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Message
Once Again Economics Proves Why the ACA Can't Work
Posted on 8/3/17 at 11:09 am
Posted on 8/3/17 at 11:09 am
When you increase Demand (through subsidizing) normally Price and Supply will increase as well to meet that Demand until they hit an equilibrium. The problem we have with this in the medical market is that Supply cannot keep up due to barriers to entry into the market (in this case we have the traditional barriers of education and the costs of that education and now we dump a metric frickton of government-caused red tape into the mix), thus Price must rise as the market seeks to balance itself within this new paradigm.
And this is where we are.
What will happen next are attempts at Price control, so what outlet will that leave for market pressures? Supply will shrink.
So congrats on the free healthcare at the expense of the market itself, enjoy it while it lasts
And this is where we are.
What will happen next are attempts at Price control, so what outlet will that leave for market pressures? Supply will shrink.
quote:
NEW YORK (CBSNewYork) – America will soon face a shortage of as many as 90,000 doctors.
CBS2’s Dr. Max Gomez reports a combination of retiring doctors and increasing demand will lead to a significant need for primary care physicians.
So congrats on the free healthcare at the expense of the market itself, enjoy it while it lasts
This post was edited on 8/3/17 at 11:10 am
12
Posted on 8/3/17 at 11:12 am to Bard
Lay the shortage of doctors at the feet of the AMA, not the government.
Posted on 8/3/17 at 11:13 am to Bard
Vast majority of liberals refuse to understand this. Just don't want to believe it for some reason?
Posted on 8/3/17 at 11:16 am to Bard
quote:
NEW YORK (CBSNewYork) – America will soon face a shortage of as many as 90,000 doctors.
Well the obvious solution to that problem is for the government to identify students that are smart enough to be doctors and force them to become doctors.
Posted on 8/3/17 at 11:17 am to Bard
bipartisan hearings to return on healthcare. 
The Hill
quote:
Senate Finance Committee Chairman Orrin Hatch (R-Utah) announced Thursday that the panel will hold a healthcare hearing in September, in the wake of a failed vote on repeal of ObamaCare.
The hearing will be a chance for members of both parties to discuss the healthcare law, and it comes amid calls for a return to regular order and the committee process.
The Health Committee is expected to take the lead role in crafting a bipartisan bill aimed at stabilizing the ObamaCare marketplaces, but the announcement indicates that the Finance Committee, which shares jurisdiction on healthcare, will also discuss the issue.
The Hill
Posted on 8/3/17 at 11:17 am to WheelRoute
quote:
Lay the shortage of doctors at the feet of the AMA, not the government
Considering CMS is the primary driver for the pathetic reimbursement rates that PCP's receive, Government holds plenty of blame.
There are plenty of new docs available to enter family medicine, but there is no incentive for them to do so. Not when dermatologist, gastroenterologists, surgeons, urologists, (i.e. any proceduralists) can make 6-7x more with considerably less effort.
This post was edited on 8/3/17 at 11:20 am
Posted on 8/3/17 at 11:18 am to WheelRoute
quote:
Lay the shortage of doctors at the feet of the AMA, not the government.
The AMA didn't create this monstrosity...
...the government did.
I'm fine with having high standards of quality as a barrier to entry into the medical field, what I'm not fine with is the large staff any medical facility needs just to handle the red tape of the ACA and the various peccadilloes of the insurance companies.
Posted on 8/3/17 at 11:19 am to WheelRoute
The AMA is powerless without government backing
Posted on 8/3/17 at 11:23 am to Bard
quote:
I'm fine with having high standards of quality as a barrier to entry into the medical field,
There are plenty of potentially successful medical students who are not accepted. They still have to do the work and pass the boards.
They could slightly lower the admissions standards and have thousands more med students per year and solve some of these issues. It would also solve the primary care issue, because many of the additional numbers would be forced to take the less popular residencies due to availability. Many of these are primary care and family docs. Also, with more doctors available, many of the rural shortages could be filled.
Posted on 8/3/17 at 11:24 am to TigerDoc
quote:
The Health Committee is expected to take the lead role in crafting a bipartisan bill aimed at stabilizing the ObamaCare marketplaces
No thanks.
