« AOSHQDD U.S. Senate 2014 |
Main
|
Overnight Open Thread (12-5-2013) »
December 05, 2013
NYT: The looming "doctor shortage" is not real
Mostly because you won't be seeing a doctor as often. You'll be fobbed off on people with less training.
... The opportunity exists to deliver more services and care with fewer physicians, but it’s not a foregone conclusion. Policy changes will be necessary to reach the full potential of team care.
That means expanding the scope of practice laws for nurse practitioners and pharmacists to allow them to provide comprehensive primary care; changing laws inhibiting telemedicine across state lines; and reforming medical malpractice laws that force providers to stick with inefficient practices simply to reduce liability risk. New payment models must reward investments in technologies that can save money in the long run. Most important, we need to change medical school curriculum to provide training in team care to take full advantage of the capabilities of nonphysicians in caring for patients...
...Innovations, such as sensors that enable remote monitoring of disease and more timely interventions, can help pre-empt the need for inpatient treatment...
Perhaps piss sniffing toilets and sewer crawling robots?
Of course they point to MA/RomneyCare as evidence that there won't be any doctor shortage.
Take Massachusetts, where Obamacare-style reforms were implemented beginning in 2006, adding nearly 400,000 people to the insurance rolls. Appointment wait times for family physicians, internists, pediatricians, obstetricians and gynecologists, and even specialists like cardiologists, have bounced around since but have not appreciably increased overall, according to a Massachusetts Medical Society survey.
Curiously
in 2006 Massachusetts had the highest per-capita concentration of doctors in the country, 462/100k...compared to Idaho, at the bottom with 169/100k. Having 2.7X more doctors available might just, maybe, kinda, sorta have had something to do with that, although I'm probably way out on a limb with such wild fact based speculation.