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Post by bsu0 on Aug 25, 2016 16:22:19 GMT -6
I stand corrected and bow to your diplomacy.
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Post by bsu0 on Aug 25, 2016 16:26:25 GMT -6
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Post by JacksonStreetElite on Oct 31, 2016 11:42:14 GMT -6
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Post by Deleted on Oct 31, 2016 13:14:42 GMT -6
Of course a non accredited, new law school would struggle in a low demand period. My point was that it should've been developed long ago, had a chance to prosper when demand was up. A proven school, with a good reputation, will succeed, and they have, as would a medical school, since outside of IUPUI, we're the only state campus with an adjacent hospital. My other points were that BSU needed long ago to develop professional programs that generate revenue streams from lucrative professionals, and that BSU does a poor job of persuading the legislature to grow the campus. IU and PU run roughshod over the legislature. |
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Post by 00hmh on Oct 31, 2016 14:32:06 GMT -6
This school idea at Indiana Tech was never a good idea, nobody I know thought we needed another law school. Med School might be a better bet, but what we are doing now with IU Med once it developed almost rules that out. Expanding the Med school we have now in a very junior partnership with IU does make sense in an era of expanding demand. But, you want to talk political barriers to doing something sensible like that, there is nothing like Medical education. There would be plenty of demand for more slots in medical school, but this involves changing the health care system, and it will only work if the government subsidizes the education of front line primary care physicians which is probably justified. We have a great need for that. A two tier system with relatively few specialists is what we already tend to get now with the specialties chosen to pay back the enormous loans necessary to finish med school. PA and nursing degrees are perhaps "cheaper" alternatives and in many cases that is what we have in Doc in the box and emergency rooms doing a lot of the work now. Many of these professionals would be great primary care doctors in family practice with that specialty. |
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Post by Deleted on Nov 1, 2016 7:02:04 GMT -6
"and it will only work if the government subsidizes the education of front line primary care physicians"
Good Lord........................
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Post by Deleted on Nov 1, 2016 7:22:25 GMT -6
"and it will only work if the government subsidizes the education of front line primary care physicians" Good Lord........................ With two kids in med school, I know nothing of this... |
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Post by Deleted on Nov 1, 2016 7:29:16 GMT -6
"and it will only work if the government subsidizes the education of front line primary care physicians" Good Lord........................ With two kids in med school, I know nothing of this... Yeah, don't you wish the Federal Government were more involved than they already are. Doctors in rural and poor areas is an issue worldwide, we don't need congress to politicize and legislate who does the work. |
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Post by 00hmh on Nov 1, 2016 12:52:58 GMT -6
With two kids in med school, I know nothing of this... Yeah, don't you wish the Federal Government were more involved than they already are. Doctors in rural and poor areas is an issue worldwide, we don't need congress to politicize and legislate who does the work. Subsidize the education of doctors willing to go into family practice, is what I said. Doesn't say who does the work, makes sure there are qualified physicians in the rural and poor areas of THIS country and in the burbs, too, where it is harder and harder to see a doctor for ordinary health care. Med school expense, big loans, means doctors almost have to become specialists. And that is not necessarily what we need. Medical education creates a supply side problem, which could be revamped to expand the schools and admit many more to med school, and many prospective doctors who would be great family doctors could be admitted and would take the deal. More funding for Med schools looks like a good idea to me. We are now bringing in foreign educated doctors and PA's as well as American students who go abroad to study. Maybe this is an area where immigration policy is working well, but the fact is that our med students are graduating with crushing debt. Let's buy American, and keep our system healthy, not to mention the public. |
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Post by Deleted on Nov 1, 2016 13:30:08 GMT -6
Yeah, don't you wish the Federal Government were more involved than they already are. Doctors in rural and poor areas is an issue worldwide, we don't need congress to politicize and legislate who does the work. Subsidize the education of doctors willing to go into family practice, is what I said. Doesn't say who does the work, makes sure there are qualified physicians in the rural and poor areas of THIS country and in the burbs, too, where it is harder and harder to see a doctor for ordinary health care. Med school expense, big loans, means doctors almost have to become specialists. And that is not necessarily what we need. Medical education creates a supply side problem, which could be revamped to expand the schools and admit many more to med school, and many prospective doctors who would be great family doctors could be admitted and would take the deal. More funding for Med schools looks like a good idea to me. We are now bringing in foreign educated doctors and PA's as well as American students who go abroad to study. Maybe this is an area where immigration policy is working well, but the fact is that our med students are graduating with crushing debt. Let's buy American, and keep our system healthy, not to mention the public. The military has plans available that if you commit to a couple of years of service, they will pick up medical or dental school. Seldom are doctors or dentists put in harms way, so, it can be a very valuable investment. |