Posted on 8/3/17 at 11:25 am to Bjorn Cyborg
quote:
They could slightly lower the admissions standards and have thousands more med students per year and solve some of these issues. It would also solve the primary care issue, because many of the additional numbers would be forced to take the less popular residencies due to availability. Many of these are primary care and family docs. Also, with more doctors available, many of the rural shortages could be filled.
I agree with all of this, but I think it's more likely we utilize foreign medical grads and mid levels for care in medically underserved areas, than the govt and schools lower standards and open up enough new residency slots.
Posted on 8/3/17 at 11:27 am to imjustafatkid
Republicans would be smart to take good stewardship of the law for the politics as well as the health of Americans. A working system blunts Dem calls for single-payer.
Posted on 8/3/17 at 11:29 am to HailHailtoMichigan!
quote:
Considering CMS is the primary driver for the pathetic reimbursement rates that PCP's receive, Government holds plenty of blame.
There are plenty of new docs available to enter family medicine, but there is no incentive for them to do so. Not when dermatologist, gastroenterologists, surgeons, urologists, (i.e. any proceduralists) can make 6-7x more with considerably less effort.
Current doctors may not want to work for 175k a year (tough to blame them based on cost/time of education) but there are plenty of people in this country we can educate who will.
quote:
The AMA is powerless without government backing
This is a nonsense statement. The AMA derives power from its ability to influence government, yes. It is not powerless, though. The AMA--and the AAMC--certify programs, professions, and schools. Like the ABA, they derive a tremendous amount of power through that process.
Posted on 8/3/17 at 11:31 am to Bard
The ACA has nothing to do with a doctor shortage. Not understanding your attempt to link the two.
Posted on 8/3/17 at 11:33 am to WheelRoute
quote:
Current doctors may not want to work for 175k a year (tough to blame them based on cost/time of education) but there are plenty of people in this country we can educate who will.
In theory, I agree with you. But then you account for the accompanying educational debt, and that $175k per year becomes less palatable when there are more lucrative alternatives.
You either have to close the pay discrepancy between PCP's and specialists. Or you have to further subsidize the education of family practitioners.
Posted on 8/3/17 at 11:36 am to Bard
You are talking about the free market pressure, but a big problem, as I see it is that WE, the actual consumers of healthcare, are not involved in the equation. The insurance companies are negotiating prices with pharma, doctor's networks, hospitals, medical equipment, etc, and they have no interest in bringing costs down.
Why should insurance companies want to bring costs down? We are forced to buy their product, they have no competition in most markets, and because they have restrictions on how much of their revenue can be used for administrative costs/profit, the only way they can bring their profit up is to increase prices (they can't decrease costs, because that will decrease their profits).
Why should insurance companies want to bring costs down? We are forced to buy their product, they have no competition in most markets, and because they have restrictions on how much of their revenue can be used for administrative costs/profit, the only way they can bring their profit up is to increase prices (they can't decrease costs, because that will decrease their profits).
Posted on 8/3/17 at 11:37 am to 5thTiger
quote:
The ACA has nothing to do with a doctor shortage. Not understanding your attempt to link the two.
Supply and demand. The ACA is creating demand by offering free medical care, while the supply of doctors in the United States has not changed.
Basic economics.
Posted on 8/3/17 at 11:40 am to Bard
OP, how do you get your insurance?
Posted on 8/3/17 at 11:40 am to MSMHater
quote:
In theory, I agree with you. But then you account for the accompanying educational debt, and that $175k per year becomes less palatable when there are more lucrative alternatives.
You either have to close the pay discrepancy between PCP's and specialists. Or you have to further subsidize the education of family practitioners
I am all for subsidizing education of doctors. I can think of few professions less worthy of such an outlay.
But you could also modify the education requirements, allow surrogates like PAs to take on a larger role (as I understand it they have a pretty substantial role already, right?), open more schools, etc. And these are all places where the AMA/AAMC have a role to play. Will these changes require working with gov't to rejigger reimbursement rates, etc? Sure, but it will also result in cheaper care.
Posted on 8/3/17 at 11:42 am to WheelRoute
The AMA would never be able to shut down a medical school without gov involvement
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