回复toobusy的评论:
The best way to choose Drs is in their practice. Not by test, or residency position interviews. In free market, Drs have to compete with other Drs, they have to provide good service at reasonable price to stay in the business. Because currently Drs’ organization artificially makes shortage of Drs, their job is guaranteed and price is inflated, or they do not have to provide good service to stay in business, because we have nowhere else to go.
Without addressing free market production of Drs, the healthcare reform will get nowhere.
xz1980 发表评论于
回复toobusy的评论:
“the residency training in US has strict standards -- this is one of the reasons foreign doctors may (not all of them) need to redo their training, to ensure the quality of care.”
The problem is that, by limiting number of residency slots, Drs’ organization artificially make shortage of Drs allowed practice in US. The shortage breaks the balance of supply and demand that the Drs can artificially maintain their high salary. This is like you open a store, then you limit the number of stores of this kind allowed to be opened. This is monopoly.
“Also pls keep in mind that doctors in US pay very high tuitions for medical school, and get paid very little during their long residency training.”
How much is the tuition? It is just about college tuition of Ivy schools ($150k for 4 years). A specialist can pay off the tuition in 2-3 years, then enjoy the inflated salary for another 30 years. “paid very little during their long residency” How much those guys paid in PostDoc? BTW, there is no excuse for monopoly for anybody.
“if you lower their salary, then you will not be able to attract the bright students to the field of medicine. right now medical schools are very difficult to get into, and often attracts best students from collage.”
I am not talking about lowering their salary, their salary would never be there if determined by free market. “attract the bright students,” Do you think tests can select the best students, tests can only choose good students. We have plenty of good students. Most Drs’ work are routine work, they needs to be careful and responsible persons, a few positions need to brilliant but so is other professions. Real advancement of medicine depends on the ones developed MRI, CT and those magic drugs, we need brilliant people to be there.
回复XZ1980的评论:
the residency training in US has strict standards -- this is one of the reasons foreign doctors may (not all of them) need to redo their training, to ensure the quality of care.
Also pls keep in mind that doctors in US pay very high tuitions for medical school, and get paid very little during their long residency training. if you lower their salary, then you will not be able to attract the bright students to the field of medicine. right now medical schools are very difficult to get into, and often attracts best students from collage.
XZ1980 发表评论于
回复紫萸香慢的评论:
Why you allow so many "江湖 airline companie exist," you are not afraid of this many "江湖 airline companies" to "摔死" you. Why not kill all the 江湖 airlines and allow only Ameriacan Airlines to fly?
Why you do not allow Homedepot to merge with Lowes? You are not afraid being killed by a falling house built with 江湖 building materials from "江湖 stores?"
Why you do not allow GE to merge with Honeywell, you are not afraid "江湖 engines made by so many 江湖 companies" send you to the bottom of the sea in no time?
XZ1980 发表评论于
回复紫萸香慢的评论:
Why you allow so many "江湖 airline companie exist," you are not afraid of this many "江湖 airline companies" to "摔死" you. Why you do not allow Homedepot to merge with Lowes? You are not afraid being killed by a falling house built with 江湖 building materials from "江湖 stores."
Why you do not allow GE to merge with Honeywell, you are not afraid "江湖 engines made by so many 江湖 companies" send you to the bottom of the sea in no time.
XZ1980 发表评论于
回复紫萸香慢的评论:
Yes, How do you know in the current monoply system, those Drs are not "江湖医生." In the free market, at least I have choice not see those "江湖医生." In the current system, those are the only Drs. we have.
紫萸香慢 发表评论于
回复xz1980的评论:
free-market 医生。罢了,江湖医生多得是,您老先去试试看。
xz1980 发表评论于
There are a lot of debates on the high healthcare cost in US. I believe the root reason of high health cost is the artificially inflated Dr's salary.
This problem primarily attributes to the AMA (American Medical Association), an institution which effectively enforces a chronic supply shortage of drs. The production system of Dr is strangled by the withholding nature of the AMA, which requires every dr practices in US to have residency in US (even for well experienced froeign Drs). On the other hand, the AMA restricted number of residency slots available. This environment prevents equilibrium of supply-demand from occurring, or the AMA effectively enforces a chronic supply shortage of Dr to the increasing demand. By eliminating competition, Drs can maintain high salary.
AMA’s monopoly on the production of Drs has to be removed. Let the free market decide the price. Capitalism is best at determining fair value when you don't have unions controlling supply of labor or politicians picking winners or greedy monopolies eliminating competition. In the free market environment, the Drs have to provide good service at reasonable price to stay in the market in which the consumer will benefit.
Without free market in the production of Dr, the country will be dragged deep to the sea. Any reform without changing current monopoly in production of Drs will not work.
JustBrowsing 发表评论于
The only difference is that the lady gave the tip AFTER she was treated.