There’s a bit of narcissism here, donate to a medical school & your name is forever remembered on a plaque or even a building. Donate to a non for profit that builds wells in 3rd world countries & no one knows.
Theoretically, donating is a private matter and no one should even know who donated what. The donor should have a deeply held cause and a spirit of altruism and whose only reward is to see mankind uplifted in some way that it spills over into other aspects of life. Sadly they want the plaque and tax write-off.
We are a damn third world country and don’t have enough clean water here and millions homeless. Get over this savior complex and let’s get our country back on track.
The AMA will make sure to keep doctors in short supply to keep wages high. They are a Union whether they want to admit it or not. It’s all about money. The patient doesn’t matter.
They are not a union at all. They are a lobby organization. But totally right about the intentional shortage. A real doctors union would fight for patients and care and be run by well intentioned doctors. The ama is an organization of the worst types of docs
You live in the 1950s? The AMA is an impotent organization with zero effect on anything. No one under 60 even belongs. The federal government keeps the lid on because doctors cost governments money. And we have plenty of doctors, so much so that employers don't want to give even COLA raises. The reason you can't get an appointment is thanks to Barak Obama requiring everything be done on the computer. It take so long to type you can see only half as many patients as you used to. So the physician supply effectively cut in half. But since we can't see enough patients to pay the bills we have to work for "the man." It's not the physician supply, it's the work flow and the compensation. I recommend people become nurse practioners as it's about 1/10 the training and almost the same salary.
@jeffhickman10 I would encourage you to look up the history of unions in the US and abroad. The ama is distinct in advocating for corporate (namely pharma) interests. You could make the argument that they protect the interests of doctors, but that is not the sole purpose of unionizing, and the amas aim for doctors is an entirely narcissistic one. You're attempting to discredit unionizing as a whole by using the ama as an example, but the ama does not function with the political aims of labor unions throughout their formation and history
YES!! Help TRADE SCHOOLS .... we need trade schools .... and people to gain trade expertise! Keep sharing your thoughts on these important topics Vinay.
The problem is that not all trades are lucrative, but they’re all very necessary. For example, it used to be you could make a decent living as a house painter, or a mason. But that’s no longer the case apparently. The problem is attracting people to the trades. Right now for every five electricians currently in the workforce, only two new electricians are coming up behind them. I follow two home inspectors on You Tube who inspect brand new homes. These homes are so poorly built that it’s incomprehensible. We’re talking installing the electrical system incorrectly, broken window frames, cracked roofing tiles, bad stucco, etc. Part of the problem is that the home builder is trying to maximize their profits by not paying their trades a good salary, or have no quality control. But yes, I definitely agree that we need to fund trade schools, and offer a specialty education for those who want to work on historic homes that require specialized knowledge.
a really astute economic critique. nice vinay, i've always been here for your good sense healthcare commentary, but your additional economic acumen is a pleasant surprise.
Pretty common for lawyers to scale back their careers (even to the point of not being lawyers at all) once their loans are paid off. If anything this donation will reduce the number of PCPs early in their careers because the people who find the job sucks won't have the cash motivation to continue.
Donation to paramedic training- Veterinary Technology training-etc. Nursing school.....support fields. The people who make an incredibly low percentage but require higher education to work in fields that support these high dollar earners.
I am a nurse who graduated with a Bachelor of Science degree in Nursing. While it might personally enrich the life of the student, it actually wastes at least 2-3 years of your life learning history and foreign language, and more and more English, how does that make you a better trained nurse? I found it a waste of time and money, and not at all helpful in achieving my goal as a nurse. I would have liked to have had more hands-on experience and nursing training by the time I graduated from my public yet still highly regarded nursing school.
These people burn out, drop out, and become travel nurses, or apply to med school. I have had so many nurses in my class who enrolled in ore med, went to med school to do dermatology and radiology. So many nurses, techs, pharmacy techs, PAs quit and go back to med school or grad school for better jobs and better lives. All of the buses and pas I’ve seen don’t pick primary care, it’s Derm and radiology for them. 🙌🏼
Free medical school is a good idea if students enter based on merit and not other criteria. Tuition is not the primary revenue for medical schools or any other university. Universities' endowments are enormous.
@@NYGuy2000a lot of smart people get socially isolated and discrimated against in real life because they challenge the status quo, or someone who benefits in power from something that is questioned. The reality is actually smart and critical thinkers get ostracized because normal people don't like receiving criticism.
BTW I can mention a story about someone who screwed up so badly they got kicked out of medicine. That's Debbi Thomas of Olympic ice skating fame. She was an orthopedic surgeon. Unfortunately she developed a wicked drug habit. She's never going to get to practice again after that.
Although Bloomberg was a competent mayor-manager of New York City, he blew $1 billion on an extension of the No 7 subway line to Hudson Yards. Better to have extended it directly to New Jersey. Would have served more riders.
Very sensible and valid points prof. Prasad. People who donate that much money sometimes, if not usually, don't think it over well or aim to maximize social acceptance, agendas or self-gratification. It's a corrupt world even in charity.
