Чот только сантехники с лайцензом,по крайней мере в NY живут получше большинства врачей,а работают мягко говоря поменьше.
Чот только сантехники с лайцензом,по крайней мере в NY живут получше большинства врачей,а работают мягко говоря поменьше.
врут значит ?
http://www.usatoday.com/news/health/...shortage_x.htmFor the past quarter-century, the American Medical Association and other industry groups have predicted a glut of doctors and worked to limit the number of new physicians
Carl Getto, chairman of the Council on Graduate Medical Education, a panel Congress created to recommend how many doctors the nation needs. "The debate is over how many."
Getto's advocacy of more doctors is remarkable because his advisory committee and its predecessor have been instrumental since the 1980s in efforts to restrict the supply of new physicians.
The marketplace doesn't determine how many doctors the nation has, as it does for engineers, pilots and other professions. The number of doctors is a political decision, heavily influenced by doctors themselves.
Congress controls the supply of physicians by how much federal funding it provides for medical residencies — the graduate training required of all doctors.
http://www.dailykos.com/story/2009/6...S-Single-PayerThe AMA long ago recognized that the economic principle of supply and demand was vital to its members and to their economic well-being. Early in the 20th century, from 1908 to 1910, the AMA worked with the Carnegie Foundation to have written a so-called "scientific report" under the separate auspices of the Carnegie Foundation. The result was the Flexner Report or Bulletin Number 4 of the Carnegie Commission published in 1910. It called for a drastic reduction in the number of medical schools and doctors in the country and their education along scientific lines. Oddly, this medical report was written not by a doctor but by Abraham Flexner whose only qualifications were as a teacher in Louisville, Kentucky, a basic general education B.A. from Johns Hopkins, and most importantly, his being the brother of Simon Flexner, perhaps the leading physician in the U.S. and head of the Rockefeller Medical Institute. In fact, although Abraham Flexner is attributed as the "author" of this report and although he may have written its words, the ideas that the report is based on came from brother Simon and the AMA.
The Flexner Report still exerts tremendous influence on today's medical education and on the U.S. healthcare system.
Flexner Report in effect began the cartelization of the American medical profession, a cartelization enforced by the American Medical Association and backed by the police power of each American state. This de facto cartel restricted the supply of physicians, and raised the incomes of the remaining practitioners.
Ironically, just a little more than a decade ago, there was a doctor surplus. In 1996, a committee of the Institute of Medicine warned that the United States had a surfeit of doctors caused by foreign-trained physicians coming here to work and recommended freezing med-school class sizes and limiting first-year residency positions. A year later, Slate ran an article on an alternative strategy for reducing the number of doctors approved by the federal Health Care Financing Administration. Under the Graduate Medical Education Demonstration Project, 41 teaching hospitals received $400 million in exchange for not training between 20 percent and 25 percent of the medical residents they would otherwise have trained over the next six years.
http://www.backwoodshome.com/articles2/silveira120.htmlWho decides how many doctors we have? The free-market system, otherwise known as supply and demand? No! The AMA, acting as a legalized cartel, does. You cannot become a doctor in this country just because you want to be one, even if you have all the qualifications, namely, you have the grades, the intelligence, and the work ethic to get into medical school. That's because the medical profession, through Congress and the state legislatures, limits the number of slots available in medical schools. Despite the current health care shortage, not one new medical school has opened in the United States since 1982.
Furthermore, Congress, serving the AMA's interests and demands, controls the supply of physicians by using federal funding, i.e., your tax dollars, to pay for medical residencies, which is the graduate training required to become a doctor in the United States. By limiting or expanding the amount of money available for residency training, Congress, at the behest of the medical community, limits or expands the number of doctors we have. It's been this way for a century, and the artificially created shortage of doctors not only drives up costs, it also limits America's access to medical care. This does not serve the interests of the public, but it does serve the interests of doctors and their incomes.
Through the states, the AMA also limits who can compete with them. Alternative practitioners such as chiropractors, nurse practitioners, and midwives have repeatedly been shown to provide good, cost-effective health care the public wants within their specialties. But they are limited to less than they are capable of and often limited to working under the auspices of doctors. The reasons given for this sound laudable and noble, that the medical community is protecting the public from itself, but that's never been their responsibility, and the evidence indicates that they do it out of self-interest, to limit competition and keep their incomes high.
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