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Post by 00hmh on Nov 1, 2016 14:38:58 GMT -6
The military has plans available that if you commit to a couple of years of service, they will pick up medical or dental school. Seldom are doctors or dentists put in harms way, so, it can be a very valuable investment. That is a great program on many counts, but low volume. I have a friend whose son is a surgeon in that program in the Air Force. But this has very small impact. We need many more doctors, we have a shortage. I favor using PA and NP, using technology and group practice and so on to leverage the doctors we have where you can to help in primary care. But the fact remains we need MD's in greater numbers. Med schools pinch supply by limiting enrollment (turning away many well qualified applicants). Also, the pinch on health care spending on hospitals has meant there is a shortage of places for doctors to get residency. Hospitals need support to expand this part of the educational process. Student loan debt limits the number of grads who are going into primary care. As long as we are willing to take in foreign born or foreign educated doctors we can make some of that deficit up, but it is not working. Foreign born and educated doctors want to be specialists too, that is higher income. If we expand the number of students by subsidizing those committing to primary care and subsidize the med schools for providing specialties in family practice and primary care and fund residencies in primary care, as well as increase productivity we can solve our physician shortage. By the way, reforming health care so the physician doesn't spend so much time filling out insurance claim forms would help with productivity, as well as allowing less time to be spent by hospitals and doctors staff handling claims. More nurses and technicians, fewer claims personnel. This means greatly changing the way we pay for health care through private insurance... But that is too hot a topic for this forum. Forget I said that. |
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Post by Lurkin McGurkin on Nov 2, 2016 8:18:05 GMT -6
I think you're forgetting 2 YUUUUUGE reasons we have a doctor shortage:
1. Obamacare has made the profession unprofitable (although it was becoming that way before Obamacare). After spending 7-10 years in college, internship and residency, and spending hundreds of thousands of dollars, new doctors are finding that their reimbursements from Medicare/Medicaid/Obamacare doesn't cover their expenses.
2. Malpractice insurance (due to the litigious society we live in) has become almost prohibitively expensive. That's a main reason healthcare costs have gone skyrocketing in the last couple of decades.(Along with pharmaceutical companies, but that's a separate issue.) Ambulance-chasing lawyers harass doctors because they know most will settle out of court, making for easy pickings. Make the loser pay reasonable legal fees, and that crap would stop overnight.
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Post by 00hmh on Nov 2, 2016 13:33:31 GMT -6
Doctor shortage has little to do with either factor, although both are hardly perfect. You are missing the main point. We have many more people seeking health care and although we are graduating more doctors, it's just we need more.
Actually malpractice cases are not a very big problem for the medical profession and have not been for a fairly long time. Small part of total health care costs. You are right that the drug companies and corporate medical providers can create price pressure since it is not a very competitive industry. But putting that aside.
While Medicare and especially Medicaid reimbursement is a problem, it is one caused by the politicians not being willing to support those programs and raise taxes to do so as ordinary inflation and expanded demand for services have occurred. I am unclear how doing away with Medicare or Medicaid would mean we cure a doctor shortage. Doctors do not have to accept Medicaid or in many case Medicare patients if that is the problem.
Obamacare has actually meant more doctors being paid. The millions enrolled in insurance through the exchanges is simply the same as any other private insurance, so I don't get your point there. Even for Medicaid, you have to explain to me how a doctor is worse off getting low reimbursement than no reimbursement from someone who is not covered by any insurance. Also many states have not expanded Medicaid under the ACA, so why don't doctors just go there to practice if it Obamacare is the problem.
The real cost increase over time is in handling insurance claims, and administrative cost. This has result occurred long before 2002. We lead the world in paperwork costs for health care and doctors hate it which is why they are going as employees to the big operators rather than private practice. We need serious reform to cut the red tape which will mean insurance companies have to change something.
If your solution to the "problem" is to prevent people from being able to pay for health care, so we they don't seek out doctors and we don't need so many, I have to say the cure is worse than the disease.
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