Why Does America Have So Few Doctors?
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- เผยแพร่เมื่อ 1 มิ.ย. 2024
- We’ve heard for years that America is facing a shortage of healthcare workers and, more specifically, doctors. It sounds like an easy fix, right? We just need to train more physicians. Well, as with most things in life, it’s not that simple. Here are 5 reasons why America has so few doctors.
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TIME STAMPS:
00:00 Introduction
00:26 Length of Training
02:03 Cost of Training
03:27 Limited Number of Residency Spots
05:55 Limitations on Importing Physicians
07:25 Aging Population
LINKS FROM VIDEO:
Medical School Competitiveness By Country (US vs Canada vs UK): • Medical School Competi...
Why Medical School is Becoming More Expensive | The Hidden Costs: • Why Medical School is ...
Affirmative Action & Medical School Admissions | The Uncomfortable Truth: • Affirmative Action & M...
#doctor #doctorshortage #medicalschool
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AAMC: "America has a doctor shortage! We need more doctors!"
Also AAMC: * makes just applying to medical school so ungodly expensive every year that potential doctors from lower income households are discouraged from applying *
If you're low income, applying is free.
Fill out the fee assistance application
Is free in Eropa
@@carkawalakhatulistiwa "free" wrong...you "over" pay for it through taxes - less fraud, waste and abuse.
@@smartaleck6 ye and than ur gonna make 120 k a year and pay off ur debts if the school was free than the doctors salary would be something like 80k a year the sums differ quite a bit on differ t variables but u get the point
Haven't watched yet but probably has dollar signs somewhere in there
Lol ja
Follow the money 💰
I’m not sure what developed country has poor doctors. Also, the bigger issue in healthcare are insurance companies and MBAs.
Shocker, I know
Well, it's America u know ☕ 😂
Tbh I've always viewed this as a remarkably simple issue: The AMA and AAMC deliberately lobby for policies that keep medical care expensive. Institutionally, the American medical system is singularly focused on maximizing profits.
As such, limiting the supply of doctors is a logical action. Producing a small pool of doctors gives you control over supply. Making sure they have crippling debt means they won't rock the boat. Seems pretty basic to me
Yep. Give this to people and don't question it or you're out.
Okay.
On the money
The metaphor I've heard used: why lower the price of milk for poor people who need it for their children when some rich guy down the road can pay bricks of gold for a small amount of it to feed his cat? The milk man gets filthy rich off these cats in this scenario the same way doctors in the US get rich off renting private insurance.
I wish I could disagree, but the junk mail and spam I get from various major medical associations suggests this is a major part of their purpose.
except that Canada has the exact same problem and our healthcare system is publically funded
Medical school expense despite a Doctor shortage is one of those things that make little sense.
He explained that in another video
It makes sense once you realize that capitalists run the healthcare system
Corruption and corruption
Educating in the USA, even if one does not establish a permanent residence or gain citizenship, is still widely viewed as economically valuable. Huge market demand to gain exposure to US markets. Exorbitant privilege
If the U.S. accepts more doctors, doctors salaries would go down. On the plus side, they can get less burnt out.
I'm a medical doctor who spent 4 years in a college degree and 10 years in medical training to become a subspecialist. The system in the U.S. is weird with regard to residency because hospitals should be the one paying resident trainees for the huge amount of work that they do. In my country, residents are always employees of the hospital, albeit temporary ones, and get a regular salary. It's quite low relative to the hours spent but it's high compared to most other positions in the hospital.
Wait. Who pays residents then?
@@marlonmoncrieffe0728 For private hospitals the salary of the residents comes from the hospital's earnings as a business. For state-run hospitals that cater to poor and indigent patients the government pays the salaries since residents are government employees during their training
Which country are you a practitioner in?
@@indethbed2546 in how many countries is this not the system?
@@indethbed2546 I’m not the original commenter but I’m a med student in Honduras and that’s how it works here. We get paid for our “residencies” although that’s not what we call them.
Because this is America. Here, we solve problems by creating more problems. Cost our students more. Create bottle-neck at the top so that medical school does not have enough residency seats for graduate even IF our medical school takes more students. Bag as much money we can. Then turn around with the audacity to call it a "doctor shortage". Then we allow foreign doctors to come into our country to practice instead focusing on improving the process of creating American doctors. We have made medicine a field that only a selective few can access.
small detail that isnt mentioned. not every residency seat is filled. the issue is that for competitive specialties like surgical subspecialties and high compensation and better lifestyle specialities, they will be filled. the doctors that we need are moreso primary care, but there is less interest in primary care from the us grads, which is why foreign intl grads come in to fill those spots. there was a recent article that sparked public outcry of a physician not matching into dermatology. dermatology is extremely competitive due to its high reimbursement and great lifestyle for ANY physician. many US grads go unmatched in these competitive fields, but there are residency spots available. its just that for someone that spent their 4 years hoping to become a dermatologist, they would rather reapply than take a spot in a different specialty that they dont want.
What s the problem of having more foreign doctors?
