Can I ask where this number comes from?
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I swear that I googled BEFORE responding!
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On a side note, keeping dentistry & the rest of medicine separate might play a role here
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"Why Dentistry Is Separate From Medicine" by Julie Beck on the Atlantic talks a bit about the background to that split
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Only 350 AND a ban on orthodontist migrants working in the USA as such
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Won't demand induce supply? We live in a world where orthodontists could move here if the money was good, and schools would expand.
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Isn't the idea that schools and/or some sort of weird societal credentialism is artificially limiting demand?
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Not weird, but rather rules about who can do procedures that demand certain degrees and don't relate to ability to perform.
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There's definitely that straightforward regulatory burden—but I also meant to include the voluntary version that's implicated in cost diseas
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Same with MDs severely restricted. And tight practice rules; most US MD work would be nurse work in EU.
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Get the feds to forgive my student loans, and I'll go along
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Importing the extras from eastern europe has been the .uk approach for a while
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Those aren't "extras" but it's not UK problem ofc
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Shorthanding a complex thing into a tweet loses details, yes
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Anyway i agree that's the obvious problem for the usa is physicians simply earn too much because of supply constraints
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And you can import extra faster than you can fix a pipeline, was where I was trying to gesture
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Also "fixing the pipeline" removes physicians temporarily from the actual job (to teach) so it's a kind of J curve
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Letting nurses do more things though is "instantaneous", see
@tylercowen on the topic, he covered that a lot
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One way to increase supply is to lower qualifications for certain areas of care, and also provide less care. This is how the UK does it.
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In the UK, most of my prenatal care was with a midwife (specialised nurse). In the US, it was all OB/GYN (specialist).
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US: Annual pap smear and pelvic nurse, done by GYN, starting at 18. UK: Start at 24, every 3 years, done by a regular nurse, no pelvic exam.
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US: Children see paediatrician (specialist) until 18. UK: Children see GP and specialised nurses called Health Visitors. No paediatricians.
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Also, medicine is an undergraduate degree, so less educational time is "wasted." In US and Canada, medical students can't enter w/out BS/BA.
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That said, we also have a supply issue, because the pay is pretty low.
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