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Discussion: Obamacare
Member Since: 2/6/2010
Posts: 27,892
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Quote:
Originally posted by Reed
Wouldn't this kind of healthcare be able to support more patients who could afford it, thus leading to more doctors being implemented into hospitals? I know it it isn't as easy as ot sounds though, but it sounds good.
If not, halp me understand this.
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Here's what I posted about it earlier:
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No system is perfect. Our current system isn't perfect. The problem with the expansion as proposed in this bill is that there are going to be untold millions of new patients in a system that has no provision for expansion. I want to be a doctor, which means that I have to go through 8 years of school and 3 years of specialized training called residency. The problem with residency is that it is essentially when a hospital pays you 20,000 dollars a year in wages for doing 20 hours work days. The problem is that these residencies are required by law as of now (and that will not and should not change in the future to make sure we have good doctors!), but are founded upon the presumption that a hospital is willing to open up that residency spot. Every year right now, there are hundreds of perfectly competent medical graduates who don't get these residencies because the government has done nothing to encourage hospitals to increase their incentive to provide residencies.
Does Obamacare provide new residencies for more doctors to practice? No.
Does it add 16 million new patients to the medical system? Yes.
What does that mean for you and your surgery? You have to wait months and possibly years for it to even happen. The problem is that Obamacare is not tackling the core aspects of our medical system that need to be considered (provisions that, ironically, were able to take place in Massachusetts) before we can tackle the extremely necessary problem of reforming our healthcare system.
If you want to keep discussing this (trust me, I love it!) write on my wall or something.
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Essentially, it would make a LOT more sense for the government to do something about the hundreds of med school graduates who can't be doctors before overhauling the system entirely.
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Member Since: 5/18/2012
Posts: 20,576
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Quote:
Originally posted by Reed
Wouldn't this kind of healthcare be able to support more patients who could afford it, thus leading to more doctors being implemented into hospitals? I know it it isn't as easy as ot sounds though, but it sounds good.
If not, halp me understand this.
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Not really. If more people can afford it, more people will go to hospitals. Since there is a low supply of doctors, there won't be enough to take care of each patient. Leading to congestion in hospitals, which is bad because people in serious need won't get treated as fast.
The policy doesn't allow for more doctors anywhere. I don't have the numbers, but it would be a low ratio of doctors to patients.
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Member Since: 12/4/2010
Posts: 37,894
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Very interesting posts, GaGaFan!
But I don't understand this part. If Obamacare will increase the amount of patients in hospitals, then wouldn't that give hospitals an incentive to open more residency spots? They're going to need the extra staff to cover the extra patients, and what better than fresh out of Med school students who will work long hours for only 20k?
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ATRL Moderator
Member Since: 11/1/2010
Posts: 26,750
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The problem is overpopulation. People need to stop pushing out babies like they're at a slot machine collecting a jackpot. 
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Member Since: 2/6/2010
Posts: 27,892
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Quote:
Originally posted by Doc
Very interesting posts, GaGaFan!
But I don't understand this part. If Obamacare will increase the amount of patients in hospitals, then wouldn't that give hospitals an incentive to open more residency spots? They're going to need the extra staff to cover the extra patients, and what better than fresh out of Med school students who will work long hours for only 20k?
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Your logic would be sound if residents were able to perform surgeries. They can't, though. The life of a resident until about their third year is being on rotation and doing very basic, routine checkups and small procedures. The big jobs still need to go to the people who know them best, the veteran doctors.
And the trend for the past twenty years has been a stagnation of residencies in the most urban areas, the places that would be most impacted by these laws, so I am afraid the answer to your question is "not really."
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ATRL Administrator
Member Since: 6/29/2002
Posts: 77,601
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Quote:
Originally posted by GaGaFan
Wouldn't it make a hell of a lot more sense to try and fix the supply of a product before you try to distribute it to people?
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That's the thing with socialism, you have to somehow make the wealthy pay for the poor. If the wealthy are happy with their health care, why would they want to invest in it? Now that they too will be confronted by the major flaws in the system, society as a whole will be more driven to work towards overall improvement, because the need for more (trained) doctors/facilities/etc. will be urgent, rather than a simple nuisance. A first major step like Obamacare is needed as a catalyst for change.
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Member Since: 5/18/2012
Posts: 20,576
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Quote:
Originally posted by Katie
The problem is overpopulation. People need to stop pushing out babies like they're at a slot machine collecting a jackpot. 
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Actually, it was proven that the world will depopulate in the next few decades. More women are getting jobs, more people are being educated, more people are starting families later in life. Meaning, the more educated a person is, and if a woman has a job, she'll be less likely to have a child. Its going on in the first world, especially in Western Europe.
So overpopulation is not really the problem, it's lack of supply. The US isn't use to this many people coming in for help at a high capacity. I remember being stuck in an emergency room because of too little doctors, more people will make the issue like hell.