@@ahmadelalayli8042 So if you live in a country, where the government is funded by your tax dollar decided to hire foreign workers while having a surplus amount of workers at home. Yet, both are qualified to do the job. In addition, you create a bottleneck, red tapes, and expenses preventing workers there from getting the job. My point is, that your own government blocking you from getting the job and instead favors foreign applicants, that is the problem.
@@wayneenterprise463 i think that the video did a poor job describing the situation.. the only specialties that international students match into are specialties unwanted by american grads where there aren't enough american applicants to start with (pediatrics, Internal medicine...).. believe me it s extremely easy for an american graduate to match into these specialties (unless if they re completely under qualified i.e. failed their usmle exams, had major disciplinary actions against them... and even these students eventually do match into programs mostly in undesirable cities like Detroit but still they eventually match somewhere). To match into one of the desirable specialties for an international student is almost impossible (scores in 99th percentile on usmle exams, exceptional research, several years of us experience..). So it's definetly not a case of international graduates replacing local graduates but more a case of international students filling in the bare minimum of the deficit for the system to even work
Exactly why I'm planning on moving to a different country to practice medicine after med school. The American healthcare system is FUCKED on so many levels
Thank you for posting this video. Thousands and thousands of us are unmatched and have no place to train despite being massively qualified. The critical part not mentioned in this video is the existence of many unmatched U.S. IMGs (Ross, UAG, SGU, other Caribbean schools, India, Pakistan, UK, Poland, Germany, Ukraine, UAE, etc.). Unfortunately, there remains a high stigma of U.S.-IMGs attending school outside the country. It makes no sense. Fortunately, the Missouri Assistant Physician and Arizona Transitional Training Permit were developed for some of us to keep our clinical skills sharp as we feverishly prepare ourselves for subsequent Match Seasons. Yes, seasons. The year of graduation residency programs set for interview criteria puts us in a significant chokehold. Not only do previously unmatched American medical graduates apply, but the scores of fourth years, previously unmatched, and new applicants of well-established physicians across the globe apply. The number of residency spots does not match the number of applicants yearly. Regardless, they still gladly accept everyone's money during application season.
Furthermore, many of these unmatched physicians come from underrepresented and marginalized communities. Of course, if you have no data to show this, it is like commanding the winds to cease blowing. The fact is that 119,000K+ physicians in the U.S. have gone unmatched since 2010. The organization I am a part of has met with Congressional offices and Senators across the United States over the past two years, asking them to increase the number of GME slots via H.R. 2256, the Resident Physician Shortage Reduction Act of 2021, including opening training programs in rural areas. At best, they are astonished about the number and the pathway to becoming a licensed physician in the United States. Any of you can call up the offices of your state reps and request that they endorse this bill. It is a start because we need all the help we can get.
THANK YOU for talking about this congress bill, I just posted a comment here about it too and it’s the only way I see out of this problem for the time being! Medicine needs to band together and organize and advocate for this bill to get it passed asap. I’ve been calling my reps a lot about it but more people need to join so I’m so happy to see this comment and that there’s people aware of it!!
Perfectly said!
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It doesn't make sense until you remember that America is staunchly capitalist. Stop thinking about things from the perspective of trying to help people and think from the perspective of individuals maxing their own profits within the medical, medical "insurance", and political industries.
Suddenly everything makes sense and it's so much worse. The only real solution is solidarity of the working class and a rejection of the capitalist system. It was never designed to work, even on paper.
My dream once was to become a veterinarian. After learning tuition would cost me $70k a year, a vet’s salary isn’t as highly paid as MD, and veterinarians have the highest suicide rates I didn’t pursue it.
A lot of the doctors I worked under were overworked, burnt out, and overwhelmed.
It's all greed. Greed from the medical schools continuously increases tuition costs, even though everyone and their dog ACTUALLY learn medicine using 3rd party resources. Greed from the government limiting the funds to train more residents. Greed from our OWN doctors thinking about their own salary instead of the future of their profession and going against more physician training. Don't even get me started on how Residency itself is basically free labor for hospitals. Hiring a resident is cheaper than an RN. Do the math on the hours they work + how much their salaries are, and they barely make over minimum wage, or even below it sometimes. It's a no-brainer how so many people quit after years of being abused by the system, and then that system turns around and makes a surprised Pikachu face at the physician shortage.
lmaoo @ surprised pikachu face lol
@@Za1naa As medical doctor and someone familiar with anime I had to laugh at that Pikachu face part
Medical school costs are a direct result of our government loaning students the absurd amounts of money that allow the schools to charge so much in the first place.
a graduating medical student has more clinical knowledge and experience than most graduating PA and NP students, yet a fresh resident physician makes half or less salary than a fresh PA or NP. med students complete 2 years of background knowledge and 2 years of clinical training, while PAs do about 1.5 years background, 0.5 years clinical, and learn on the job. Some NP degrees are done online. PAs are paid pretty much a full salary to continue learning despite less education/experience and 2+ years of debt, while residents physicians get paid half and have to shoulder 4+ years of debt.