Free education in Sri Lanka has allowed people from any background get into medical school if they perform extremely well in their advanced levels. It has done good for our country
I think you are entirly forgetting the fact that the reason that this is a case of the rich helping the rich is the cost of entry in the first place. Most poor kids can’t afford the cost to entry. This helps to adjust for that. And so many physicians feel the need to not volunteer or go into high paying fields specifically because of their massive loans. This take is one from privilege it seems. You make some good points but they’re far too broad and sound more like talking points.
if Bloomberg wants to make a better difference in the field of medicine, donate to med schools to fund training grants for Ph.D. students, post-docs, and early career Ph.D.s working in academia, especially early career Ph.D.s. I work in the Seattle area as a Ph.D. with 30+ years of experience and I make less than someone two years out of undergraduate working in tech. I've seen many Ph.D.s leave the medical research field altogether due to lack of research funding. M.D.s in research usually would moonlight in the ER when funds got low. M.D.s can always fall back on clinical work. There is no safety net for Ph.D.s and yet, it's 4 years of undergraduate, 5+ years of graduate, 5 years of post-doc. Finding a job after post-doc is a bit like winning the lottery.
I know a handful of smart kids who no longer want to finish medical or nursing school. Some dropped out already. Some complied w COVID mandates to remain enrolled, but now they regret it. The whole COVID debacle doesn’t sit well with them, but they aren’t old enough to know just how bad it was. Prior to COVID, becoming a doctor was their childhood dream- following in their parents & grandparents footsteps. Now they are ready to drop out, but don’t know what to do next. And there is going to be a lot of family shame/disappointment from on high.
By comparison - 1) What about everyone else who works to pay off their tuition ? 2) PLSF 3) Income-based repayment programs when people start their repayments during low income years of residency? 4) Other student loan forgiveness?
What about the families that cannot afford medical school? Or cannot co sign on a loan that large....isn't this supposed to help their kids? I grew up on welfare, until my dad got a trade, then we didn't qualify for much on the Fafsa. Did not end up getting a college degree although I graduated 6th in my class of about 200. Maybe had this been offered to me, I would have taken it. I'm happy with where God led my life, but I do have regret of not trying harder to find scholarships etc.
I'm a computer programmer by trade. I've been volunteering in EMS for about a decade now. I've thought about going to medical school, but realized that it would be a financial loss, even if I got to go for free. The opportunity cost of losing my professional income would take me 12 years to recoup, assuming I went into EM. Doctors manage to somehow be both overpaid and underpaid at the same time.
They should do this to vet schools (yes im a vet 🤣), but seriously, same debt burden but we make a fraction of what MD's make. I graduated in 2011 with 120k in debt (very low even at that time, now people have 4-5x that in debt), and my first job was around 60k salary. Almost no one goes into vetmed to make money. The corporate take-over of our profession makes people think otherwise unfortunately.
Great video! I agree that the money should go elsewhere. My vote is to fund trade schools. There are shortages in fields like HVAC that need to be solved. Plus, way more people would qualify for a trade vs medicine. That's not a knock against anyone, heck there's no way I could make it to/through medical school! But this way a lot more people could be helped out to get good jobs that pay well so they can help themselves instead of relying on the government while still living in poverty.
Gratz, you just realized how our whole society works, it takes money to make money. Even in places that claim to hate our system it takes money to make money that apparently is the human condition.
There's something that I think Vinay could have mentioned but I think this would actually have a good chance of creating less doctors. So I'm looking at the economics like this. Suppose you're a new medical school grad. You've actually become jaded in your clinical years. Maybe you find that working with sick people isn't for you since they're often not in the greatest of moods. Or maybe you're cynical and you think a lot of patients are sick because they didn't take care of themselves. (They're overweight, don't exercise, don't eat right, etc. All problems that only they can really fix but they're not going to.) Now you graduate but suppose you don't have that loans. There's nothing pressuring you to go on to be a practicing physician and you drop out to go do something else. Doctors don't do that now because they need to pay off the loans so there's a huge financial penalty for going off and doing something else than there is for sticking to the path because it became difficult and not as rewarding as you had hoped. Another related problem I'd see if what if you were willing to become a physician but only if you got the residency (Specialty) that you wanted. You might actually see people leave after graduating because they wanted to become a dermatologist because of the work life balance and if they couldn't get that they'd just walk away. (Anybody that has successfully completed medical school would be a benefit to any company since they've demonstrated extreme ability to put up with stress and learn and excel.
This was a very interesting take! Considering the earning potential of doctors and their ability to get out of student loan debt much easier than other professions, I withdraw my previous approval of free med school 😂.
Post-covid, we need doctors who can treat nerve damage. How about some remedial classes so doctors can prescribe opiates without getting patients addicted?
Great! Now there is an enormous incentive to get in there at almost any cost! This will totally NOT open up the admission process to corruption and will ABSOLUTELY NOT water down the quality of medical students.
It's also worth asking what kind of dr do you want. Someone with the determination to work through college, or a party animal that didn't show up 75% of classes which has been happening for a while, especially if mom and dad have money.
There are not enough primary care specialists for a reason other than financial incentives -- too many people have preventable chronic disease that is poorly addressed by practitioners in almost every specialty in our healthcare system. Advanced technologies and exotic drugs are easy, but accurate and effective education that deals with the whole person. . . this is not possible.