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ATRL Moderator
Member Since: 11/1/2010
Posts: 26,750
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Quote:
Originally posted by CoolestPerson12
Actually, it was proven that the world will depopulate in the next few decades. More women are getting jobs, more people are being educated, more people are starting families later in life. Meaning, the more educated a person is, and if a woman has a job, she'll be less likely to have a child. Its going on in the first world, especially in Western Europe.
So overpopulation is not really the problem, it's lack of supply. The US isn't use to this many people coming in for help at a high capacity. I remember being stuck in an emergency room because of too little doctors, more people will make the issue like hell.
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Did my post sound serious?
Cool story though.
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Member Since: 6/9/2010
Posts: 9,802
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Thank you Gagafan and CoolestPerson.
Doc, I was going to respond with the same thing. You'd think the increase in patients would be enough of an incentive to increase the number of doctors, but I guess it'll take an actual law for these hospitals to start granting more residencies. That's what you're saying right gagafan? That hospitals won't grant recidencies unless they're forced to by law?
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Member Since: 2/6/2010
Posts: 27,892
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Quote:
Originally posted by Kworb
That's the thing with socialism, you have to somehow make the wealthy pay for the poor. If the wealthy are happy with their health care, why would they want to invest in it? Now that they too will be confronted by the major flaws in the system, society as a whole will be more driven to work towards overall improvement, because the need for more (trained) doctors/facilities/etc. will be urgent, rather than a simple nuisance. A first major step like Obamacare is needed as a catalyst for change.
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And that's why America isn't a socialist society....yet. It just can't work in a large, diverse population such as ours. :shrugs: I volunteer as a medication room technician in our city's free health care clinic that operates completely independent of any government funding at all, and we are able to service thousands of our population (roughly 300k) from the donations of, ironically, large corporations and the wealthy people in our area. 5 million dollars last year in free medication from drug companies, and I dispense it directly to patients. Millions donated by rich people in our town and free surgeries donated by physicians. I mean, I guess I find the whole idea of "making" someone pay for someone else so hard-to-swallow because I've seen how unnecessary it is first-hand.
I'm going to bed, though, because I just got done with a week of midterms. Have nice conversations, girls!
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Member Since: 2/6/2010
Posts: 27,892
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Quote:
Originally posted by Reed
Thank you Gagafan and CoolestPerson.
Doc, I was going to respond with the same thing. You'd think the increase in patients would be enough of an incentive to increase the number of doctors, but I guess it'll take an actual law for these hospitals to start granting more residencies. That's what you're saying right gagafan? That hospitals won't grant recidencies unless they're forced to by law?
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Let me clarify: hospitals offer a lot of residencies right now, but it is not enough even at the current moment to make sure we have as many doctors as we need in our system. I am speaking extremely macroscopically here, but on the whole hospitals need to be incentivized to provide these residencies because they're essentially paying 20k more than they would when they already hire healthcare professionals to do similar jobs (a nurse, for example, is a more practical long-term investment for a hospital in the long-run, pretty complicate though).
But yeah--this problem needs to be tackled first in order to make headway.
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Member Since: 2/16/2012
Posts: 8,740
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Quote:
Originally posted by Kworb
The problem with universal health care is that it's really damn expensive and the US isn't socialist enough to be able to pull it off. But I do think Obamacare is better than the current system. The supply of health care being insufficient for the whole population is a problem on its own and essentially unrelated to Obamacare. Now the whole nation will be burdened by this problem and not just poor people. That's only fair. I hope that during Obama's second term steps will be taken to try and increase the health care supply.
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What do you mean exactly by the health care supply?
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Member Since: 6/9/2010
Posts: 9,802
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This topic excites me
Alright thanks Gagafan. Go to sleep uglee 
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ATRL Administrator
Member Since: 6/29/2002
Posts: 77,601
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Quote:
Originally posted by RastaMentality
What do you mean exactly by the health care supply?
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Capacity is probably a better word for it.
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Member Since: 12/4/2010
Posts: 37,894
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Quote:
Originally posted by GaGaFan
Your logic would be sound if residents were able to perform surgeries. They can't, though. The life of a resident until about their third year is being on rotation and doing very basic, routine checkups and small procedures. The big jobs still need to go to the people who know them best, the veteran doctors.
And the trend for the past twenty years has been a stagnation of residencies in the most urban areas, the places that would be most impacted by these laws, so I am afraid the answer to your question is "not really."
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But surgery isn't the only reason why people come to hospitals, nor is the only healthcare procedure that people these days can't pay for.
And regardless, the more graduates in residencies = the more doctors in three years = the more doctors available to take care of the increasing amounts of patients over time.
And this is slightly off topic, but if we as a country could focus more on preventative work, such as for example, checking T3 levels during routine checkups, to catch potential health problems before they worsen, the amount of people in hospitals demanding immediate care would decrease.
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Banned
Member Since: 10/28/2011
Posts: 21,283
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bdfjkbdfg It's funny, I used to know ALL ABOUT THIS when I was in 7th grade and this was a bigger issue. Now I have forgotten everything about it.
I want the term 'Obamacare' dispelled. It was created to tack a negative connotation to the President and also to make Americans feel like the government is trying to be in control of everything when they just aren't.
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