> It's worth noting, by the way, that the United States has a shortage of medical doctors.
That's a pipeline problem. What the U.S. actually has is a severe bottleneck in available places at medical schools and for residency training.
That's a pipeline problem. What the U.S. actually has is a severe bottleneck in available places at medical schools and for residency training.
Instead, what does an uncredentialled Chemistry Bachelor do after dropping out of medical school? ...I became an electrician, which allowed me to help people without sacrificing my lifestyle.
If your goal also includes "make substantial sums of money," I always recommend to preMeds they consider all the different ways someone can make money helping people without having to sacrifice your entire early adulthood.
The majority of my medschool classmates refer to me as "the dumbest smart guy they know," but in confidence several have expressed jealousy at not having to work so much (for IMHO so little, as physicians). Just cogs in an overly-complex, wealth-extracting machine...
When you’re smart enough to understand the consequences the of your “dumb decisions” and have the EQ to navigate the aftermath.
To each his own. I think higher education in America is primarily designed to degrate and beat students into submission.
As I've heard repeated elsewhere, the road to tenured PhD is paved with grad-student bodies.
Additionally, while many may be knowledgable about the medications they prescribe, I have had nurse practitioners prescribe me medication they didn't even know existed, as in during my session I asked for a specific medication based on a personal recomendation from a freind in the field, they didn't know what the medication was and looked up on google and then prescribed it to me.
There are good nurse practitioners, but they simply should not be prescribing long term pyschiatric medication with the level of schooling they have.
It takes 2 years to become a nurse, and 3 years to become a nurse practitioner. Additional certification is required to prescribe certain medications, but even then the amount of training and classes a nurse practitioner will take to understamd medications is very small compared to a psychiatrist.
It's absurd. NP's have been the solution to psychiatist shortage and it seems no one cares. Most likely, because anyone who knows is zombified by SSRIs by shit NPs or is in the medical field so their vision is already clouded by bias. Nurse takeover is a joke. Anybody with 2-3 years of schooling should be relagated to changing bedpans and putting in IVs. Not functioning as psuedo doctors.
How human that this practitioner admitted to not knowing something; then took the time to look up the drug's factsheet; and then trusted you enough to take your friend's personal recommendation.
>There are good nurse practitioners
Agreed. And terrible physicians, as well as good.
>...but they simply should not be prescribing long term pyschiatric medication with the level of schooling they have.
Agreed – with the additional thought that even physicians overprescribe these mind-altering substances in far-too-abundance.
>NP's have been the solution to psychiatist shortage and it seems no one cares...Nurse takeover is a joke.
I think most people "on psych meds" really just need better friends / families / societies / healthcare . It is most unfortunate that we are our own worst enemies, sometimes; particularly in allowing US healthcare expenditures to be highest with no obvious benefit (to patients).
It all made me so sick decades ago that I quit before even starting.
I programmers were smart, they would:
1. Lobby the government to prohibit anyone from practicing programming without a license.
2. Limit the number of licenses granted each year
Available residency slots are dictated by the funding made available through the Medicare program and ultimately Congress.
Broadly, it’s the same issue that all jobs have: it’s cheaper to hire pre-trained professionals than to hire and train.
Hospitals are really quasi-government entities. Their pricing structures have price controls based on Medicare reimbursements. A third of hospital revenue is Medicare and Medicaid.
Both programs have been slowing rate growth, which in turn impacts private insurance as well. The institutions haven’t been successful in reducing cost growth. ACA built out regional cartels^H provider networks, essentially eliminating competition.
Who is successfully lobbied by organizations of doctors
Congress doesn't make decisions in a vacuum
In much the same way that a doctor in $FOREIGN_COUNTRY cannot practice telemedicine in the USA, I would expect the regulations to make a distinction between software (and services provided by software) developed by foreign and licensed programmers.
U.S. retired doctor here. This is a fascinating possibility that never occurred to me until I read your comment. Could a foreign doctor not set up a system whereby she/he could appear to be in the U.S. while being in a country that's essentially unreachable by U.S. authorities? And take payment in cryptocurrency?
No way you're getting consensus on this one, but even if you could, it's too hard to stop. If you charge for compilers, and only provide them to licensed developers, hippies will make and distribute compilers for free.
Consensus isnt needed, just enough beurocracy to make development expensive.
Imagine that every programmer would have to study, say, Latin for 4 years before being allowed to code.