Mmm … but if you feel passionately about mapping the human genome you should find that. Of course a billion still goes far enough that one could fund human genome, food for Vinnie, and digging wells in Africa (my choice)
See my earlier reply. We don't have too few doctors. We have a system that turns doctors into clerks and rewards them for being clerks, not doctors. I've been around the game a long time. I used to have people working for me. Now I'm forking for all of them.
I heard a caller on Dave Ramsey. He was a former med student with 500k in student loans but didn’t pass the med board and now cannot use the education towards anything else. The 4 years were wasted. He was working as a HS biology teacher. He would have benefitted from having med school for free. 😂 It’s sad that 4 years of doctoral education would not transfer to anything else in the medical profession. Do med schools vet students very well if they passed this poor guy along and at the end of the road, he was unable to become a MD? The school didn’t care. They got their pot of gold.
It's 100% narcissism. You're right about how to donate money if you're actually trying to maximize impact. It's irresponsible to donate to a university, who will use your donation in the least effective way imaginable, when it costs $5000 to save on life with measures like anti-malaria medications.
I think it’s a good idea. My ex husband graduated in 1982 from medical school. He had 17K ( about 55K in today’s money) in loans to pay back. He was able to pause paying back his loans through two residencies. Today that same degree ( University of Pennsylvania undergrad and Hopkins medical school) would be about 10X the same amount. Back in 1990 when we started paying off his loans, he was making a good income and we could handle his loans while starting a family and buying a house. He didn’t have to do a side job or pull per diem shifts while working full time as a doctor. I worked through our marriage as a nurse, mostly night shift, I was struck by how by the 2000’s our unit was covered every third or fourth night by a Fellow or even an Attending! These guys and gals were still paying off loans!!
Would you mind just running for a high office please. With you and Josh Hawley at the helm for 8yrs, this country may actually shape up a bit. Americans might not be so god-damned obese and proud of it. Just think of the literal tens of millions of lives you could save. You could counter the life loss of COVID. It would be such a great future. Instead we get to choose between a crook and a puppet 😢
Apparently almost all US allopathic medical students are from high socioeconomic status so the idea of scholarships for those truly from diverse ie low socioeconomic background is interesting
This is off topic...I am wondering why we still include the strain B in the flu shot ...it seems like it has been eradicated. Why not include more strains of type A...that is what most people seem to get each year. Could you please enlighten me...or someone on this thread? Thanks
Our country needs preventative care at birth, toddler, childhood teens, young adults, adults, and elders needs just common sense health care prevention would be good for the health of our country
I'm going to partially disagree with you on this one. There are many people who could benefit from free medical school. There are other Ben Carsons out there. Do I think it should come with restrictions like being a primary care doctor in a rural or lower income area? Absolutely! I can tell you that where I live there is a dearth of primary care physicians where I live.
My dad went to free medical school and paid for it by working as a public health visiting doc in Detroit. It was great and he was a great doctor. Your take is not. He was not ever rich.
Why Dr. Prasad, you sound like a conservative. I’m an old lady and have seen many people come to this basic realization and find themselves voting R in elections. Remember, you don’t have to *like* the candidate. It’s not Tinder.
“It’s not Tinder” is best response I’ve heard.. should be a campaign slogan. Unfortunately it’s hard to want any relationship with someone you don’t trust. If true light of LBJ or JFK had been exposed public outcry would’ve been mob style… the fact that few who were in his inner circle would elect him is spooky
I don't think he'd go so far as to vote R, but it seems he has lost a little of the "left of left" ( the way he described himself politically) way of thinking.
I agree with everything he said in that there are arguably better uses for that money, but also agree that you have a good point! I would say that free med school also allows for those who are older to go to med school. I've actually considered going to med school myself in order to research infant food sensitivities, but since I only developed this interest in my early 30s after having two incredibly sick children, the sheer amount of time and the financial commitment of going to med school is just too much, sadly.
Oh, Vinay: You missed the point AGAIN. You missed what Bloomberg and Johns Hopkins did in tandem during the "pandemic." This is clearly a kickback. It's criminal behavior.
My sister, a medical instructor at a big hospital in Houston, had a 3rd year medical student kicked out of medical school for cheating. But that was about 15 years ago. Today he probably would be celebrated.
When will you be doing a video about the harms of Lipid Nano Particles in the mRNA shots? I'm surprised you haven't studied the chaos they do in the body (they don't stay in the injection site)
Honestly after covid.... I don't want to listen to any doctors about anything ever again. The AI does better in it's first generation and doesnt go golfing in the Bahamas while we fail to recover.
“If something is free, you're the product”, I guess it's what you referred to, siphoning off qualified applicants from other medical schools to bolster their own position in school standings.
There already is "free" medical school through the armed services. They not only have their own schools but also have scholarships to private sector schools on top of that. They wave a lot of the requirements for joining the services. Instead of being burdened with loans, their is a 10 year service requirement. One is still under 40 if they decide to leave and go into private practice with no debt.
I'd recommend medical schools implement an income-based repayment plan after graduation, say 10% of income for 10 years after graduation. Graduates would repay based on how lucrative their specialties are.
