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  • Ingomike

    Top Hand
    Rating - 100%
    6   0   0
    May 26, 2018
    31,586
    113
    North Central
    I know these programs exist, but they aren't quite the type of experiment I was looking for. They are being forced/enticed/bribed to go to X location and provide Y service. They aren't at liberty to do what they want.

    I am talking about absolute freedom. They walk out of med school with their doctorate, and someone says, "Congratulations, you have won one of the med school lotteries, ALL of your student loans are paid. Go do what you want!"

    In my scenario they would be free to open their own practice anywhere, including a highly served community, AND offer their services for far less than the current practitioners. Granted, their experience and skill would be less, but their cost would be less.

    Malpractice insurance? Without the weight of a student loan they may be able to pay for it out of their own pocket due to reduced expenses, thus avoiding them being forced to work inside of a preexisting medical network.

    I do not know...? It might not work that way at all, but it sure would be fun to find out over a decade if 10,000 medical doctors could go where they wanted and do what they wanted how they wanted without having to worry about immediately paying back some of the largest, if not the largest, student loans of any profession.

    Regards,

    Doug
    Actually you are wanting to repeal obummercare. Did you know doctors can no longer own hospitals? That’s right, a doctor cannot start their own hospital. Take Ortho Indy, they cannot grow, they cannot hire more doctors, they can replace retiring doctors but not new ones to grow. The requirements of ACA make it so few doctors can even afford to open a practice. Just another area they screwed the people but the dumbmasses have no understanding…
     

    BE Mike

    Grandmaster
    Site Supporter
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    18   0   0
    Jul 23, 2008
    7,673
    113
    New Albany
    There are very, very few medical doctors and dentists who put the patient first these days. Many years ago, when I lived in a small town, after returning home from the dentists office, I would get a call asking if I were ok. Now we are just given an appointment far down the road, reminded several times that we have an appointment, given treatment and kicked out the door. Oh yeah, they make every effort to insure that we can pay before being treated.
     

    thompal

    Master
    Rating - 0%
    0   0   0
    Sep 27, 2008
    3,545
    113
    Beech Grove
    Nor let us forget the massive cost of attending medical school. I am not a socialist nor communist, but I do think it would be an interesting experiment to simply give 1,000 graduating medical students a year the entire cost of their student loan debts forgiven. Imagine what some of them might do with their skills were they not driven to seek maximum returns in order to pay off massive debts? I don't know, but it would be interesting to study the impact.

    How about trying something that would have a broader, and longer-lasting effect? I would suggest revamping the entire college system. There are administrators making 7 figures, and multiple non-teaching departments with multi-million dollar yearly budgets. Colleges regularly pay guest speakers $500,000 to give a speech. HR departments and "inclusivity and diversity" departments soak up millions, including the buildings that they had built to house them.

    Who pays for all of that fluff which has nothing to do with educating the students? The students pay for it.

    I have theories about why people have allowed this bloat to happen.

    1. The GI Bill. Once the federal government is paying a bill, students are less concerned with the cost.

    2. The college deferments of the 60s, where only elites could afford to go to college to avoid the draft, and they didn't care how much it cost to get their major in macrame, as long as the elite class could keep their kids out of Nam.

    3. Biden's bill which kept people from declaring bankruptcy on student loans, so banks and colleges knew that they could charge whatever they want, tell kids that they had to go to college to earn a good living, and the kids would be stuck paying all of it.
     

    thompal

    Master
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    0   0   0
    Sep 27, 2008
    3,545
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    Beech Grove
    Which of the evils do you want to get rid of: premature babies weighing a pound at birth survive and grow productive adulthood, new drugs allow cancer patients to live longer with less side effects, less invasive surgeries are done with less damage to the surrounding tissue, cardiac drugs and procedures allow for longer productive lives.

    It's difficult to defend Big Pharma.

    They tell us that the high cost of drugs is due to R&D. Insulin has been around for decades. The R&D has long been paid for, yet the price to the consumer has skyrocketed over the last few decades.

    For many prescriptions, it is cheaper for the patient to tell the pharmacy that they don't have insurance than to pay the higher co-pay of their insurance.

    Many of the new miracle drugs you tout cost multiple thousands of dollars per day. Since generics aren't available, most insurances have the patient pay a percentage, which is a few hundred dollars for each day's dose. Bill Gates can pay that, but it's going to be a problem for normal people.
     

    jamil

    code ho
    Site Supporter
    Rating - 0%
    0   0   0
    Jul 17, 2011
    62,401
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    Gtown-ish
    Which of the evils do you want to get rid of: premature babies weighing a pound at birth survive and grow productive adulthood, new drugs allow cancer patients to live longer with less side effects, less invasive surgeries are done with less damage to the surrounding tissue, cardiac drugs and procedures allow for longer productive lives.

    So the healthcare system can't be fixed without giving up some of those things you listed?
     

    jamil

    code ho
    Site Supporter
    Rating - 0%
    0   0   0
    Jul 17, 2011
    62,401
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    Gtown-ish
    Stop making students take worthless filler courses to round out the over head for the school.
    I think the current education model needs to be rethought. There's nothing wrong with a well rounded education as long as indoctrination isn't part of the curriculum. Some of what some might call "filler" courses teach students how to think so they're not so easily told what to think.

    What think part of what is wrong with education in the US is the promise of lucrative employment afterwards. People think they HAVE to go to college to enable their future success. And while college is a path towards that, it's not the only path. If you have "it", college isn't gonna be of much help beyond the "it" you have. Elon Musk is a good example.