@@captainsavem PA’s and NP’s have a far more limited scope and are just expanding on the roles that they already have years of experience performing. Resident physicians are performing a service in exchange for low pay in order to learn a specialty from the ground up. Residents are not really underpaid until they become chief resident and that of course is a very short period of time in their careers.
I haven’t even started this video yet. But I grew up poor and not very well educated. All I knew was getting into the health department was extremely expensive, and wait list were incredibly long. Now I’m in my 30s and went through a traumatic experience that has driven me too become a paramedic. The world doesn’t encourage you to be a doctor or anything like that anymore. This will not change anytime soon either.
It’s pretty irritating when I want to become an anesthesiologist, but need 14 years of schooling. Most of which is bs classes that have nothing to do with medicine or anesthesiology. Meanwhile, my Gf is a registered Vet Tech that did a 2 year program at community college and is an anesthesiologist for dogs. Like wtf is this? The exact same biological processes, even harder for animals because you have to figure out every last thing because they can’t talk. But because an animal can’t sue you, it some how justifies another 12 years of schooling and $300k of debt. America 🇺🇸
Guess they assume that youll make a lot of money after schooling. Still not an excuse. I'd apply for med school if it was free which it is cause I live in Europe. Rather take a shot with PA school than go there.
Become a Vet Tech. Your patients don't talk back or question your advice and payment is made in cash .
Yikes! That sucks, man.
Your right, same physiological and cellular processes.
Bro, forget the money you wanna be anesthesiologist you put people to sleep and guide them that’s what the job is. Fuck the money.
As a person who just finished high school and planning on becoming a physician, the most critical factors for me are time and money. It is scary to realize that in my 30 I’ll only reach attendance level with 300k dept behind me
Undergrad and med school loans, though nontrivial, will not preclude you from having an illustrious career as a physician in any specialty. Only your attitude can do that. Good luck.
@@TurdFurgeson571, totally agree with you. Thank you!
I'm literally starting hs. Its just knowing that I'll spend my 20s learning how to be a doctor instead of being a doctor while gaining debt each year is hard to come to terms with.
@@ManiGzz87, hey just hang on there. I believe you can do it, moreover we all gonna do it. That’s why we are here, right? I’m sure you can find some study/life balance by simple time management. Sure it is going to be hard sometimes seeing your friends hanging out and having a good time while you are studying all day long (at least it is happening to me right now), but I’m sure that by the end of the day it is all worth it :)
as a 4th year medical student in the US let me tell you, if you are in it even remotely for the money/lifestyle it is NOT worth. For the effort and smarts it takes to get into med school, you can be making way more and starting to grow assets way sooner in your early 20s in tech, finance, engineering than you can in medicine.
There's no shortage of applicants. Funding however.
with all these limitations on medicine, the government's continued reach into medical practice, greedy hospital administration that cares more about profit than care I wouldn't be surprised if the shortage of physicians doubles by 2034. It's sickening what medicine has evolved into.
Medicine is now a prestige calling for the independently rich
@@murraysolomon4924 This is absolutely the case. If you do not have the financial means that prevent several other aspects of challenges an aspiring pre-med would face, it's almost impossible to succeed
LMFAO! It's the friggin' doctor's lobby group (the AMA) that wanted the government to reach into medical practice in the FIRST PLACE!!! Why do you think doctors get paid so much? BECAUSE the AMA lobbied for a cap on residency programs. Less residency slots = an artificially low supply of MDs and ODs who can actually see patients = higher wages for those who pass residency!
The gatekeeping's falling apart because the doctors bit off more than they could chew. NPs and PAs will take their turf and bring doctors' astronomical wages down on their own!
@@SamianHQuazi NPs and PAs can only complement the lowest paying specialties: Family Practice, Internal Medicine, and Pediatrics. With the one exception of Anesthesia, they cannot affect the high salaries of surgeons and procedure oriented physicians. The story is much more complicated than the AMA in which only a minority of physicians belong. We need more residency slots and if you really care contact your Congressman and Senators and let them know we need more residency slots yesterday.
By all means, go try living in a country where the medical system revolves solely on cost containment. See if that pleases you.
I decided not to Persue medicine because I’m not willing to take so much debt. They ask for 1 million requirements and even then you’re not guaranteed to get in. Fuck the med school system in this country.
You can go into health administration 😂
Get out of the u.s then.
Greed there Is systemic.
I chose nursing for that same reason. At least as a nurse I’ll have a life and won’t have to sacrifice my 20 and 30s working to get out of debt
Another reason is when you finish it you are old
I really don’t understand why we need a 4 year degree first considering you can even apply with an art degree
it's social engineering related to 'who' gets accepted at US medical schools. 'people' with education and spanish degrees get accepted while 'others' with STEM degrees do not.
These were all the reasons that made me reconsider back when I was studying for the MCAT. It’s ridiculous that there are so many barriers to entry.
This is why many people are going into nursing or physician assistant route shorter training and still make good money.