You do realize that all medical school graduates have to pass the incredibly difficult medical exam to be licensed as a physician, right? You don’t get extra points for your skin color.
@@wallihaley5194 you do now. One student got into one of the big colleges by writing "BLM" all over a sheet of paper. This is why we have pieces falling off airplanes etc.
There is a reason you don't have a billion dollars to donate, and it is made clear in this video. No one has ever made a billion dollars by helping people and _not_ getting something in return. That is not you, nor anyone with any empathy.
It would be great if some billionaires in uk could provide hospitals money to pay medical education debt, if they stay in nhs for 5 years???? Nurses are low paid and have debts need help!!!
Keeping doctors in debt makes us too weak to advocate for patients. This is a terrible take. Vinay, Have a couple kids while trying to live in San Francisco then get back to me about how wealthy doctors are.
Isn’t Peter Singer that guy who thinks you should be able to kill your baby for a few weeks after it’s born? If that’s the same guy, maybe we should find someone else’s views to consider.
U.S. News & World Report still exists??? HOW??? WHY??? Who still has subscriptions to magazines that cover the "news" from the previous week? Y'all need to get y'all's grandparents in check.
In public universities across most of the world, including medical schools (e.g., Germany and Mexico), education is free. Why not in the United States?
It’s not about price but quality of service and no universal system has good service esp with mass illegal immigration and Canada and Britain is finding out the last few years. Even people I know in other countries still buy private insurance for less wait times, faster appointments and better care.
The main problem is that the price of medical is a total scam. In 3rd year clerkships students are paying $40-60k to work at what is effectively an internship. Imagine if students in any other profession had to pay that at their internships, instead of *being paid* that amount. 4th year is more of the same, except students spend the majority of the year just taking a break before they start residency. How are they costing the medical school $60k while working at a hospital or on vacation? Even the first two instructional years aren't much better. Most students at most institutions agree that almost all of the instructional content they are given by zero-effort professors is worthless, and online resources and Anki decks are far more useful. What costs $60k per student? Anatomy lab? Then in residency med students become indentured servants, working near minimum wage at 80+ hours per week. They cannot just quit or demand better wages because without residency they would be left with hundreds of thousands of dollars in debt with no doctor's salary to pay it off with. While billion-dollar donations to medical schools just padding the pockets of administration, at least it puts more students in the position to stand up to the abusive system that is residency.
All those critical of the donation, make your own donation to the cause you want. You cannot comment on how others spend their money. Regarding Tax free nature.. that is not in control of the donor. Stand for office, get elected and change laws. Jaw Jaw is easy.
There’s a bit of narcissism here, donate to a medical school & your name is forever remembered on a plaque or even a building. Donate to a non for profit that builds wells in 3rd world countries & no one knows.
Theoretically, donating is a private matter and no one should even know who donated what. The donor should have a deeply held cause and a spirit of altruism and whose only reward is to see mankind uplifted in some way that it spills over into other aspects of life. Sadly they want the plaque and tax write-off.
JohnsHopkins et al sponsor of Event201
We are a damn third world country and don’t have enough clean water here and millions homeless. Get over this savior complex and let’s get our country back on track.
The AMA will make sure to keep doctors in short supply to keep wages high. They are a Union whether they want to admit it or not. It’s all about money. The patient doesn’t matter.
Go it in one… Just like General Smedley Butler said regarding the war, medicine is a racket.
They are not a union at all. They are a lobby organization. But totally right about the intentional shortage. A real doctors union would fight for patients and care and be run by well intentioned doctors. The ama is an organization of the worst types of docs
@@adambell6432 They’re a Union without the name.
You live in the 1950s? The AMA is an impotent organization with zero effect on anything. No one under 60 even belongs. The federal government keeps the lid on because doctors cost governments money. And we have plenty of doctors, so much so that employers don't want to give even COLA raises. The reason you can't get an appointment is thanks to Barak Obama requiring everything be done on the computer. It take so long to type you can see only half as many patients as you used to. So the physician supply effectively cut in half. But since we can't see enough patients to pay the bills we have to work for "the man." It's not the physician supply, it's the work flow and the compensation. I recommend people become nurse practioners as it's about 1/10 the training and almost the same salary.
@jeffhickman10 I would encourage you to look up the history of unions in the US and abroad. The ama is distinct in advocating for corporate (namely pharma) interests. You could make the argument that they protect the interests of doctors, but that is not the sole purpose of unionizing, and the amas aim for doctors is an entirely narcissistic one. You're attempting to discredit unionizing as a whole by using the ama as an example, but the ama does not function with the political aims of labor unions throughout their formation and history
💛Well said. When we see families who are homeless and living in Vans they're the ones that need that billion dollars
Solving a problem that didn't exist.
Except for low income people. I'm talking very people who grew up very poor.
The mountain of prior auths, phone calls, and general busy work is what scares me away from primary care.
Prasad needs to lead world health organization. You are a brilliant health care socioeconomist..
Agree!!
YES!! Help TRADE SCHOOLS .... we need trade schools .... and people to gain trade expertise! Keep sharing your thoughts on these important topics Vinay.
