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re: Nearly 1 in 3 US physicians were born abroad

Posted on 12/6/18 at 9:13 am to
Posted by Powerman
Member since Jan 2004
162190 posts
Posted on 12/6/18 at 9:13 am to
Well looks like I was wrong in this case. I still think you're insane
Posted by SmackoverHawg
Member since Oct 2011
27318 posts
Posted on 12/6/18 at 9:15 am to
quote:

Gaspergou202

Have an upvote. Not just the reasons you said, but also grants available to start clinics/businesses-for up to $500k in some cases-and tax leniency for minority/immigrant etc.

Also pay attention to the names in most every insurance fraud case. The smart ones send that shite back home and cash out before they’re caught.
Posted by SlapahoeTribe
Tiger Nation
Member since Jul 2012
12078 posts
Posted on 12/6/18 at 9:15 am to
We do this to ourselves:

- US Medical Schools have some of this highest admission standards in the world

- US Medical Schools require a four year degree before even applying

- US Colleges are expensive

- US Medical Schools are really expensive

- The US damn near requires an MD to hand out anything stronger than aspirin

So, through regulations we have a higher need for MDs than most of the world, then we make it harder than most of the world to get an MD, then we make it more expensive than most of the world to get an MD... that’s why a third of our physicians come from abroad.
Posted by Stingray
Shreveport
Member since Sep 2007
12420 posts
Posted on 12/6/18 at 9:16 am to
Those could be Americans filling those slots, but our government sucks.
Posted by lilsnappa
Red Stick
Member since Mar 2006
1793 posts
Posted on 12/6/18 at 9:17 am to
Most American born people that pursue a medical career go through 4 years of undergrad, 4 years of med school,and a 3 residency. That only gets you go to the primary care level, which has much lower income trajectory than sub-specialization. Because of this, most continue into a) longer residencies or b) fellowships to gain higher status in the medical world and make more $$.

You're only making $50k/yr through all of this (while your students loan interest compounds).

Foreign born Drs can come to the US on a H1b visa, with the agreement of working in a rural area (where no American Drs want to live) for a couple years, and then pursue whatever medical career they want.

Our academic medical system is not set up to add more primary care physicians to the undeserved areas...
Posted by LordSaintly
Member since Dec 2005
38836 posts
Posted on 12/6/18 at 9:18 am to
quote:

I would rather go to an Indian than an affirmative action doctor.




Look, I hate affirmative action, but it doesn’t get them past med school or residency. If the doctor is good at his job, then I don’t care what path he took.
Posted by TigerDoc
Texas
Member since Apr 2004
9893 posts
Posted on 12/6/18 at 9:20 am to
quote:

I've had a couple of foreign doctors and they were much better at communicating than the engineering professors I had at LSU


One of the reasons I see immigration generally as rather benign is my history of training and working alongside foreign-born docs. They're on average as good as those we produce here and as long as we're rigorously testing them for competence we should be bringing in more.
Posted by MrCarton
Paradise Valley, MT
Member since Dec 2009
20231 posts
Posted on 12/6/18 at 9:20 am to
quote:

I personally tend to avoid Doctos with such names not because I dislike them or think they aren't competent but because I've had multiple experiences where I couldn't even fully communicate with them. Describing why I'd come to the doctor often felt about the same as talking to tech support on the phone to a dude named "Steve"(whose name was definitely NOT Steve)


Foreign born doctors are simply not as good as native born doctors. We don't need them, we need to stop artificially restricting the development of native born doctors.
Posted by WildManGoose
Member since Nov 2005
4568 posts
Posted on 12/6/18 at 9:21 am to
quote:

I refuse to see any Dr who’s name Mahmoud, Singh, Nguyen, etc. One time they tried to trick me and I walked out of the office!



Would you prefer Mahmoud, who went to medical school at Emory, and did his residency at the Mayo Clinic or T-Bruce who went to Grenada and did his residency at Earl K?

You should look at experience and not names when choosing your physician.
Posted by roadGator
Member since Feb 2009
139750 posts
Posted on 12/6/18 at 9:21 am to
I look at both.
Posted by OchoDedos
Republic of Texas
Member since Oct 2014
33966 posts
Posted on 12/6/18 at 9:23 am to
quote:

You're only making $50k/yr through all of this (while your students loan interest compounds).



Apply for a Military HPSP Scholarship.