    I think at some point education will become less centralized. If the education model evolved naturally, I think for many careers that now require college degrees, in the future, would require certifications. So it wouldn't matter so much where or how you learn. What would matter is the certification, and the reputation of the certificate issuer to certify qualified people.

    You can get an education in a lot of subjects online now. A lot of college professors have their course material online now. Lectures. Study materials. Homework assignments. You just won't get a grade or college credit. But if you're motivated to learn, you can.
     

    jamil

    code ho
    Site Supporter
    Rating - 0%
    0   0   0
    Jul 17, 2011
    62,401
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    Gtown-ish
    How about trying something that would have a broader, and longer-lasting effect? I would suggest revamping the entire college system. There are administrators making 7 figures, and multiple non-teaching departments with multi-million dollar yearly budgets. Colleges regularly pay guest speakers $500,000 to give a speech. HR departments and "inclusivity and diversity" departments soak up millions, including the buildings that they had built to house them.

    Who pays for all of that fluff which has nothing to do with educating the students? The students pay for it.

    I have theories about why people have allowed this bloat to happen.

    1. The GI Bill. Once the federal government is paying a bill, students are less concerned with the cost.

    2. The college deferments of the 60s, where only elites could afford to go to college to avoid the draft, and they didn't care how much it cost to get their major in macrame, as long as the elite class could keep their kids out of Nam.

    3. Biden's bill which kept people from declaring bankruptcy on student loans, so banks and colleges knew that they could charge whatever they want, tell kids that they had to go to college to earn a good living, and the kids would be stuck paying all of it.
    I advocate phasing universities out. It's old school. Literally.
     

    Timjoebillybob

    Grandmaster
    Rating - 100%
    1   0   0
    Feb 27, 2009
    9,567
    149
    They tell us that the high cost of drugs is due to R&D. Insulin has been around for decades. The R&D has long been paid for, yet the price to the consumer has skyrocketed over the last few decades.

    For many prescriptions, it is cheaper for the patient to tell the pharmacy that they don't have insurance than to pay the higher co-pay of their insurance.
    Insulin isn't that expensive, realtively speaking. The newer insulin analogues do cost a good bit more, even the cheaper ones. But you can find insulin OTC in most states at a reasonable cost and some analogues for a bit more. But they don't work as well as the newest ones which do cost a bunch more, but they also did cost a lot to develop in the recent past (not decades). $25 a vial for human insulin OTC at Walmart, and analogues are available for about $75 per with script. If you go with the cheapest option you'll have to test and plan meals in advance much more. Talk to your Dr. before making any changes.
     

    Quiet Observer

    Sharpshooter
    Site Supporter
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    0   0   0
    Mar 10, 2022
    482
    93
    St. John
    Insulin isn't that expensive, realtively speaking. The newer insulin analogues do cost a good bit more, even the cheaper ones. But you can find insulin OTC in most states at a reasonable cost and some analogues for a bit more. But they don't work as well as the newest ones which do cost a bunch more, but they also did cost a lot to develop in the recent past (not decades). $25 a vial for human insulin OTC at Walmart, and analogues are available for about $75 per with script. If you go with the cheapest option you'll have to test and plan meals in advance much more. Talk to your Dr. before making any changes.
    It is not OTC. It is by prescription only. Misuse of insulin can be lethal.

    "The new insulin became available in Walmart pharmacies at the beginning of July and is expected to also be available in Sam’s Club stores in mid-July. Customers will need a prescription to purchase this insulin".
     

    Timjoebillybob

    Grandmaster
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    1   0   0
    Feb 27, 2009
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    It is not OTC. It is by prescription only. Misuse of insulin can be lethal.

    "The new insulin became available in Walmart pharmacies at the beginning of July and is expected to also be available in Sam’s Club stores in mid-July. Customers will need a prescription to purchase this insulin".
    Analogues require a script, human insulin does not in most states, I think the only state that requires one is IN. And yep it can be lethal if misused, so can a bunch of things.

    At Walmart, you can buy insulin for $25 without a prescription (“over-the-counter”) and without insurance.

    The over-the-counter insulin from Walmart that costs about $25 per vial is limited to two types of insulin:
     

    Quiet Observer

    Sharpshooter
    Site Supporter
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    0   0   0
    Mar 10, 2022
    482
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    St. John
    I see it now. You are right. In the hospitals we had 2 nurses check the dosage before the shot was given. The dose was considered that critical. That is why I was so skeptical.
     

    nonobaddog

    Grandmaster
    Site Supporter
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    0   0   0
    Mar 10, 2015
    12,216
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    Tropical Minnesota
    There have always been healthy people who have died unexpectedly. I am 77 and remember back to 1950s. High school athletes collapsed and died at practice. Forty-year-old man comes home from work and dies at the kitchen table. Recruit dies during basic. There are many more examples.
    I have been a Navy Hospital Corpsman, an ER orderly, and a registered nurse.

    A lot of times there is an unrecognized condition, or the person never had a problem checked out. "He was always so healthy", well maybe not.
    Yes, this has always been a thing that happened fairly rarely. Years ago I had a summer student in my area that seemed very healthy. He was 19 and played on his college hockey team. He was jogging with a couple teammates and dropped dead.
    The big question remains whether this is more or less frequent now or in the near future and if so, what is causing it.
    The big obstacle to answering that is the lack of honesty in the people that see the collective data.
     
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