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Culture War Roundup for the week of October 21, 2024

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Importing foreign doctors is vaguely possible if you are okay with decreasing the value of American healthcare (which is a massive segment of the economy) and reducing quality of care (which you don't believe is important)

You're putting a lot of words in my mouth, which I'll attribute to your repeatedly mentioned intellectual exhaustion.

Quality of care for the average patient will improve with increased access to doctors. Which can most easily be achieved by increasing the number of doctors.

I'm admittedly not in medicine, but growing up basically all my high school best friends wanted to go into medicine. Only one out of seven still wanted to go into medicine by junior year of college. These were all guys with SAT scores within a shout of mine in the mid 2200-2400 range. Why? Because they looked at the available slots and realized that if you have the misfortune to be white or Asian and interested in medicine, you face a series of gatekeeping processes that heavily limit your odds of making it. Return to the article I linked:

On March 17, 2023, nearly 43,000 medical school graduates will anxiously await the chance to continue their journey to become licensed physicians. But with just 40,375 available residency positions available, what will happen to the remaining 2,500 applicants that fail to match into a slot? While a lucky few may be able to ‘scramble’ into an open position, most will have no choice but to wait an entire year to reapply for the privilege of practicing medicine.

And that's after you get into med school.

The overall allopathic medical school acceptance rate for the 2022-2023 year was 43%. There were 55,188 applicants and 23,810 applicants were accepted. 22,713 students who were accepted actually matriculated.

I argue that much of the lack of interest from top students in going to med school is that 57% chance of not getting into med school at all, followed by extra gatekeeping and artificial systems that might still leave you without options and certainly leave you without prestige. Much of it tied up in racist affirmative action policies and destructive undergrad competition. Why not opt out and go into consulting or finance or tech, as many of them did, where you've got a comparatively high chance of making it into the industry and little gatekeeping to prevent your rise after you are employed?

Make it seem easier to become a doctor and more people will become doctors. Make being a doctor seem less horrendously awful, as you repeatedly claim it is, and more people will want to become doctors. Create more doctors and more of them will choose to move to Arkansas. These things are really economics 101 stuff.

Alternatively, I'm sure we're only a few days from Trump proposing that doctors shouldn't pay taxes.

As for foreign doctors, my general belief is that we should not restrict immigration of high human capital candidates. Every (legitimate) Masters degree should come with a green card stapled to it. If we need to do outside testing to insure quality, let's do it. But that's a technical issue not a strategic one. Regardless, that's not a solution I'm proposing.

You're putting a lot of words in my mouth, which I'll attribute to your repeatedly mentioned intellectual exhaustion.

It's possible, because I've had this conversation many, many times and nobody seems to learn or listen, but calling me "exhausted" is straight up ad hominem.

You won't catch me saying the affirmative action policies are good, but there still aren't a large number of minorities present in medicine, it's mostly the Whites and Asians involved in the rat race. People drop out/abandon because it doesn't seem worth the money and they can't hack it, which they will often not admit.

With the tensions present in medicine today we can't get doctors to work where we need them with salaries we have, but all of the suggested solutions to the problem reduce salaries...

You'll get worsening shortages, or more realistically the two tiered system we've started to develop.