The other problem with recruiting foreign doctors that people don’t mention is called the ‘brain drain’. We’re taking all the professionals from poor countries who really need those professionals. I’m not saying we shouldn’t take foreign doctors, but it’s another point to think about that wasn’t mentioned
"Recruiting" isn't the right word where foreign specialists have to jump through expensive hoops just to work alongside US residents who barely know how to use a stethoscope.
I relate to this a lot! My SO did a foreign medical degree, with the intention of doing Step 1 and residency here. But he's already found a job that he likes! If there was a better training system here, he'd be a great candidate to work at low income clinics off and on. (He grew up poor and is very interested in volunteering.) As is, there's too high of a cost to take a pay cut and have those horrible residency hours.
Great video, definitely gave a lot of clarity to the issue!
Agreed!
We may be short on Dr's. But we have PA and NP which is something that does not exist in other countries.
Healthcare System:
You should consider becoming a doctor. All you need are 11 years to gain the expertise required to go into medicine.
Me:
So I have to throw 11 years of my life away?
Healthcare System:
Yes, and go into 6 figure debt too. But it’s rewarding.
Me:
Wow, so I sacrifice my best years and have to pay for it, what a deal!
You forgot the part where they try to haze you with horrible working conditions created by the artificial shortage, so your mental health will be put to the test as well.
America does not have a doctor shortage but a distribution shortage. Chicago has a many cardiologists as the UK and rural Arkansas some has none in 100 mile radius.
Working on a solution to this, will watch this video :) thanks for the good content
Hi. Thank you for great videos. Can you please do So you want to be “Doctor of Physical Therapy” video?
I have wanted to be a doctor since I was a kid. I hope things change cause it will make this dream of mine that much more attainable.
I’ve always wanted to own 10 McDonalds franchises. Hopefully they will start giving them away for free so I can realize my dream too.🙄
@@edhcb9359 I’m working toward my goal. I don’t need a free bee but if what I hope to provide happens to be in demand then that’ll make it more attainable. I’m not asking for a free bee, but I’ll appreciate any advantage or backdraft I can get.
@@BET2381 Word of advice then. If you want medical school to cost you a whole lot less then high grades(3.9 gpa+) and high mcat(520+) are your best friends. It can easily knock half the cost off or more with the right merit scholarships and you’ll probably receive some need based as well.
@@edhcb9359 thanks I appreciate that.
Can we talk about how medical boards specifically don't allow too many people to enter a medical school, so that salaries can stay high?
which is anti-capitalism. Capitalism would allow the market decide how many doctors there are, and not allow some private non government entity to control teh market for personal gain. Anticompetitive behavior is anti-capitalism.
@@SoloRenegade it's socialism for the wealthy and capitalism for the poor and middle class.
@@1MinuteFlipDoc Wrong. Socialism for everyone. if we truly had Capitalism for the poor and middle class, they would be outperforming the rich.
I don't think you know what capitalism is nor what socialism is. If anything the US is currently a Corporatism system which is also bad. But Capitalism is the best and freest economic system ever devised so far in human history. Everyone would be better off if the US and other nations returned to capitalism overall. We could fix a lot of things like the US healthcare costs if we did.
@@SoloRenegade Outperforming an individual CEO means nothing when a CEO has access to millions of dollars and the average middle-class entrepreneur can't muster up more than a couple thousand without the IRS taking half of it. This is corporatism, sure, but it's just last-stage capitalism. The US did have relatively free markets at one point, and we saw how that worked out with the Rockefellers, Vanderbilt, Carnegie, etc. monopolies. If you really think that capitalism, as it were during the Gilded Age, was the "best and freest economic system," you are hopelessly mistaken. Capitalism in its infancy is great, but in time it sheds its meritocratic essence and tail spins into political corruption and wage-slavery.
@@mpc7440 "Outperforming an individual CEO means nothing "
What are you going on about? this has nothing to do with what we're talking about.
Spanish speaking residents of Miami have figured out one the fastest ways to become a physician. Two years of pre-med classes at Dade County Community College, and 4 years of medical school in the Dominican Republic or South America. No MCAT,, no shadowing, no research, no volunteering required. Do well on the STEP exams and fluency in Spanish (much in demand) and you are in a US residency. Learning Spanish can be as important as an MCAT score to becoming a physician.
woww spanish speakers for the win
2022 Family medicine match rate for US MD schools: 98%
US IMG student: 58%
This is certainly a fast way, but a risky one.
@@tensorflown What we don't know from the numbers is what percent of US citizen IMG students who have excelled in U.S. clerkships don't match. The match rate for US citizens who have gone to MSIH school of medicine in Israel and completed clerkships at Columbia (school tie in) is 90%
@@murraysolomon4924 And it is significantly more complicated to get a clerkship as a US IMG. There's always a price to pay, and on average, numbers about averages don't lie.
@@tensorflown There is a price to pay even if you are a US student who wants to go elsewhere for a clerkship. There are foreign programs with automatic tie-ins to US clerkships. Anyone venturing out from their home base for a clerkship will face obstacles but with judicious planning they are not insurmountable. People I know have done it. No one ever argued this was the optimal route but it can yield success.
