https://www.instagram.com/reel/DDaO7...5oamgxcDUxenhz
14-16 years of school, med school, residency, fellowship, massive medical debt, sacrificing your prime youth years to an education to serve humanity in a meaningful way.
Next google how many hours per week + call time (minus optho/derm) those specialties are on the hook for.
I think their pay is commensurate with their expertise and benefit to humanity.
Yeah, but now do dentists.
Yes. An anesthesiologist’s job is even worse when it comes to long hours and call. It’s not just surgery but time in OB, cath lab, GI lab and ICU. I think they have the worst call of any specialty.
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I cannot speak to Jordan Peterson with any expertise.
Rather than any actual “Incel” ideology with its extremes blame of and violence against women, I am thinking about that young testosterone filled male who isnt getting any physica/ sexual and emotional gratification/connection with partners. “involuntarily celebate” with a lower case i. Whether it was his back pain or social issues, I think that it can push men to extremes. In this case it could have driven him down further into a dark hole of plotting violent revenge.
Every point you mention is discussed in the article. If people think the benefit is worth the cost then the people have spoken. When people blame health insurance for high medical cost however, it just isn't so. UHC's net profit margin is about 6-percent, half the average of the S&P 500.
Other insurance campaniles are less profitable. If UHC and other insurers eliminated all overhead, the U.S. government eliminated all administrative costs and we only had administrative expenditures from healthcare providers it would only save about $680 per person relative to other countries.
The reason why health care is so expensive in America is because "the U.S. spends twice as much as comparable countries do on health, driven mostly by higher payments to hospitals and physicians." If people want to pay less for health care, national health insurance with strong negotiating power is one way to do it.
https://www.healthsystemtracker.org/...013%20-%202021
Younger physicians are starting to change in their practice when it comes to work load. They want a more balanced lifestyle. One of the reasons that physicians make so much is that they work so much. Some is self inflicted but a lot is pressure from their large multi specialty groups for production. Some of the younger docs I work with would like to see more of a shift work schedule with a salary instead of production based compensation.
On the hospital side, it’s really expensive to take care of our fat, unhealthy and increasingly aged patients. The biggest cost at hospitals is staff.
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Another reason is that there aren't enough doctors and other types of providers to keep up with demand. Acute hospital care is really expensive. Outpatient clinics independent of large hospitals staffed by GPs is much more cost effective, but there aren't enough GPs in America
Comparing acute care hospitals to outpatient clinics isn’t relevant because they serve two different roles. Acute inpatient care is by nature more expensive than preventative outpatient care. It’s got nothing to do with GP staffing. The outpatient preventative care is where staffing with NPs and PAs make the most sense from a cost perspective.
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There is an artificially reduced supply of physicians that physicians are largely complicit in creating. The AMA lobbies against increased funding for residency programs. There is a hard cap on the number of docs who can enter residency in a given year, so there is a hard cap on the number of new doctors who can practice.
It is insane. If someone graduates from medical school in the US there should be some kind of residency available to them. We're pushing roughly 500 newly minted doctors with $500k educations and an MD or DO degree out of the profession every year for no reason other than to artificially reduce the supply to keep wages high.
funny how those same frustrated people turn to people like jp, tucker, tech finance bros and then turn violent.
ideas like “replacement theory”, “enforced monogamy”, the whole cloth of elon’s nonsense are not fit for human consumption.
if core shot was 20 years younger he’d be the first copycat.
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Agreed on NPs & PAs, and DNPs especially when given more legal autonomy. There's plenty of research showing equal or even better outcomes for patients with routine types of illness. The problem with the system now is an overreliance on the acute care sector:
https://www.ncbi.nlm.nih.gov/books/NBK588063/
heh now i had to google grey poupon. which was a much more pleasant experience than googling the club rossymcg suggested in the snow for the euros thread :D
and since i have nothing else to contribute to health care assasins: You have to fight trstriker to the death because i always confuse you two. same with cono and core shot, but i have them on ignore so it doesnt matter.
