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Why is that a responsibility of the federal government? Why not the AMA? Of course they are lobbying for more spots, they want someone else to foot the bill. This seems like very short-term thinking. If Hospitals and practices paid for their own residencies, they could lower overall costs, and perhaps work on deals with people to encourage them to stay, etc.


I think it is because the government finds it valuable to have a well trained workforce to take care of its Medicare patients. Do you want physicians to pay for the opportunity to work for hospitals taking care of their patients?


Should the government pay me to study computer science? Should they pay for there to be more computer science training slots in universities? CS is also a valuable workforce, with massive shortages in the US. I don't really think the govt should pay for me to train, or pay to improve the number of educational spots.

At the same time, it does seem like medical internship conditions and pay are ridiculously terrible, underpaid, way overworked.


PhD programs in CS are generally paid, largely by the government via orgs like the NSF. I think this a good thing; you would have many fewer PhD grads otherwise and I think they are generally an asset to the country and the companies they work for.


I don't see why they shouldn't fund more CS and STEM spots and universities in general. They will probably see a good return on investment. AFAIK higher education is subsidized in other countries but I'm not super knowledgeable about that.

On second thought maybe it would make sense to only subsidize the residency programs that are financially unsustainable but necessary, like family medicine or non-subspecialty internal medicine. Downside to this could be that hospitals could choose to not have residents and exacerbate the physician shortage.


I've from a country with free higher education and a living stipend, it seems to work pretty well. So I'd say yes, they should.


...

looks at the two grant proposals I'm on right now arguing for exactly that


The AMA is the association of doctors. Why should they be responsible for paying for the training of more doctors?

If Hospitals and practices paid for their own residencies, they could lower overall costs, and perhaps work on deals with people to encourage them to stay, etc.

This is simply false. Paying for their own residencies would increase hospital costs since they don't currently pay for residency positions, and they're already free to work on deals to encourage residents to stay post-residency, including, for example, supplementing residents' pay.


>The AMA is the association of doctors. Why should they be responsible for paying for the training of more doctors?

Because an Association of Doctors with no Doctors to represent seems like a rather sad sight doesn't it?

Also, considering it is the main force behind setting the barrier to entry, it seems like a bad idea to cut them off from the consequences of the policies they push for by letting them off the hook in terms of not having a fundamental part to play in the training up of new medical talent.


Amazing how the rest of the developed world has none of these issues, no? And yet doctors are quite well-respected and high earners even in those countries.




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