Great review. RS, MD, FRCS. Canada
Im in college right now and considered various fields ain't no way im studying 10-12+ years spending Hundreds of thousands of dollar to end up making like $210,000 a year which is the average salary for a Medical doctor in 2022.
Excelente video!
Very informational. Thank you for the time and effort that you put in to producing this video. One aspect of this situation that you did not explore is the contribution of non-physician providers (NPPs) to the delivery of
Switzerland is not really a good example: you graduate high school at age 19 then you have an entry exam to study medicine with an acceptance rate of around 35%, which many have to retake, then 6 years of medschool and at least 5-6 years of residency (3 years is only for primary care and most take longer to complete their residency) for a total of around 12 years. Average age to finish residency is 35
Switzerland is also not employing race based admission criteria so many applicants on this channel would be out of luck if they lived there.
@@edhcb9359 yup, 'people' with degrees in education and spanish are accepted over other people with STEM degrees. social engineering at work!
I'm impressed at how thoroughly this issue is covered. Thank you for the insight!
Im so excited to become a medical school student thank you for making these videos
Its amazing how much worse it's become since 2011 when I had to leave the field. Saw these issues fomenting back then and no one cared. Now look at it.
Addresses some of the issues... The reality though is the US intentionally wants a deficit of doctors because they cost a lot! The medical system is for-profit so there isn't an incentive to have a surplus or at least enough to meet demand. Also, the proliferation of nurses taking over physician jobs costs less to pay salaries even though there's data to suggest that they actually add to costs. Again, it's all about keeping costs low.
Not to mention physicians themselves have a very strong lobby to maintain a certain pay.
Not to mention physicians themselves have a very strong lobby to maintain a certain pay.
Of course, we sacrifice over a decade of our life to be hit, abused, spit on. I genuinely want to help but I’d also like to be financially independent. I am a first generation college graduate that grew up very poor.
Dr. Kevin back at it
You nailed it.
Congress actually limits the amount of residency slots that can exist in US every year.
Your videos are always great I wonder which animation software u use
Residency is not required here in Brazil. I became a physician by 23
And you make peanuts.
The burden of doctors is very heavy
Same in Colombia but quality of life without residency is lousy. Like being an intern forever, overworked but underpaid
In the UK, "residency" is at least 5 years, for the shortest pathway. 2 years of foundation training and then 3 for speciality, but most speciality training is 5-8 years
Currently finishing residency in a foreing country but am a US national and was thinking about trying to apply to practice in the US, but thanks to having that dumb-ass requirement of having to be a resident AGAIN, heeeeelll no, thats something I would prefer to not repeat
you have to have a strong passion to help poeple to get through all that training. I like helping poeple, but couldn't bring myself to commit to that. Instead of training new doctors, now they are training more mid-levels NPs/PAs to fullfil the role to the point where there are degree mills.
Yeah cause the medical system is struggling to keep up with the demands from patients. Making appointments years in advance. Thus falling apart.
The need PAs and NPs to plug the hole into a sinking ship
There aren't enough pilots, so I think we should let baggage handlers fly planes. Of course, it would only be for the poor people though.
Nah, there would never be such high competition if the salary was 50k. People go into medicine for money and prestige, not for helping people lol.
@@chrisr.6638 How? You have to do so many hours of "helping people" and you have to some how convince the med school interviewer that you're a people person. If people went into medicine for money they would not get pass the interview
Im a young doctor leaving the workforce. AMA hasn't done anything to make the lives of doctors any better. It's not really worth it to be a doctor in the USA
Its literally shit ton of reasons why America is facing a physician shortage. Like the video states, the length of education and debt are some of the reasons. And I think those 2 are the biggest limiting factors. Unless you really love medicine, there are other fields out there that are more rewarding and where you can earn more money without going into such a long training, debt, and deal with horrible American health care system.
It is true that the road to becoming a doctor is expensive and there's few of them but that is being compensated by the fact that paramedics and nurses have a higher scope of practice then the rest of the world and do more. Also with the addition of the PA it allows doctors to be more hands off and manage.
I knew a lot of friends in college who were very bright and decided to do nursing, Physician Assistant, and other healthcare careers instead of physicians because they wanted to make money ASAP to help out their families and/or felt guilty over burdening their family with med school debt.
I chose to do nursing I can major in nursing at a college and graduate in 4 years and work in healthcare in my early 20s. The length of schooling and the amount it costs to go to med school is insane. I feel like med school should start like how college start’s have it as a actual college major like nursing. But no they want more money for med schools.
Wow I love the way you broke this down. Do you think increasing the salary or having benefits for students to pick a primary care speciality can help alleviate this? And if they later on want to pursue a certain speciality there is a shorter pathway to get there?
Well if you do IM you can practice primary care and if you want specialize later on all you have to do is a fellowship which most are 1-2 years
@@mustang8206 Sorry if this sounds silly, but what is IM?
