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0 pointsqudat8y ago0 comments

tl;dr Federal health spending is the limiting factor.

Question: Why do we need the government to fund residents? The fact that every single going-to-be physician must do so through government funding boggles my mind.

On top of that, depending on the number of hours worked, many residents barely make minimum wage.

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jakewins8y ago

It's needed because the private sector isn't paying for it.

There's no law that says private hospitals can't fund residency slots - in fact they fund many of them - but, as the source you're commenting on says; "[medicare is] the principal source of residency funding".

killjoywashere8y ago

And the "private sector" is the existing physicians. Every dollar they pay a resident can't be used to buy their spouse more Prada or new tires for the Porsche. But the AMA had kept the valve throttled so long, society was desperate. Seeing a bunch of short-term greedy louts who apparently didn't study much math (don't get me started), the government seized the opportunity to pay for residencies, which created a Venturi effect where they can suck up not just the MDs, but added the flow from two other pipelines: the DOs and IMGs. And the flow has been so vigorous and steady that additional medical schools have opened outside the US borders (the Caribbean, Middle East, etc) to support the flow.

maxander8y ago

I suspect that this is the "companies don't want to train workers" problem, the same one that makes employers demand 10 years of Java experience for crap jobs, writ large.

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