Gold.Quote:
Originally Posted by I Skied Bandini Mountain
Solid synopsis.Quote:
Originally Posted by JimmyCarter
Gold.Quote:
Originally Posted by I Skied Bandini Mountain
Solid synopsis.Quote:
Originally Posted by JimmyCarter
Not an expert on JP - but you can take any smart and highly educated person and give them a brain injury and they may not be that smart anymore. So his accolades and education could be impressive but who knows what happens when you go to Russia to get the treatment he did.
https://c.tenor.com/qCKSJackcZQAAAAd/tenor.gifQuote:
Originally Posted by Peruvian
Huh. That actually pencils. My passing knowledge of his stuff was pre 2020 (when he had his drug/brain/Russia issues) and it was pretty sensible from what I remember. I stopped paying attention in recent years as he leaned further and further into the rightwing culture war which I mostly attributed to him just naturally leaning into the group giving positive feedback... But now that Russian treatment has me wondering. Wow.Quote:
Originally Posted by JimmyCarter
This isn’t really accurate. Yes, residency spots (which all receive federal funding) are capped , but there are significantly more residency spots than there are American medical school graduates every year. Many spots have to be filled by foreign medical graduates , and some spots go unfilled.Quote:
Originally Posted by Kevo
Is there a shortage of medical schools in the US?
That’s debatable I suppose. But residency spots are essential and cheap labor for hospitals , and are govt funded ,so there are incentives to have as many as possible. Many of them are in not attractive areas in less competitive specialties , so American medical grads don’t even apply for them .Quote:
Originally Posted by ötzi
When a student finishes medical school and becomes a resident they need more senior residents and staff doctors to teach them.
So if there is a shortage of doctors in society you can’t just turn on the tap and say “hey let’s double the medical school spots - problem solved!”
1. That newly doubled class needs 4 years to get through school
2. That newly doubled class then needs at least 2 years of residency training - and half of those graduates will be in programs needing 5 years of residency (so your increase in class size doesn’t address the shortage for 6-9 years)
3. Those new residents need doctors to teach them - but wait this problem started with a shortage of doctors - so where are these teaching doctors gonna come from in a system short on doctors?
Increasing med school admissions can help - but it’s not a quick fix and usually has to be done in gradual increases.
Source?Quote:
Originally Posted by Duffman
My wife is involved in med school administration and I’ve heard stories of medical students not being placed for residency.
ETA:
Attachment 507209
https://blog.petrieflom.law.harvard....tice-lobbying/
When US med school grads don't match, they are almost certainly going for a more competitive specialty and / or are very particular about location. The biggest complaints about shortages typically concern primary care, and no typical US grad would have a problem matching somewhere for an internal medicine spot unless that grad was somehow a disaster.
Sent from my Pixel 7 using Tapatalk
Match week stats for 2023:Quote:
Originally Posted by Duffman
Attachment 507223
If every residency position was filled that still leaves 2577 med school graduates without a placement, or approximately 6% of graduates.
Maybe there should be a hospital that is cheap and doesn’t require pre auths because it’s full of docs who were shitty students.
i've been saying start holding open tryouts for medical licenses. do away with this undergrad and med school gatekeeping. between youtube and chatgpt, i can learn all i need to know to do an appendectomy next monday.
As compared to the shortage of healthy people in the US?Quote:
Originally Posted by ötzi
My premed daughter thinks this is asinine. You spend your life in the hospital anyway so who gives a shit is her argument. I like where her head is at. She’s all about taking the advantage when she can.Quote:
Originally Posted by Duffman
Havent really followed this thread so forgive if this is a repeat. But i thought this was good:
https://www.facebook.com/share/v/19K...ibextid=N9fs7i
It’s interesting and disgusting that the “C” suite wanks are so suddenly worried about being killed and the country is obsessed with this killing/killer, yet kids getting gunned down in schools seems like less of a news story.
Quote from some CEO on CNN:
No bro, we’ve known this since Columbine, but now that it’s happening to your bros you suddenly get worried. Better hope it doesn’t start #trending like school shootings did.Quote:
“The big learning is that if you want to kill someone, you can kill them. It’s really scary but true,” said the executive, who spoke on the condition of anonymity. “It seems crazy that we’re just figuring this out.”
Yeah, kids don’t wanna get shot in science class.Quote:
”CEOs don’t want to live in a world where they go to their son’s baseball game and there must be security present,” said George.
3rd time's a charm.Quote:
Originally Posted by Name Redacted
Relax - science class is going away in the near future, anyway. Students will just need to learn how to cast out the demons.Quote:
Originally Posted by Trackhead
That is true wank speak speak but it probably is just a hot take sound bite. But yes, it just another unintended sociology experiment. Ultimately, all the money and power in the world, can not make you not dead.
No doubt that behind closed doors, concerns about violence due to the perceptions about corporate policies and actions we have been increasing. These people ain't dumb. They know that people live and die indirectly due to their actions.
We live in a county where we have armed policy officers and poling locations and school board meetings. And ghost guns made with 3d printers. And a mental and physical health crisis. And an unbelievable amount bankcrupty and financial stress from medical bills.
Is this a fuck around and find out moment? Only one way to find out. Big picture is the ruling class/oligarchy/choose your term getting a bit greedy and risking low lover civil unrest? Better question, do they care?