@@mustang8206 I am aware of this but I’m saying if they were to bring out more benefits/incentives in doing this. Maybe it’ll help?
@@kianas5213 internal medicine
@@raineceeaddy Thank you so much! I was thinking way too hard about what it possibly could be lol
technically incorrect on the shortest pathway, we do have 7 year bs/md programs like the one at CUNY. but obviously, that's the exception, not the norm
Correct
The problem with physician shortages is due directly to governmental policies. Why would you think the same government that caused the problem would be able to solve the problem? The solution is less governmental involvement, not more.
As an 'Merikan I ALWAYS need to follow the money! What role do insurance companies play in this debacle? How do they influence the hospital's policies? WHY do we require such a long training time and specifically to WHO'S benefits? The GREEDY UNIVERSITY'S ??
Add in 8 years of training minimum, finishing school with 300K+ in debt with a starting salary of about 200K for a primary care physician before taxes. That's a terrible ROI.
200k BEFORE TAXES, oh yeah fuck that, the starting salary should be 400k if anything.
As a physician in the UK, of course you should increase the no of US physicians and tackle the shortage but to go to the extreme as the UK has would be a huge mistake. We’ve had a huge influx of overseas doctors with very low barriers to entry and our salaries are dwindling as is our negotiating power!
Salary is your issue 😔
@@coolestvideo100 yes. physicians are human and have family, kids, and bills.
@@coolestvideo100 well of course it would be how on earth do you think I keep my kids fed, a roof over my head etc. cost of living is rising by the day!
Your salary is the direct result of a system that solely revolves around cost containment instead of patient outcomes.
this is the comment that I needed to see. with decades long of physician shortage, there have been some innovations. with the advent and acceptance of telehealth and teleconference, physicians and healthcare teams are able to access areas that traditionally have difficulty with healthcare accessibility. patients who need immediate care have logistics figured out for them. not the perfect solution, but an opportunity and a step in the right direction. the concern for many is the reimbursement. the public thinks every doctor is turning a blind eye to suffering while on their yachts, but the reality is the cost in time and money to pursue this path, as well as the sacrifices that have to be made. there will always be a demand to become a doctor, but nowadays, prospects are factoring in lifestyle. not every residency spot is filled, but the spots that remain are in specialties people did not apply for and not their primary specialty.
Who needs doctors when you can get nurses and PAs pretending to be doctors?
Why go to school for 10 years 300k debt when I make 80k a year and I went to school for 1 year. Sure in the long run I guess the doc makes more. But also I have 10 years ahead of them of making investments
Most primary care is done by nurse practitioners in the us but get to charge as much as a primary doctor .
Even specialities like pulmonologists have RNs who get to bill at a specialist rate and patients rarely get to see the doctor.
Lies.
They bill the same rate if it's private insurance. And typically still get to see the physician at the start.
Not medicaid or medicare. Impossible to do that .
Sorry, that's a flat-out lie. No RN that isn't also an APRN- which requires additional years of graduate education and licensure- is billing for those types of services. You're diminishing the importance and training of nurses to make some dishonest argument.
@@isocarboxazid are you talking from the perspective of a payer, patient, provider, or purchaser? I am talking from a patient perspective and have anecdotal evidence including my own experience .
Maybe someone broke the law and overcharged me but I doubt it. If you are in medical billing maybe you can help me out .
Medical school in Switzerland is the same in my country . Currently in 2nd year
To keep it simple as Mr Crabs would say MONEY
who are you kidding? spot are limited to keep wages higher..also nurses are being used more as doctors in some specialties too maximize PROFITS.
They are doing 3 year FM program at some medical schools.
So why don't they change the policy of having a bachelor's degree first? I think this may be the major problem.
Or 2 years undergrad instead of 4
US actually has one of the shortest medical training pathways simply due to specialty matching as a medical student.
The biggest thing that should happen is for all colleges to be free or affordable.
Like. No loans needed (or only in rare cases… and if so much less than the 500k in the us).
Over all study fields. Then more disadvantaged students could also attend college.
Even in countries where the schooling is free, the students take out large loans to support themselves during that time because all of the living expenses are not free. And then when they practice they make less money and pay higher taxes their entire life. 🤷🏻♂️
Why would physician salaries decrease in the setting of a doctor shortage?
I don’t think there is a 3 year residency in Switzerland. Internal Medicine is 5 years for example.
we could use a lot more nurse practitioners and physican's assistants which would be a lot cheaper And all those foreign doctors who want to come here might be able to retool for such programs if they cannot get into residencies.
😂 Switzerland also has too little doctors. Many come over from Germany.
And most unis (where med schools are) have increased numbers. ETH has added a medicine bachelor.
But still not enough
Oh and residentcy can be done in EVERY hospital. (From huge university ones to tiny countryside ones….. with literally fields and farms around)
So places are practically everywhere.
It has to do with the good old boy network to keep prices high. Companies post how many doctors they will accept and then schools will only accept so many students. So hospitals/companies keep the numbers low to keep prices high.
