Posted on 04/24/2018 5:14:25 AM PDT by reaganaut1
The U.S. spends about 18% of its gross domestic product on health care, far more than most countries. One contributing factor that often goes overlooked: the high cost, in time and money, of becoming a physician. In a recent paper for the Mercatus Center, Jeffrey Flier and Jared Rhoads argue that the amount of time it takes to become a doctoralmost always at least a decadeconstrains the supply, driving up prices. Physician incomes in the U.S. well exceed those in Europe; American generalists earn twice as much as Dutch ones.
Much of this education, especially courses required for a bachelors degree, has little to do with medicine. In the U.S., aspiring physicians must spend four years in college before med school (another four years) and then residencies. Europeans can begin studying medicine immediately after high schoolusually with a five- or six-year course.
While the share of Americans with postsecondary education exceeds the level in most European countries, the U.S. has a much smaller proportion of medical doctors graduating each year: 7.5 per 100,000 residents, compared with 11.3 in Germany, 12.8 in Britain, 9 in France, and 14.6 in the Netherlands. Only Canada, which has undergraduate requirements and high physician costs comparable to Americas, comes close, with 7.8 per 100,000. The U.S. faces a projected shortfall of between 42,600 and 121,300 physicians by 2030, according to the Association of American Medical Colleges.
The status quo also does a disservice to young doctors, most of whom emerge from med school in debt (a median of $195,000 in 2017) and dont begin to practice until theyre in their 30s. Why prolong the process, especially when 53% of newly enrolled med students say that before college they already had definitely decided to study medicine?
(Excerpt) Read more at wsj.com ...
English Literature is static and the same old stuff studied beyond belief
Medicine is science and continually advancing with new knowledge and technology.
Remember that pillow you slept on is NOW YOURS you paid for it.
Last 2 ER trips never saw a Doctor, saw PA’s. My once 3 Internal Med practice is now down to 1 Internist a APN and a NP. Internist is close to retirement age. The other 2 are to Undereducated to manage the routine medical a Senior needs, as most Seniors are multi health issues patients.
I hope you don’t bother suing your doctor for a botched procedure or diagnosis. You wouldn’t do that now would you?
Get real, lawyer! You folks have driven up medical costs with your damned frivolous, contingency lawsuits for years.
Because we are subsidizing the medical care of the rest of the planet and lining the cabal’s pocket too.
Are you new here? /s
Europe operates a monopsony. We don’t. Each hospital buys its meds on the ‘open’ market.
I don’t want my heart surgery done by the lowest bidder. I also don’t want my bridge designed by the lowest bidder.
Or the most politically favored group. (FL bridge collapse)
Excellent point.
There should be a single price whether you’re insured or not.
I was going to the same dentist for over 20 years. When I lost my insurance, the costs doubled (more than doubled for some things, iirc). How ridiculous that the person who most needs the discount (the one without insurance probably because he is unemployed) is the person who is expected to pay the most.
What is wrong with this picture? Everything.
If there were ONE insurance/health law that needs to be passed, it would be that you get charged the same thing for a procedure regardless of who is paying.
Why dont you take the time to click on my handle before asking such a dumbshit question.
Sarcasm, mate. Hence the ‘/s’.
Had an Aunt who had a masectomy. Her surgeon was called out of a meeting to go and write “NO” in marker on the breast not to be removed.
Over attention to detail, bureaucracy run amok?
Probably, but looking at the lad in picture you posted — I’ll take any safe-guards I can get!
Q = Why is American medicine so expensive?
A = The same reason everything else is expensive, government.
Considering the condition on was in, he could have done me on the table and I don’t think anybody would have been the wiser. I’m well aware of what’s what. I don’t contribute to the Saladin’s Swords of Mercy.
whats the leading cause of death in American hospitals ?
infection and misdiagnosis
Yeah keep telling yourself - we have the highest quality system in the world. If your people cant be bothered to wash their hands or equipment properly; how can anyone believe your people have any idea what quality even is.
Are you truly aware of what’s what? Maybe not.
You seem to be justifying having doctors whose Holy Book instructs them to kill the infidel. That’s you and me.
Just because he didn’t do it in your case only means he’s an fallen Muslim. That may be a temporary condition.
Do you really want to bet your life on having a series of fallen Muslims treating you?
SMFH
Misdiagnosis is not a ‘leading cause’, and I think you are confusing this with ‘medical error’, which is the third leading cause. It's very important to keep in mind that this designation of ‘medical error’ is also falsely conflated by including all patients who die from/or during treatment. For example, if a patient is appropriately placed on an anticoagulant, but has a life-threatening bleed or dies while on that medication, it gets counted as a treatment associated death. If a patient comes into the emergency room receiving CPR and is resuscitated but critically ill, and their only chance is if I take them for a procedure or operation, if they die during or after that procedure it will be recorded as a procedure-associated death. In Europe they are not as aggressive in trying to save people (just read the news about the latest and greatest NHS escapades). We could debate whether or not we are too aggressive in the US, but what drives this the vast majority of the time is trying to save a patient. I don't and won't practice defensive medicine. If there is a chance, I'll take it, and if it doesn't work out I will take the statistical hit.
This is a lot longer discussion than we can or should have on a discussion board, but I gave much of my youth and most of my adult life to this point, becoming and being a practicing physician. I've been all over the world, and the problems and limitations with medicine are universal. Medicine is not like engineering, and requires a lot more extrapolation and fuzzy logic than I would guess most engineers would feel comfortable with. One would expect that if 100 engineers all were asked to compute the load-bearing of a specific bridge, given the same input data they would come up with the same, or close to the same answer. That's not always the case in medicine, and it's not because medicine isn't ‘standardized’ enough. It's because there's too much we don't know, and therefore medicine can't be practiced effectively by algorithm - although some are trying to push this.
Anyway, sounds like you've met some arrogant docs (just my supposition). Just like businessmen, we're not all the same.
somehow medical diagnosis is soooooo much more complex & difficult in the US than 36 other countries with better quality health care at 1/2 the cost.
for example I had emergency surgery in a small town german hospital - $3,000 soup to nuts. Superior talent, clean, incredibly well organized, and clean, calm and methodical
My Mom had a similar event, went to UCSD ( because Scripps is a death trap ) - sloppy, chaos, kinda clean, harried & confused, lots and lots of people rushing around ; fortunately she wasnt killed; $64,000
thats typical
Yes, it does seem like you have FH.
Frame your folly with by responding. To prove your wisdom, walk away.
Later troll.
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