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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j'ai des grands instants de lucididididididididi
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![]()
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.
It's a war of the mind and we're armed to the teeth.
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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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.
Originally Posted by blurred
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
Originally Posted by blurred
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.
Well maybe I'm the faggot America
I'm not a part of a redneck agenda
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 ?
Lee Lau - xxx-er is the laziest Asian canuck I know
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.
Originally Posted by blurred
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