M Cubans’ take on high health care costs and solution within the system: https://bsky.app/profile/mcuban.bsky.social/post/[emoji639]lcxvn[emoji640]jb[emoji639]s[emoji638][emoji639]
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If only could've gotten him a copy of this...
Attachment 507158
Might've saved a world of hurt.
I think you are doing a lot of conflation based on outlier followship without much actual understanding if you want to put JP in the same box as Fucker Traitorson. You really have lost the track if you think JP is preaching conspiracies like "replacement theory." Again, I'm not sure what you think "enforced monogamy" is... but I don't think we are operating on the same definition.
This. Also, life expectancy at birth is a terrible metric for judging the effectiveness of the healthcare system. Relative to other OECD countries, ours is dragged down by gun violence and other physical assault deaths, traffic fatalities, drug ODs, and infant mortality (typically attributed to poverty more than poor healthcare). If you live to 65, US life expectancy is #1 in the world.
FYI, DNP is a degree, which may or not be clinical in nature (may not be a Nurse Practicioner).
The areas with the most restricted practice rights for NPs are the South, East, Midwest, TX, and CA. NPs are pretty unrestricted in the NW, Mountains, Great Plains, NE, and AK/HI.
https://www.aanp.org/advocacy/state/...ce-environment
Yeah, typically it's a nurse or an NP who also becomes a DNP. There's also a movement to educate all future NPs as DNPs. Increasingly, roles that were once filled by NPs now list DNP as a requirement. As you already know doctors do a lot of administrative and coordination work when there's a health care team working with complicated patients. DNPs can take on some of that workload
Long time ago, I twisted my ankle before a game and got a DNP.
Assuming that's a typo, and you mean TStriker, we are one and the same. During the last server fan meltdown I got locked out of this account, so I created the other. Now it's basically which device I'm using phone vs laptop (because I don't want to temp fate by logging out)
Didn't alot of those old MD's worked crazy hrs I read that half the new MD's are women and they wana have kids & life balance so they work less/ share practises which must mean we need even more MDs cuz they aren't going to work 60 hrs a week like the old guys did ?
and most of those old guys smoked ?
1. You cannot do DNP (nor MSN) without RN.
2. NP/CNM/CRNA may be MSN or DNP (DNAP for CRNA) prepared for entry-to-practice. There is little market demand nor pay increase for DNP over MSN. Most of the push is from nursing academia because getting people in school longer is $$$. However, since program differences for clinical DNPs have little extra clinical education over MSN, there is not much to sell except a title, and very little for compensation. It is (but doesn't have to be) credential inflation. DNP has little utilitity unless someone wants to teach for at uni or get into research.
3. DNP (and MSN) has a bunch of non-clinical tracks: management, education, leadership, informatics, research, and a bunch of other non-clinical specialties. So RNs wanting a higher degree, typically for pay raises/management/educator jobs, they go get a non-clinical MSN/DNP. They do not have to be NPs. This is very common. Majority of the MSN and DNPs I know are not NPs.
60 hours a week? Try 70-80. There’s not many old timers left working that much but 60 hours a week is pretty typical for the majority of doctors these days. Even when they split a full time position it’s probably close to 40 hours a week.
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I’m starting to see a push among PAs to get a DMS, doctorate of medical science, which seems ridiculous and has not practical use. There also seems to be a push for rebranding from physicians assistant to physician associate.
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Interesting. Many of the DNPs here are educated via BS to DNP Programs as NPs with the D involving a specialty track. At the University of Utah, for example, there's no NP program just a DNP program. Note the specialties, they're not just non-clinical administrative or teaching:
https://nursing.utah.edu/programs/graduate
https://uploads.tapatalk-cdn.com/202...bca8b5e20f.jpg
I’m no expert on Peterson - but that sounds pretty “incel-ly” to me
FFS, the wiki entry on incels refers to Peterson. He is king incel.