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re: Nearly 1 in 3 US physicians were born abroad

Posted on 12/6/18 at 9:45 am to
Posted by TigerDoc
Texas
Member since Apr 2004
11528 posts
Posted on 12/6/18 at 9:45 am to
quote:

You voted for Hillary. You can't be trusted. Plus you want socialized medicine. Never trust people that want to grow government significantly.


The foreign docs that come here are generally puzzled by our system and are more inclined to favor systems that they came from (or at least better resourced versions of same).

But then they get over it when we start overpaying them when they get out of residency.
This post was edited on 12/6/18 at 9:49 am
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135699 posts
Posted on 12/6/18 at 9:50 am to
quote:

when we start overpaying them when they get out of residency.
Please define "overpaying", TigerDoc. Take your time.
Posted by Vecchio Cane
Ivory Tower
Member since Jul 2016
18601 posts
Posted on 12/6/18 at 9:50 am to
#1 surname of doctors today?


Patel
Posted by AMS
Member since Apr 2016
6534 posts
Posted on 12/6/18 at 9:50 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.


This while it may be true is kinda irrelevant. There isn't a shortage of docs because people are flunking med school (rather uncommon to flunk out med school anyway). There are excess of med graduates with respect to residency training availability.

quote:


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.


This may be true as well, but is only problematic because there is "scarcity" in residency training.
Posted by TigerDoc
Texas
Member since Apr 2004
11528 posts
Posted on 12/6/18 at 9:52 am to
I was being glib, NC. I mean paying far physicians far more than they earn in their countries of origin (=any country they emigrate from). Inefficiencies in physician salaries are peanuts compared to other cost sinks in our system).
This post was edited on 12/6/18 at 9:54 am
Posted by CP3LSU25
Louisiana
Member since Feb 2009
52570 posts
Posted on 12/6/18 at 10:10 am to
quote:

And people wonder why they get labeled as Xenophobes


That words means as much as the word Apple to me.
Posted by TeLeFaWx
Dallas, TX
Member since Aug 2011
29311 posts
Posted on 12/6/18 at 10:36 am to
quote:

Foreign born and trained doctors must go through US residency in order to practice here.

You are using the term general practitioner wrong. A GP is some one who completed medical school and one year of post graduate training but did not become board certified-common 40 years ago but not anymore. Now what most people consider to be a “GP” is a board certified family medicine or internal medicine doctor.

You are correct in that residency spots for primary care are artificially limited. Many politicians incorrectly think building and starting new medical schools are the answer however unless these graduates can match and complete a residency then they never make it the workforce


Thanks for the clarification.
Posted by TeLeFaWx
Dallas, TX
Member since Aug 2011
29311 posts
Posted on 12/6/18 at 10:42 am to
quote:

Please define "overpaying", TigerDoc. Take your time


Paying market prices for doctors that have their wages inflated by a shitty system. This is seen in various forms from artificially limiting residencies to the consumer having to cover the cost of med school, to needless specialization and even lobbying for protectionist policies.

Doctors want to conflate the concept of being "overpaid" because no one likes to say they aren't earning what they are paid, but that's not the same thing.

Here is just one example. Doctors are vastly overpaid, just like Lasik eye surgeons would be vastly overpaid if the market wasn't allowed to operate and drive the price down.
Posted by pjab
Member since Mar 2016
5746 posts
Posted on 12/6/18 at 11:05 am to
Foreign born does not equal FMG. I know lots of foreign born docs who were raised in the US.

To the person who avoids docs based on their name...
Posted by LSUconvert
Hattiesburg, MS
Member since Aug 2007
6622 posts
Posted on 12/6/18 at 11:08 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!


So you're a racist shite bag? Got it.
Posted by Norbert
Member since Oct 2018
3588 posts
Posted on 12/6/18 at 11:17 am to
quote:

There are excess of med graduates with respect to residency training availability.


Not really.

Pretty much all American graduates should be able to find a residency spot SOMEWHERE. They just don't want those residencies. Internal medicine, pediatrics, family medicine, pathology, and other low demand specialties would take Americans over foreign graduates.