The problem is that not all trades are lucrative, but they’re all very necessary. For example, it used to be you could make a decent living as a house painter, or a mason. But that’s no longer the case apparently. The problem is attracting people to the trades. Right now for every five electricians currently in the workforce, only two new electricians are coming up behind them. I follow two home inspectors on You Tube who inspect brand new homes. These homes are so poorly built that it’s incomprehensible. We’re talking installing the electrical system incorrectly, broken window frames, cracked roofing tiles, bad stucco, etc. Part of the problem is that the home builder is trying to maximize their profits by not paying their trades a good salary, or have no quality control. But yes, I definitely agree that we need to fund trade schools, and offer a specialty education for those who want to work on historic homes that require specialized knowledge.
a really astute economic critique. nice vinay, i've always been here for your good sense healthcare commentary, but your additional economic acumen is a pleasant surprise.
Pretty common for lawyers to scale back their careers (even to the point of not being lawyers at all) once their loans are paid off. If anything this donation will reduce the number of PCPs early in their careers because the people who find the job sucks won't have the cash motivation to continue.
Donation to paramedic training- Veterinary Technology training-etc. Nursing school.....support fields. The people who make an incredibly low percentage but require higher education to work in fields that support these high dollar earners.
I am a nurse who graduated with a Bachelor of Science degree in Nursing. While it might personally enrich the life of the student, it actually wastes at least 2-3 years of your life learning history and foreign language, and more and more English, how does that make you a better trained nurse? I found it a waste of time and money, and not at all helpful in achieving my goal as a nurse. I would have liked to have had more hands-on experience and nursing training by the time I graduated from my public yet still highly regarded nursing school.
These people burn out, drop out, and become travel nurses, or apply to med school. I have had so many nurses in my class who enrolled in ore med, went to med school to do dermatology and radiology. So many nurses, techs, pharmacy techs, PAs quit and go back to med school or grad school for better jobs and better lives. All of the buses and pas I’ve seen don’t pick primary care, it’s Derm and radiology for them. 🙌🏼
@@sunriselotus lol those people wish they could get into a derm or rad residency. Usually cream of the crop from the med school class. Good luck!
No investment = no commitment.
Free medical school is a good idea if students enter based on merit and not other criteria. Tuition is not the primary revenue for medical schools or any other university. Universities' endowments are enormous.
Makes no sense either. The gifted ones will naturally be even richer in the future and don't need this subsidy.
@@NYGuy2000a lot of smart people get socially isolated and discrimated against in real life because they challenge the status quo, or someone who benefits in power from something that is questioned. The reality is actually smart and critical thinkers get ostracized because normal people don't like receiving criticism.
How about a billion dollars for homeless veterans
BTW I can mention a story about someone who screwed up so badly they got kicked out of medicine. That's Debbi Thomas of Olympic ice skating fame. She was an orthopedic surgeon. Unfortunately she developed a wicked drug habit. She's never going to get to practice again after that.
Need more big pharma doctors.
Although Bloomberg was a competent mayor-manager of New York City, he blew $1 billion on an extension of the No 7 subway line to Hudson Yards. Better to have extended it directly to New Jersey. Would have served more riders.
Very sensible and valid points prof. Prasad. People who donate that much money sometimes, if not usually, don't think it over well or aim to maximize social acceptance, agendas or self-gratification. It's a corrupt world even in charity.
Free education in Sri Lanka has allowed people from any background get into medical school if they perform extremely well in their advanced levels. It has done good for our country
I think you are entirly forgetting the fact that the reason that this is a case of the rich helping the rich is the cost of entry in the first place. Most poor kids can’t afford the cost to entry. This helps to adjust for that. And so many physicians feel the need to not volunteer or go into high paying fields specifically because of their massive loans. This take is one from privilege it seems. You make some good points but they’re far too broad and sound more like talking points.
Vinay - you re brilliant . I laughed so hard at the end - yeh can't fire anyone and don't even need to show up
Love the sensible medicine view of VP!❤️
"The love of money is the root of all kinds of evils"...The Bible
What could possibly change by injecting huge amounts of cash. '*rolls eyes*'
if Bloomberg wants to make a better difference in the field of medicine, donate to med schools to fund training grants for Ph.D. students, post-docs, and early career Ph.D.s working in academia, especially early career Ph.D.s. I work in the Seattle area as a Ph.D. with 30+ years of experience and I make less than someone two years out of undergraduate working in tech. I've seen many Ph.D.s leave the medical research field altogether due to lack of research funding. M.D.s in research usually would moonlight in the ER when funds got low. M.D.s can always fall back on clinical work. There is no safety net for Ph.D.s and yet, it's 4 years of undergraduate, 5+ years of graduate, 5 years of post-doc. Finding a job after post-doc is a bit like winning the lottery.
Free trade schools and community colleges sound like a better choice.
I know a handful of smart kids who no longer want to finish medical or nursing school.
Some dropped out already. Some complied w COVID mandates to remain enrolled, but now they regret it. The whole COVID debacle doesn’t sit well with them, but they aren’t old enough to know just how bad it was.
Prior to COVID, becoming a doctor was their childhood dream- following in their parents & grandparents footsteps.
Now they are ready to drop out, but don’t know what to do next. And there is going to be a lot of family shame/disappointment from on high.