Earn $85-$110K/year, without a dime of Student Loan payback, while serving your commitment.
Posted by roadGator
Member since Feb 2009
139750 posts
Posted on 12/6/18 at 9:23 am to
You voted for Hillary. You can't be trusted. Plus you want socialized medicine. Never trust people that want to grow government significantly.
Posted by SleauxPlay
Here and there
Member since Oct 2005
3427 posts
Posted on 12/6/18 at 9:24 am to
ETA: NM, gotcha.
This post was edited on 12/6/18 at 9:32 am
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123769 posts
Posted on 12/6/18 at 9:25 am to
quote:

newt republican.
House.
Funding.

Whose idea was it?
quote:



U.S. to Pay New York Hospitals Not to Train Doctors, Easing Glut
By ELISABETH ROSENTHAL
FEB. 18, 1997


In a plan that health experts greeted as brilliant and bizarre, Federal regulators announced yesterday that for the next six years they would pay New York State hospitals not to train physicians.

Just as the Federal Government for many years paid corn farmers to let fields lie fallow, 41 of New York's teaching hospitals will be paid $400 million to not cultivate so many new doctors, their main cash crop.

The plan's primary purpose is to stem a growing surplus of doctors in parts of the nation, as well as to save Government money. But the payments are manna to New York's cash-starved hospitals, which are struggling to trim the size of their staffs and adapt to the world of managed care.

The plan required no Congressional action and thus was not debated . . .

LINK
Posted by The Egg
Houston, TX
Member since Dec 2004
79109 posts
Posted on 12/6/18 at 9:27 am to
quote:

I refuse to see any Dr who’s name Mahmoud, Singh, Nguyen, etc. One time they tried to trick me and I walked out of the office!


yeah bc the guy named john williams md won't try to get one by you either.
Posted by AMS
Member since Apr 2016
6495 posts
Posted on 12/6/18 at 9:29 am to
quote:

We do this to ourselves:

- US Medical Schools have some of this highest admission standards in the world

- US Medical Schools require a four year degree before even applying

- US Colleges are expensive

- US Medical Schools are really expensive

- The US damn near requires an MD to hand out anything stronger than aspirin

So, through regulations we have a higher need for MDs than most of the world, then we make it harder than most of the world to get an MD, then we make it more expensive than most of the world to get an MD... that’s why a third of our physicians come from abroad.



US med schools most certainly do not require a 4 year degree BEFORE even applying. The majority of applicants are juniors in college. You can even get into med schools without an undergrad degree as long as you have the pre-reqs. The high US med school admission standards are not problematic because every seat is filled at med schools regardless.

The problem isn't with the school, costs, or DEA prescription restrictions, its residency training availability.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123769 posts
Posted on 12/6/18 at 9:30 am to
quote:

Well looks like I was wrong in this case. I still think you're insane
I guess you're right. I meet the definition. After all, I've posted the same material over and over, expecting a different result.
Posted by Norbert
Member since Oct 2018
3124 posts
Posted on 12/6/18 at 9:32 am to
quote:

Look, I hate affirmative action, but it doesn’t get them past med school or residency.


No, but it results in higher failure rates for those unqualified students filling seats of qualified students who wouldn't have flunked out.

The same goes for medical school gender quotas. Females take more time off, are more likely to only work part-time, and retire far earlier.

Posted by NC_Tigah
Carolinas
Member since Sep 2003
123769 posts
Posted on 12/6/18 at 9:36 am to
quote:

The problem isn't with the school, costs, or DEA prescription restrictions, its residency training availability.
Indeed.
quote:

While the number of medical school graduates is increasing, the number of residency training positions has not kept pace. If this imbalance is not addressed, the number of American MD and DO graduates will exceed the number of first-year residency positions, which by some estimates could occur as soon as 2017. When this happens, young physicians-who dedicated years to the pursuit of a medical education and incurred significant debt doing so-will not be able to practice medicine, and the physician shortage will persist.

Part of the problem stems from the funding mechanism for Graduate Medical Education (GME). Medicare covers the majority of the cost teaching hospitals spend on training medical residents, but the Balanced Budget Act of 1997 capped the number of residency slots the federal government would fund.

LINK
quote:

Even though 99.4 percent of available residency slots were filled — the highest fill rate ever — 528 U.S. medical graduates couldn’t enter a residency program this year. That’s more than double the number of graduates from last year.

LINK
Posted by LordSaintly
Member since Dec 2005
38836 posts
Posted on 12/6/18 at 9:43 am to
quote:

No, but it results in higher failure rates for those unqualified students filling seats of qualified students who wouldn't have flunked out.


Without question. Not doubting that at all.
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