And yet the pawn in the game want to pick team based on what podcasts they listen to.
Good times!
O come on now. If it doesn't start trending how will stuff finally change?Quote:
Originally Posted by Trackhead
Send her over here. She can make bank saving lives at Mayo Clinic while you hot lap Trollhaugen with a bunch of geriatric maggots. Winning! [emoji966]Quote:
Originally Posted by Buzzworthy
There is a period after the match where unmatched docs fill open positions. Kind of like an undrafted free agency signing period.Quote:
Originally Posted by J. Barron DeJong
Again , most unmatched are less qualified candidates going for very competitive fields or locations. They can find a spot that's not of their preference in a different specialty or location if desired. But many who really want to do a specific specialty will do a research year in the field or something similar to try again next year versus accepting a less desirable spot .
Sent from my Pixel 7 using Tapatalk
Would you like to become news anchor for voice of America?Quote:
Originally Posted by Peruvian
That's smart because it gives her options. But not everyone wants to live and work in bumblefuck ,or can't because of family or other obligations.Quote:
Originally Posted by Buzzworthy
Sent from my Pixel 7 using Tapatalk
Yeah, I’m aware of the process. My wife works for the org that runs the match.Quote:
Originally Posted by Duffman
Doesn’t change the fact that there were more people trying to get a spot than there were spots available.
And sure, you can try again next year, but there will still be more students than spots.
Like when you can get your haircut at the stylist school, or your teeth cleaned at the dental tech school?Quote:
Originally Posted by Conundrum
100% behind this idea. Seems like something RFK would come up with but im still in.
On a slightly different note. Additional proof (as if that was needed) that every American is under surveillance 24/7/365 and there really should be no expectation of anonymity or privacy anymore.
It seems like a sentinel moment, or I hope it is.Quote:
Originally Posted by liv2ski
It sucks a guy had to die to really bring it to the forefront of the consciousness of this country. I kinda doubt it though, we haven't learned anything in 20 years since Columbine. I don't think you can stop the momentum of investors demanding high returns and the constant pressure to make more and more money.
Naah, with our shortened attention spans, it'll blow over. Remember Occupy Wall Street? What was that again? Something something against billionaires?Quote:
Originally Posted by Trackhead
The thing I really find amusing is the Dump Administrations hostility to Veterans who were trained to kill people :eek: So far all I am reading is how every appointee wants to cut VA benefits. That is certainly going to end well. :rolleyes2Quote:
Originally Posted by Trackhead
Yeah, I'm not naive.Quote:
Originally Posted by Tri-Ungulate
Money/greed will trump one CEOs (or a bunch of em) death.
That's because the game is always about incremental reforms. Occupy Wall Street was incredibly dumb with zero substantive policy proposals. Defund the police caused a surge in crime and was wildly unpopular with voters. Almost as unpopular student loan forgiveness and decolonizing Israel.Quote:
Originally Posted by Tri-Ungulate
Obama's health care reform cost Dems two elections because they tried to standardize the hodgepodge mishmash of quality measurement, risk adjustments, payment models, and prior authorization rules that caused the administration cost spike in your chart.
High administrative costs in the US are more to blame than insurance companies. Health insurers are the low-paid low status middlemen who exist to play the bad guy in the bloated U.S. health care system. The real villains overcharging people, and making health care workers lives miserable with all the coding, are the hospitals themselves.
Attachment 507237
"High administrative costs in the US reflect some unique aspects of the US health care system and those aspects reflect more specific societal values. For example, in part, high administrative costs stem from the value individuals in the US place on choice.1 A desire for choice gives rise to fragmentation of payers, which in turn generates complexity in billing and expenses related to plan choice (such as marketing costs). Some of these costs might be lowered with standardization of key administrative functions (such as standardized claims forms) or improved information technology capabilities (interoperability of medical records is of high importance), but other costs, such as marketing, are inherent when there is choice among plans."
https://jamanetwork.com/journals/jam...rticle/2785479
I’m going to be pissed if they take combat veterans health benefits away. That’s the only thing that would allow me to retire early, not that sixty is very early.Quote:
Originally Posted by liv[emoji638
Sent from my iPhone using [emoji638]][emoji640][emoji640]][emoji640][emoji638][emoji638][emoji638]]TGR Forums
The VA is a lot better now too. VA health care now consistently outperforms non-VA care in studies of overall quality ratings, and affordability for Veterans. Some of the best applied research on Covid came from the VA. They were very quick on their feet during the pandemic. Also, lots of residents do VA rotations. They play a big role in educating doctors, NPs, PAs, and nurses
History has shown (as did the 2024 election) that in periods of widespread discontent and simmering political violence, when the demagogues arise the oligarchs ALWAYS think they can ride the tiger. Soon enough, they discover that he who rides a tiger cannot dismount.Quote:
Originally Posted by Trackhead
The government is not going to take VA benefits away, they're just going to privatize it (sell it to the highest bidder) and then the CEO's will take it away.
Tangible change is difficult for myriad reasons. Shortened attention spans, sure, but it's also learned helplessness after decades of being stepped on. The burden of change is on those without means (time, resources) when all Money has to do is hold the line.
FWIW, the Veterans Choice Program (VCP) already allows vets to seek out privatized health care if they want it. Some do. Many more prefer the VAQuote:
Originally Posted by I Skied Bandini Mountain