By comparison -
1) What about everyone else who works to pay off their tuition ?
2) PLSF
3) Income-based repayment programs when people start their repayments during low income years of residency?
4) Other student loan forgiveness?
What about the families that cannot afford medical school? Or cannot co sign on a loan that large....isn't this supposed to help their kids? I grew up on welfare, until my dad got a trade, then we didn't qualify for much on the Fafsa. Did not end up getting a college degree although I graduated 6th in my class of about 200. Maybe had this been offered to me, I would have taken it. I'm happy with where God led my life, but I do have regret of not trying harder to find scholarships etc.
I'm a computer programmer by trade. I've been volunteering in EMS for about a decade now. I've thought about going to medical school, but realized that it would be a financial loss, even if I got to go for free. The opportunity cost of losing my professional income would take me 12 years to recoup, assuming I went into EM. Doctors manage to somehow be both overpaid and underpaid at the same time.
Doctors are overpaid, the school system, and living expenses while in school are what's fucking wack.
@@HerbaMachina Why don't you become one?
Why do you see Harvard and Stanford (at 5:10) as so clearly preferable to Johns Hopkins?
would you ever give your thoughts (whatever they may be) on RFK Jr? would love to watch!
They should do this to vet schools (yes im a vet 🤣), but seriously, same debt burden but we make a fraction of what MD's make. I graduated in 2011 with 120k in debt (very low even at that time, now people have 4-5x that in debt), and my first job was around 60k salary. Almost no one goes into vetmed to make money. The corporate take-over of our profession makes people think otherwise unfortunately.
Free for RN's that want to become APRN's which can work on their own in some states. These are the future for primary care!!
liking you more everyday Dr.
Great video! I agree that the money should go elsewhere. My vote is to fund trade schools. There are shortages in fields like HVAC that need to be solved. Plus, way more people would qualify for a trade vs medicine. That's not a knock against anyone, heck there's no way I could make it to/through medical school! But this way a lot more people could be helped out to get good jobs that pay well so they can help themselves instead of relying on the government while still living in poverty.
I'd have been excited if they'd announced they would train more doctors.
Gratz, you just realized how our whole society works, it takes money to make money. Even in places that claim to hate our system it takes money to make money that apparently is the human condition.
There's something that I think Vinay could have mentioned but I think this would actually have a good chance of creating less doctors. So I'm looking at the economics like this. Suppose you're a new medical school grad. You've actually become jaded in your clinical years. Maybe you find that working with sick people isn't for you since they're often not in the greatest of moods. Or maybe you're cynical and you think a lot of patients are sick because they didn't take care of themselves. (They're overweight, don't exercise, don't eat right, etc. All problems that only they can really fix but they're not going to.) Now you graduate but suppose you don't have that loans. There's nothing pressuring you to go on to be a practicing physician and you drop out to go do something else. Doctors don't do that now because they need to pay off the loans so there's a huge financial penalty for going off and doing something else than there is for sticking to the path because it became difficult and not as rewarding as you had hoped.
Another related problem I'd see if what if you were willing to become a physician but only if you got the residency (Specialty) that you wanted. You might actually see people leave after graduating because they wanted to become a dermatologist because of the work life balance and if they couldn't get that they'd just walk away. (Anybody that has successfully completed medical school would be a benefit to any company since they've demonstrated extreme ability to put up with stress and learn and excel.
This was a very interesting take! Considering the earning potential of doctors and their ability to get out of student loan debt much easier than other professions, I withdraw my previous approval of free med school 😂.
Fund MD-PhD programs instead, to give medical students an actual doctoral education. 😂
so 7 years of 80 hour weeks isn't enough education?
Super informative as always, people that are from this world don't understand it
Post-covid, we need doctors who can treat nerve damage. How about some remedial classes so doctors can prescribe opiates without getting patients addicted?
How do you suppose they can prescribe an addictive substance without addiction as a side effect?
That's not how opiates work...
@@HerbaMachina You dont think they are an addictive substance?
Great! Now there is an enormous incentive to get in there at almost any cost!
This will totally NOT open up the admission process to corruption and will ABSOLUTELY NOT water down the quality of medical students.
Wouldn't this go both ways?? Wouldn't the school only pick the smartest, best students? They're allowed to be picky with a greater supply, no?
Why do I get the feeling you're too dumb for medical school or any school for that matter?
@@mjtjgilbert123 ah yes, but some students’ money is smarter and better than others
It's also worth asking what kind of dr do you want. Someone with the determination to work through college, or a party animal that didn't show up 75% of classes which has been happening for a while, especially if mom and dad have money.
where did you get this opinion?! Premeds partying!!
Subsiding future millionaires. Good job!!!
There are not enough primary care specialists for a reason other than financial incentives -- too many people have preventable chronic disease that is poorly addressed by practitioners in almost every specialty in our healthcare system. Advanced technologies and exotic drugs are easy, but accurate and effective education that deals with the whole person. . . this is not possible.
Mmm … but if you feel passionately about mapping the human genome you should find that. Of course a billion still goes far enough that one could fund human genome, food for Vinnie, and digging wells in Africa (my choice)
Amazing conversation. Please do a podcast on dermatology practices without evidence.
