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Message

re: How does the cost of Healthcare come down?

Posted on 6/28/25 at 7:51 pm to
Posted by ArmydawgMD
Member since Sep 2020
721 posts
Posted on 6/28/25 at 7:51 pm to
The shortage of doctors is artificially created. Remove the medical interest group limits for medical school and residency slots. Slash the requirement that specifically doctors and possible other healthcare professionals must complete a bachelor degree before attending professional school. Allow individuals to apply after 2 years of prerequisites...decreasing overall student debt.

Further subsidize medical education costs and cap the salaries of doctors. That will start the shift, but obviously they need to address the insurance companies and mega hospitals as well.
Posted by UptownJoeBrown
Baton Rouge
Member since Jul 2024
7523 posts
Posted on 6/28/25 at 7:55 pm to
quote:

Let people die with some dignity and peace.


That’s what our family did with my father. It was a unanimous decision. No regrets.

Time to die.
This post was edited on 6/28/25 at 7:56 pm
Posted by AubieinNC2009
Mountain NC
Member since Dec 2018
7073 posts
Posted on 6/28/25 at 8:01 pm to
cut down the cost of med school, stop frivolous lawsuits on doctors that jack up insurance rates as well. Hospitals stop charging prices like they are a military contractor for simple things like bandages, water cups, aspirin.
This post was edited on 6/28/25 at 8:02 pm
Posted by AllbyMyRelf
Virginia
Member since Nov 2014
3998 posts
Posted on 6/28/25 at 8:02 pm to
Stop subsidies, remove insurance gaming, increase competition
Posted by Diego Ricardo
Alabama
Member since Dec 2020
11591 posts
Posted on 6/28/25 at 8:03 pm to
quote:

Americans have to stop eating garbage and being fat as frick


Part of the problem with that is it is more expensive to eat like a human than eat the over-processed slop.
Posted by AllbyMyRelf
Virginia
Member since Nov 2014
3998 posts
Posted on 6/28/25 at 8:03 pm to
quote:

Further subsidize medical education costs and cap the salaries of doctors.
So, socialism? Pass. More of the same.
Posted by the808bass
The Lou
Member since Oct 2012
125648 posts
Posted on 6/28/25 at 8:08 pm to
quote:

Slash the requirement that specifically doctors and possible other healthcare professionals must complete a bachelor degree before attending professional school. Allow individuals to apply after 2 years of prerequisites...decreasing overall student debt.


There’s no government requirement stipulating this. This is driven by the med schools admission criteria.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
73228 posts
Posted on 6/28/25 at 8:10 pm to
quote:



Part of the problem with that is it is more expensive to eat like a human than eat the over-processed slop.


This is a lame excuse

Even if people have to eat unhealthy because it is cheaper, they can still eat *less*

Nobody needs large instead of medium fries
Posted by Diego Ricardo
Alabama
Member since Dec 2020
11591 posts
Posted on 6/28/25 at 8:13 pm to
Honestly, the reason for the shortage in medical doctors is due to government grant funding for residency being a hard cap on how many doctors can be minted in an academic year. Uncorking the supply side for primary care/general practice demand is likely the primary way to lower costs. The key problem with costs is the average MD makes 2-3x that the average JD or PhD does when entering the workforce. There is also a lot of lobbying interest against that because it will lower wages in medicine and doctors want constrained supply to keep their wages high at the expense of everyone else.
This post was edited on 6/28/25 at 8:25 pm
Posted by Diego Ricardo
Alabama
Member since Dec 2020
11591 posts
Posted on 6/28/25 at 8:24 pm to
quote:

This is a lame excuse

Even if people have to eat unhealthy because it is cheaper, they can still eat *less*

Nobody needs large instead of medium fries


That'd make complete sense but it is a tad bit more complicated than hold the fries or declining the upsize. We still have monkey brains and the amount of calorie density in cheap processed foods does not line up to what a comparable volume of a natural alternative. 1 cup of blueberries is around 2 dozen m&ms. You have to be discerning in a way most people are not capable of doing perpetually to live on cheap food alone and not end up being a fat frick.