This video was great the only bit I would've touched on is, if done less shadily and more authentically Carib schools would be the only entities combating this shortage. Especially in the realm of creating minority physicians. I went to a carib school and ultimately chose to drop out and come back to a school in the US. I start this fall (video about it on my channel) and I couldn't be happier to leave the "IMG" boat!
Good luck to the "friends" I've made!
The graph in thumbnail should have a number of administrators plotted as well... That should provide an interesting insight.
Is New york among the few states that allow doctors to practise medicine without obtaining the American boards ?
It's absurd how many problems America creates and how little is done to address them. As always, the one who will pay the heaviest for the incompetence of our politicians will be us common folk. I wish we'd place a larger importance on the health and lives of the masses rather than the excessive wealth and luxury of the few rich and powerful
For the investors and owners of the health care system this Is not a problem. The system is designed to maximize profits and that requires a very limited supply of doctors. That’s why no party is seriously considering any increase in the domestic supply of doctors. It’s just not in the cards.
Surely there must be a way, people protests on other issues, this is a far more important issue.
i come from a family of doctors and wanted to be one when i was a kid, but the length of schooling made me change my mind. why waste your 20s and not earn anything until your 30s when you can go to another field that pays just as much without the education costs, wait and risk of unhappiness? i'll go make money first and learn medicine later if i still want to. that's why the talent's going to tech and business
plus my dad always complained about the pains of dealing with insurance and hospital administration... no thanks. money = choice. money first, passion later
The issue or shortage of doctors in Uganda is something we greatly face. But what's funny, on the one hand there is a shortage of doctors then on the other hand there are doctors who are unemployed
Does this suggest that were those obstacles removed, the desire to be a doctor is big enough to fill the shortages?
IMGs have a lot more red tape than just the USMLEs and repeat residency. A lot, if not the majority, of residency programs have an unofficial ban on IMGs who’ve graduated more than five years prior to the time of application. Then, there’s the letters of recommendation, which are absolutely required and, again unofficially, must come from U.S. trained doctors. Then there’s the unofficial but requested U.S. clinical experience, with are basically rotations that you do at American hospitals, and observerships don’t count. One of those rotations can cost around $900/wk on the low end! And most programs require at least three months of USCE (in Florida, they all required one whole year, last I checked). And even with all of that, you’re still at a disadvantage because you simply didn’t train at an American school. And I forgot to mention that the AMA is about to impose a ban on IMGs who come from foreign medical schools which are not accredited to American standards. Only a handful of countries in the world have signed up on that. All of that applied to me, and I’m not rich, so I decided in the end to simply go through medical school again here in the U.S. (not residency, the whole bachelor’s -> med school -> residency path!). Thank goodness I’m young enough. Most IMGs simply stop practicing medicine when they move here.
I went to med school abroad and did residency in US with many IMGs from many different countries. Yes it's complicated but people do it all the time. Several US med schools have programs for IMGs to do rotations/observerships. And letters of recommendation from US MDs obtained from observership do count. But yes you do want to start the process as soon as possible after finishing med school. Even passing usmle is much harder if you graduated several years ago.
You said it’s not a simple solution. But why not add more residency slots from the 2021 consolidation act? Seems simple enough.
High stress and 200k of debt vs a basic 4 year degree and good pay? Yeah, it's a no brainer
200k of debt? My guy, that's the debt from the 90s or early 2000s. Nowadays it's a blessing to stay under half a million.
Dr. Jubal, (or anyone else who can answer) I am currently a senior in high school and I’m planning on taking premed courses during university. The thing is, I don’t want to become a doctor in America for many reasons. I hope on obtaining a European medical license but I’m not quite sure about how I would go about that. Can you please explain more about international med students? -Twyla T.
I would stay start looking for school that you are interested in! Good luck
@@itsmaybetv Many European medical schools accept American Students. Look to Ireland, Italy, and Poland (all members of the E.U.)
@@murraysolomon4924 Be aware of what you face in Poland though- the med schools there are fine BUT the degree you get if you don't speak Polish and study in English will be counted as a non-EU degree. So when you look for a job in the EU afterwards, you will have to do some extra requirements.
I want to become a surgeon but I don't have the money and I don't wanna be in school till I'm 30
Nobody is going to mention the fact that over 50% of doctors are now women and that women, on average, work fewer hours and shorter careers and take maternity leave. Not that that’s a bad thing but that will greatly affect the available pool of doctors at any given time
But the wage gap
One crazy option is to have medical students serve residency or those waiting for residency to be on the front line with family Doctors and start there before transitioning into other fields. This will help to (1) keep skills sharp while they wait for other more specialized medical career options (2) alleviate the overloaded field of family medicine, potentially branching out into under served neighbourhoods (3) greater access to a family doctor could make a bigger difference in keeping people in better health and not needing specialized care (treat anthills before they become mountains)
(4😂) If you watched enough of DR. Glaucomflecken(TicToc/TH-cam channel), Family Medicine is most deserving of having a Johnathan. Even if it’s for a short while
Interesting video. When applying for a college or university, which subject is it best to major in or what program is it best to enroll in if I want to become a doctor?
