[HDThoreaun]

Residencies lose money. The doctors that teach in them generally do not enjoy it(source my father who is a doctor and chairs a residency) and need to be paid extra to participate. There would be close to none without the federal subsidies.

[bradleyjg]

I get that they cost money.

The federal government has a lot of money. So does the California government. So does the San Francisco government. So does the Bill and Melinda Gates Foundation. So does Harvard University. So does Amazon. So does UnitedHealth Group. So does NY Presbyterian.

I reiterate: Why does the federal government need to pay for every single residency?

[HDThoreaun]

Because no one else will... I encourage you to go ahead and start funding them or lobbying others to though.

[bradleyjg]

I’m not the one whining about insufficient residency slots.

[Sakos]

Because of Moloch https://slatestarcodex.com/2014/07/30/meditations-on-moloch/

Or rather, misaligned incentives. If they aren't paying for residencies today, there's no reason to believe they'll magically do so tomorrow. Also, if a state decides to do so, that still leaves every other state with insufficient funding for residencies.

[bradleyjg]

There’s a bunch of people that think the federal government should fund more residencies. Some of them raised money, hired lobbyists, made slick websites etc. Others are on websites like this talking up the issue.

They don’t seem to be getting anywhere. Looking at the current state of Congress and the trend line I’m not super optimistic they will pass any sort of “common sense” laws in any area anytime soon.

What I’m suggesting then, is perhaps all these advocates should find some other trees to bark up. Maybe they’ll get no where, maybe they’ll be pleasantly surprised.

Or they can just keep doing what they are doing. I don’t especially care.