Make those specialties more appealing, and they will fill with Americans. Keep slashing reimbursements, increasing tuition costs, increasing regulation, increasing oversight, increasing patient load, and contributing to patient entitlement, and the percentage of American docs will continue to plummet.
Posted by Norbert
Member since Oct 2018
3588 posts
Posted on 12/6/18 at 11:31 am to
quote:

puzzled by our system


Fair. So am I. We need to return to a system that contains charity hospitals.

quote:

more inclined to favor systems that they came from


Then why did they fly over an ocean to work here?

quote:

overpaying them


Relative term. They don't take on the debt American docs do. Expanding the patient pool, increasing regulation, and decreasing reimbursements will drive Americans away from the field of medicine.
Posted by Jorts R Us
Member since Aug 2013
16893 posts
Posted on 12/6/18 at 12:05 pm 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!


That’s short-sighted. I know several doctors with “foreign” last names who were born abroad but grew up in the US and trained in the US. You do you, though.
Posted by BayouBlitz
Member since Aug 2007
18126 posts
Posted on 12/6/18 at 12:13 pm to
quote:

thats what we do, but this last time, we had no choice with my wife and had to see a gastro group in tuscaloosa that was entirely docvtors from india...they were fantastic and diagnosed my wifes stomach problems that has plagued her for 40 years....american nurses and staff who were great....we still won't go to non-american doctors (except these) but sometimes this philosophy is not in our own best interests....it is the safest philosophy,though


Only on this board can a story of someone's significant other being properly diagnosed and treated, get downvotes.

Trumpkins strike again.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
135699 posts
Posted on 12/6/18 at 12:15 pm to
quote:

Doctors want to conflate the concept of being "overpaid" because no one likes to say they aren't earning what they are paid, but that's not the same thing.


I'd guess doctors want to "conflate" their own pay with that of other individuals in the workplace who have similar capacity, drive, acumen, education, and workload. E.g., In a world where Kaiser pays Pediatricians $130-170K/yr, while paying RN's $110-130K/yr, some physicians probably are going to "conflate the concept of being overpaid".
quote:

Here is just one example. Doctors are vastly overpaid, just like Lasik eye surgeons would be vastly overpaid if the market wasn't allowed to operate and drive the price down.
While I agree wholeheartedly with the sentiment, your assumptions are off. Lasik or plastics are both interesting templates. However, your presumption is that CMS and insurance models either pay more and/or overpay. In fact, 3rd party payers were tremendously empowered to underpay, even before obamacare. With few exceptions, insurance bases payment on Medicare pricing. Medicare has no incentive to increase MD pay.

An analogy would be the Feds stepping in, proclaiming a lawyer can only charge $100/hr regardless of quality. Inevitably, folks would still cite lawyers working 70hrs/wk as being overpaid.
Posted by el Gaucho
He/They
Member since Dec 2010
58515 posts
Posted on 12/6/18 at 12:15 pm to
Medicine still has a lot of racist hurdles to get over. Hospitals still expect foreign doctors to wash their poo hand before surgery
Posted by Zach
Gizmonic Institute
Member since May 2005
116762 posts
Posted on 12/6/18 at 12:22 pm to
And not a one of them swam across the Rio Grand to get here.
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
17334 posts
Posted on 12/6/18 at 12:26 pm to
quote:

Nearly 1 in 3 US physicians were born abroad December 5, 2018


quote:

optometrists to chiropractors to veterinarians





This post was edited on 12/6/18 at 12:28 pm
Posted by Jorts R Us
Member since Aug 2013
16893 posts
Posted on 12/6/18 at 12:27 pm to
quote:

And not a one of them swam across the Rio Grand to get here.


Maybe some diversity visas, though
Posted by Ebbandflow
Member since Aug 2010
13457 posts
Posted on 12/6/18 at 12:29 pm to
quote:

thats what we do, but this last time, we had no choice with my wife and had to see a gastro group in tuscaloosa that was entirely docvtors from india...they were fantastic and diagnosed my wifes stomach problems that has plagued her for 40 years....american nurses and staff who were great....we still won't go to non-american doctors (except these) but sometimes this philosophy is not in our own best interests....it is the safest philosophy,though



Foreign people are scary
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