groups I see lot more foreign medical grads, and most of us are planning on retiring well before age 65