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by conanbatt 2600 days ago
This is part of it , but physician salaries are 10% of the spending. This could be fixed by laxing licensing laws, allowing doctor immigration and reducing the cost of education.

But only one of many reforms needed.

1 comments

I’m not sure where you got the number 10% from. Perhaps you’re dispatching heavily on the word “salary”, when most doctors and surgeons operate as small businesses, and don’t earn much income directly as salary?

Doctor plus nurse compensation dominate every chart I’ve ever seen of US medical spending.

People like to imagine it’s all the fault of insurance companies, pharmaceuticals, and malpractice; those are collectively a tiny fraction of US spending. It’s mostly labor costs.

The US is rich, health is a good with infinite demand. It’s hard to reduce costs in that context.

https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

This one shows 20%, though when you say clinical services you include nurses, mid levels and medical assistants, though it doesnt explain how much of the hospital spending goes to providers, so higher.

Also, add that the amount of debt physicians graduate with, does not make it a very healthy career, particularly in primary care (where you could do most of cost control).

PCP's have high burnout and suicide rates, work 50+60hour weeks until their 50's , etc. There is nuance to the analysis of provider spending.

In any case, i can assure you there are plenty of marginally useless rank-file employees that exist thanks to the current regulatory framework.