If the billion dollars were used to increase the number of MDs it would help. Keeping the supply of doctors tight will keep medical costs high.
See my earlier reply. We don't have too few doctors. We have a system that turns doctors into clerks and rewards them for being clerks, not doctors. I've been around the game a long time. I used to have people working for me. Now I'm forking for all of them.
Yassss Queen. I fecken love your channel ❤
all valid points. _JC
souds wonderful. as far as things go. _JC
I heard a caller on Dave Ramsey. He was a former med student with 500k in student loans but didn’t pass the med board and now cannot use the education towards anything else. The 4 years were wasted. He was working as a HS biology teacher. He would have benefitted from having med school for free. 😂
It’s sad that 4 years of doctoral education would not transfer to anything else in the medical profession.
Do med schools vet students very well if they passed this poor guy along and at the end of the road, he was unable to become a MD? The school didn’t care. They got their pot of gold.
I hear you and largely agree, but he can do what he wants with his own money.
Solar panels outlast your grandkids' visits and your electric bill worries - enjoy sunshine-powered savings for years to come!
It's 100% narcissism. You're right about how to donate money if you're actually trying to maximize impact. It's irresponsible to donate to a university, who will use your donation in the least effective way imaginable, when it costs $5000 to save on life with measures like anti-malaria medications.
Medical school content should already be free.
Mayo has had a free program since the 90s
I think it’s a good idea. My ex husband graduated in 1982 from medical school. He had 17K ( about 55K in today’s money) in loans to pay back. He was able to pause paying back his loans through two residencies.
Today that same degree ( University of Pennsylvania undergrad and Hopkins medical school) would be about 10X the same amount. Back in 1990 when we started paying off his loans, he was making a good income and we could handle his loans while starting a family and buying a house. He didn’t have to do a side job or pull per diem shifts while working full time as a doctor. I
worked through our marriage as a nurse, mostly night shift, I was struck by how by the 2000’s our unit was covered every third or fourth night by a Fellow or even an Attending! These guys and gals were still paying off loans!!
i do think free BA should be available. that would force colleges to up the quality of education and reduce the cost.
I’d had the grades and the mcat score to go but there was no way I could afford to pay my bills and eat during it.
Would you mind just running for a high office please. With you and Josh Hawley at the helm for 8yrs, this country may actually shape up a bit. Americans might not be so god-damned obese and proud of it. Just think of the literal tens of millions of lives you could save. You could counter the life loss of COVID. It would be such a great future. Instead we get to choose between a crook and a puppet 😢
Apparently almost all US allopathic medical students are from high socioeconomic status so the idea of scholarships for those truly from diverse ie low socioeconomic background is interesting
If this goes to the best candidates, there is no problem. If it goes to DEI students, it will exacerbate the already decreasing levels of care.
This is off topic...I am wondering why we still include the strain B in the flu shot ...it seems like it has been eradicated. Why not include more strains of type A...that is what most people seem to get each year. Could you please enlighten me...or someone on this thread? Thanks
haha love you… “trick you.. I mean persuade you” 😂 exactly
The older I grow up the more I see the truth and reality and cynicism in the world.
Our country needs preventative care at birth, toddler, childhood teens, young adults, adults, and elders needs just common sense health care prevention would be good for the health of our country
I'm going to partially disagree with you on this one. There are many people who could benefit from free medical school. There are other Ben Carsons out there. Do I think it should come with restrictions like being a primary care doctor in a rural or lower income area? Absolutely! I can tell you that where I live there is a dearth of primary care physicians where I live.
My dad went to free medical school and paid for it by working as a public health visiting doc in Detroit. It was great and he was a great doctor. Your take is not. He was not ever rich.
Imagine how much more good could be done by giving a billion dollars to a bunch of trade schools to incentivize more skilled tradespeople.
Why Dr. Prasad, you sound like a conservative. I’m an old lady and have seen many people come to this basic realization and find themselves voting R in elections. Remember, you don’t have to *like* the candidate. It’s not Tinder.
“It’s not Tinder” is best response I’ve heard.. should be a campaign slogan. Unfortunately it’s hard to want any relationship with someone you don’t trust. If true light of LBJ or JFK had been exposed public outcry would’ve been mob style… the fact that few who were in his inner circle would elect him is spooky
I don't think he'd go so far as to vote R, but it seems he has lost a little of the "left of left" ( the way he described himself politically) way of thinking.
Voting Republican is the responsible thing to do regardless of candidate!
The good Dr has been convinced to vote R 👏
Maybe their salaries should be reduced or force them into primary medicine. Too many specialists.
Not everyone should go to college. Doubly so for medical school.
For the first time, I would totally disagree with you. Free medical will bring in more competition, so you get the best students studying medicine.
I agree with everything he said in that there are arguably better uses for that money, but also agree that you have a good point! I would say that free med school also allows for those who are older to go to med school. I've actually considered going to med school myself in order to research infant food sensitivities, but since I only developed this interest in my early 30s after having two incredibly sick children, the sheer amount of time and the financial commitment of going to med school is just too much, sadly.
Oh, Vinay: You missed the point AGAIN. You missed what Bloomberg and Johns Hopkins did in tandem during the "pandemic." This is clearly a kickback. It's criminal behavior.