A lot of schools have different qualifications, but, given my experience, the courses my university looked for were my grades in high school Chemistry, Biology, Physics, Mathematics and English. As for the university program, you should select a Bachelor of Science in Biology or Chemistry. Minors can vary, although it is recommended that you select something related to your future career. Emphasis can vary, e.g. if you want to do Veterinary Medicine or be a surgeon, you can select a Zoology emphasis, if you want to work in other fields in 'human' medicine (be it radiology, anesthesiology, etc.) you could select a Biomedical emphasis. Some med schools even reduce the time of schooling if you pick one of those emphases. Hope this helps!
As long as you get your pre-recs done in there somewhere, you can major in anything technically. If you want to have your degree pretty focused on those topics, though, you'll wanna do something STEM. Biology, chemistry, biochemistry, health sciences, biophysics are all good majors (biochemistry has the most overlap usually). Statistics show non-STEM pre-med folks doing pretty well, though, too. English majors that end up taking the MCAT and have done their pre-recs do statistically quite well compared to bio majors, for example, mostly because of how well prepared they are for the CARS section.
So, choose a major based on your interest, and to potentially have as a backup in case med school doesn't worn out, but get those required classes (bio, chem, biochem, physics, stats, psych,, soc, and english are usually the main ones) done. And focus more on what's gonna make you a better doctor than just "what's gonna get you in."
I was a biochemistry major with a minor in Spanish, by the way
@@future_doctor_sam Thank you, now I'm not so confused anymore. I think I might major in child psychology or biology considering that I want to study pediatrics. Thanks for the advice 🙏🏿
This channel has an older video on that.
Well this was fun
There is a certain demographic being "preferred" in medical schools. This demographic when they get their MDs only practice for 3-8 years after their residencies, before leaving their careers as medical doctors. I will let the readers figure out what demographic I'm talking about.
Who rich people who don't have to pay back loans?
@@bealisan , nope! Try again!
The passage rate for medschool causing a longer training period is only true if the applicants not passing were so bad you wouldn't accept them even if no one else applied. This is not true though. Only the top 0.36, your numbers, people get chosen even if many of the ones not chosen would otherwise be qualified to be trained. The strict requirements are essentially only there because there isn't enough capacity to train everyone.
Shortest possible in America is 9 years if u account for 6 year BS/MD programs
Please do a “So you want to be a neuroscientist”!
You leave out the impact of medical insurance participating doctors who must accept the meager claim payments by insurance for their services.
Because no one wants to wait until they’re 40 to start making money especially with this inflation. End of video
Because insurance companies won’t let them actually practice medicine? And many aren’t allowed to accept cash in lieu of insurance if they accept any kind of insurance at all?
OK, in the UK, for home students with no prior degree, med school costs the standard price (£9250 a year), plus living costs, for the first four years, after that (for the remaining one or two years) no fees and you even get a bursary. There is of course a massive bottleneck in getting a medical school place at all.
After graduation, unless you fail the "situational judgement test", you are all but assured of a place on the two year, and salaried, "Foundation Programme", which is rotational, and the equivalent of a double length internship.
You are not assured of getting into a "residency", or a training programme leading to consultant, but you can still work in hospitals as a "house officer" after passing the Foundation Programme (I think technically after passing the first year of the Foundation Programme, as you would still have full registration with the GMC).
Also, it seems much easier for international medical graduates to practice in the UK. The visa seems easy to get. They do have to do a two-part test, one a multiple choice test that can be done in many places, one an OSCE that can only be done in Manchester. But, after passing, there is no official prejudice, except that doing a non-training job, and getting your certificate signed, is much better than going straight into the training system even if eligible as more slack is allowed in non-training jobs (there after all not being any deadline).
You ever think that residency in metropolitan areas give medical students more experience treating a more diverse population with more complicated illnesses?
I'm a PA that did a Postgraduate Emergency Medicine Residency at the largest ER in the U.S. That exposure definitely allowed me to be competent and composed on a wide range of conditions from gun shot wounds to vehicular multi system trauma, drug ODs, tropical and community infectious diseases, acute and poorly controlled CV and endocrine conditions, OB and pediatric emergencies etc. This exposure unfortunately isn't available to all physicians and PAs it does require a large metropolitan area to have the diversity and case load to learn from the exposure.
They're facing a big shortage while making it so hard for IMGs to work there, like I don't understand this schizophrenia lol
First and fifth reasons are the same in my country
We need systemic change to the medical school system.
Build more medical schools.
Subsidize tuition costs for medical school.
Have tuition-free undergraduate schools.
Increase funding for residency programs.
Why does impoverished Cuba constantly beat the USA in the quality of their medical system?
The US medical system is trash!
Soooo, the number of years nurse practitioners train is similar to that in many European countries?!
And, really, it is just as simple as training more doctors. I GUARANTEE, if you eased up on restrictions, large medical organizations with multiple hospitals would jump at the chance of placing residents at the more rural hospitals.