If your stance is that the healthcare system needs improvement, I’d agree. If your point is that the best doctors are the people who have money as their top priority, I’d disagree. I’d extend the latter to say, we may not get a better healthcare system by just paying people more. Throwing more money at a bad system tends to make a worse system.
Do you think we’d get better doctors if we could create a new system that lets them focus the majority of their effort on patient care, or if we kept the current system and just gave all physicians pay raises?
There are most likely decreasing returns on both ends of the scale.
>Do you think we’d get better doctors if we could create a new system that lets them focus the majority of their effort on patient care, or if we kept the current system and just gave all physicians pay raises?
"A new system" is too nebulous, but step by step reform is the obvious way forward. From decreasing unnecessary requirements for new doctors (there must be a way to not have to completely sacrifice one's 20s and early 30s and still become a doctor), to tort reform that allows for sensible judgments, to increasing funding for residency and medical schools to allow for higher supply of doctors, etc.
Also, doctor pay (per hour or per patient) has been declining in real terms for many, many years now. Which is not bad in and of itself, but when you are simultaneously decreasing remuneration and quality of life at work, intelligent people will pick up on that signal to look elsewhere to sell their services.
A lot of US healthcare is performed by smart people from poorer countries who just want a chance for their kids to grow up in the USA. That the country relies on that arbitrage has always been ridiculous to me.
With all that said, it’s still a different argument than “pay = ability”. Put differently: the $ amount in TFA could be used to increase Congress member pay from $174k to $10MM each. Do you think that would result in better politicians?