Vinay has clearly never practiced private primary care in rural America
You'll say this and then someone will invariably pop up and tell you, "When you donate your billion dollars, you can decide who you want it to go to."
They might have foreign applicants that get student visas.
My sister, a medical instructor at a big hospital in Houston, had a 3rd year medical student kicked out of medical school for cheating. But that was about 15 years ago. Today he probably would be celebrated.
Wtf? Kicked Out for cheating? Wtf has this to do with His degree? Nothing. That's atrocius and disgusting.
@@bluewizzard8843 If he's cheating he's not learning. It has everything to do with his career when he is treating your disease
@@bluewizzard8843 It has to do with his ethics values. If you cheat, you aren't learning what you need to know to be a doctor.
When will you be doing a video about the harms of Lipid Nano Particles in the mRNA shots? I'm surprised you haven't studied the chaos they do in the body (they don't stay in the injection site)
Honestly after covid.... I don't want to listen to any doctors about anything ever again.
The AI does better in it's first generation and doesnt go golfing in the Bahamas while we fail to recover.
Try it out when you get a stroke.
Caution caution caution Yes
“If something is free, you're the product”, I guess it's what you referred to, siphoning off qualified applicants from other medical schools to bolster their own position in school standings.
There already is "free" medical school through the armed services. They not only have their own schools but also have scholarships to private sector schools on top of that. They wave a lot of the requirements for joining the services. Instead of being burdened with loans, their is a 10 year service requirement. One is still under 40 if they decide to leave and go into private practice with no debt.
0:22 Freudian slip? 🤔😏 (note, phrase begins more like at 0:20)
I'd recommend medical schools implement an income-based repayment plan after graduation, say 10% of income for 10 years after graduation. Graduates would repay based on how lucrative their specialties are.
Half the money to med school and half the money to trade schools....... ?
Yup, I definitely want a DEI neurosurgeon working on me.
You do realize that all medical school graduates have to pass the incredibly difficult medical exam to be licensed as a physician, right? You don’t get extra points for your skin color.
@@wallihaley5194 you do now. One student got into one of the big colleges by writing "BLM" all over a sheet of paper. This is why we have pieces falling off airplanes etc.
@@wallihaley5194African Americans have lower standards. Period.
There is a reason you don't have a billion dollars to donate, and it is made clear in this video. No one has ever made a billion dollars by helping people and _not_ getting something in return. That is not you, nor anyone with any empathy.
It would be great if some billionaires in uk could provide hospitals money to pay medical education debt, if they stay in nhs for 5 years???? Nurses are low paid and have debts need help!!!
Yes, indeed.
Keeping doctors in debt makes us too weak to advocate for patients. This is a terrible take. Vinay, Have a couple kids while trying to live in San Francisco then get back to me about how wealthy doctors are.
Simple. Stop living in SF… Three kids, residency in the south. Live just fine.
Donating to women and women's health research would be better than ones providing food more generally.
Isn’t Peter Singer that guy who thinks you should be able to kill your baby for a few weeks after it’s born? If that’s the same guy, maybe we should find someone else’s views to consider.
Free medical school for all.... or just for those who fit a diversity profile?
Nothing is free.
U.S. News & World Report still exists??? HOW??? WHY???
Who still has subscriptions to magazines that cover the "news" from the previous week? Y'all need to get y'all's grandparents in check.
Said the guy reacting to a video that is itself reacting to old news. Stupidity, like grandparents, comes in many flavors.
In public universities across most of the world, including medical schools (e.g., Germany and Mexico), education is free. Why not in the United States?
This makes sense only if taxpayers enjoy universal healthcare. More primary doctors would be needed to keep costs down.
It’s not about price but quality of service and no universal system has good service esp with mass illegal immigration and Canada and Britain is finding out the last few years. Even people I know in other countries still buy private insurance for less wait times, faster appointments and better care.
The main problem is that the price of medical is a total scam. In 3rd year clerkships students are paying $40-60k to work at what is effectively an internship. Imagine if students in any other profession had to pay that at their internships, instead of *being paid* that amount. 4th year is more of the same, except students spend the majority of the year just taking a break before they start residency. How are they costing the medical school $60k while working at a hospital or on vacation?
Even the first two instructional years aren't much better. Most students at most institutions agree that almost all of the instructional content they are given by zero-effort professors is worthless, and online resources and Anki decks are far more useful. What costs $60k per student? Anatomy lab?
Then in residency med students become indentured servants, working near minimum wage at 80+ hours per week. They cannot just quit or demand better wages because without residency they would be left with hundreds of thousands of dollars in debt with no doctor's salary to pay it off with. While billion-dollar donations to medical schools just padding the pockets of administration, at least it puts more students in the position to stand up to the abusive system that is residency.
Is lung cancer decreasing with fewer smokers? No? Funny huh.
It is decreasing. Been doing so for years.
So what if you went to med school and didn’t get into residency. What happens then?
All those critical of the donation, make your own donation to the cause you want. You cannot comment on how others spend their money. Regarding Tax free nature.. that is not in control of the donor. Stand for office, get elected and change laws.
Jaw Jaw is easy.