There is still personal responsibility but I think there is a lot of science to back up that our solution to avoiding the revolution-in-three-meals problem is basically just loading the poor up on garbage that keeps them full but is killing them.
This post was edited on 6/28/25 at 8:25 pm
Posted by ArmydawgMD
Member since Sep 2020
721 posts
Posted on 6/28/25 at 8:24 pm to
The medical school admissions are capped secondary to the Congressional GME (i.e. residency) restrictions. You can look it up.
This post was edited on 6/28/25 at 8:25 pm
Posted by the808bass
The Lou
Member since Oct 2012
125648 posts
Posted on 6/28/25 at 8:26 pm to
quote:

Honestly, the reason for the shortage in medical doctors is due to government grant funding for residency being a hard cap on how many doctors can be minted in an academic year.


That’s a big part of it.

Another contributing factor is that we are prioritizing getting women admitted to med school even though we know that
quote:

40% of women physicians go part-time or leave medicine altogether within six years of completing their residencies.


We are prioritizing a demographic that we know will be drastically shrunk in just a few years after residency.
Posted by the808bass
The Lou
Member since Oct 2012
125648 posts
Posted on 6/28/25 at 8:27 pm to
quote:

The medical school admissions are capped secondary to the Congressional GME


I wasn’t talking about that. Medical schools are the ones requiring bachelors degrees. Not Congress.
Posted by Diego Ricardo
Alabama
Member since Dec 2020
11591 posts
Posted on 6/28/25 at 8:28 pm to
You know, one way to make women who want to have children but be qualified for medical practice not such a drain on labor supply is by not having a government mandated cap on new supply.
This post was edited on 6/28/25 at 8:29 pm
Posted by rltiger
Metairie
Member since Oct 2004
1970 posts
Posted on 6/28/25 at 8:30 pm to
quote:

Get government out of the way.


Government got involved with

Home loans
Student loans
Healthcare

And costs went through the roof.
Posted by the808bass
The Lou
Member since Oct 2012
125648 posts
Posted on 6/28/25 at 8:30 pm to
quote:

You know, one way to make women who want to have children but be qualified for medical practice not such a drain on labor supply is by not having a government mandated cap on new supply.


As the father of a daughter beginning her third year of residency, I agree.
Posted by ArmydawgMD
Member since Sep 2020
721 posts
Posted on 6/28/25 at 8:31 pm to
Agreed. I am advocating that the schools should universally nix the unnecessary undergraduate coursework, saving time and money for students
Posted by TheHarahanian
Actually not Harahan as of 6/2023
Member since May 2017
23188 posts
Posted on 6/28/25 at 8:31 pm to
quote:

Notice, the more subsidized shite is where increases outpace inflation.

Cut government handouts.
Get ppl in better shape.
Cut Medicare Medicaid reimbursements.

Health insurance removes accountability because it’s nobody’s personal money being spent.

I was in the hospital for 5 days/4 nights in December. Just the stay (no treatment) was a $177k bill. Insurance “negotiated” that down to $34k which is still robbery. The $177k isn’t a real expected amount. It’s a high starting number that justifies the high negotiated number.

I was in for surgery. The surgeon’s bill was about $2000.
This post was edited on 6/28/25 at 8:34 pm
Posted by the808bass
The Lou
Member since Oct 2012
125648 posts
Posted on 6/28/25 at 8:48 pm to
quote:

Agreed. I am advocating that the schools should universally nix the unnecessary undergraduate coursework, saving time and money for students


This should be done in most fields. We are seeing small shifts. Need larger ones. UMKC med has a 6-year program which delivers a bachelors and MD in its course of study. You can get a BS RSN in three years.

There’s no reason an engineer couldn’t cut out Arts and Science requirements and graduate in three years.
Posted by the808bass
The Lou
Member since Oct 2012
125648 posts
Posted on 6/28/25 at 8:50 pm to
quote:

The $177k isn’t a real expected amount. It’s a high starting number that justifies the high negotiated number.


That’s somewhat based on Medicare/Medicaid pricing nonsense.

And somewhat just a convoluted way of hiding costs and pricing.
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