Honestly surgeons should be paid hourly like technicians. $800/hr or something like that. For a 2 hour procedure, $1600. Another $5k for facility and support staff. Looks like medicare is on point...
I'm with you until I remember how expensive medical school plus internship is in the US. If doctors cannot pay back their student loans, it doesn't matter. The majority of folks in medical school have family that can support them now - not fixing education will make this even worse.
Don't get me wrong. I support state-sponsored health care, especially after moving from the US to Norway over a decade ago. Just the peace of mind not having to worry so much about financial ruin because of health issues relieves so much stress - even stress related to just keeping yourself healthy is less (If I get hurt while jogging, it isn't a big issue, for example) But fixing the US system is bigger than just payments or insurance for all. Gotta fix things like education costs, the burden of unpaid internships, and things like that, too. I wish it weren't such a complicated problem and I wish there were the political desire to do such a thing.
This gets said a lot and it kind of irks me. (I am a physician.)
US software devs also make 2x what their European colleagues do, but that never gets called out as bloat. Plus US software devs make that 2x pay without taking our additional loans for medical school at the rate of $75k per year or doing years of low pay residency where their salary doesn’t give them the means to pay off those loans.
> US software devs also make 2x what their European colleagues do, but that never gets called out as bloat.
Of course it does. And it gets acted on. Every major corporation in America has explored or implemented moving to European or other foreign developers to save costs.
Developers also don’t have the advantage of a trade group that prevents this practice, requires particular education or limits the number of people allowed to get that education.
Don't forget the insurance, plus the hospital has costs that must be paid for too. A surgery with _just_ the surgeon and no support staff isn't one I'd want to be in.
And the best of the best of medical students the world over compete to enter the US market. Being US board certified garners the highest pay even outside the US (eg GCC).
It’s kind of like our industry - the higher comp is a big reason behind how the US attracts talent from all over the world.
Just wanna point out that this sort of statement only really applies to the anglosphere. As in "medical students the world over can generally only speak english and their native language, so they can either apply for studies in their home country or an english speaking country, and some try to go to the US".
Not every country is in contention, as even if, for example, Hungary has the best medicine program, very few people are gonna learn Hungarian just to attend the university. The same argument applies for every country which requires a non-english language for admission.
This is not the case in Europe. You would not gain anything by being a doctor from the US vs the local ones. You may even be in a worse position due to many differences between the US and the host country.
Don't get me wrong. I support state-sponsored health care, especially after moving from the US to Norway over a decade ago. Just the peace of mind not having to worry so much about financial ruin because of health issues relieves so much stress - even stress related to just keeping yourself healthy is less (If I get hurt while jogging, it isn't a big issue, for example) But fixing the US system is bigger than just payments or insurance for all. Gotta fix things like education costs, the burden of unpaid internships, and things like that, too. I wish it weren't such a complicated problem and I wish there were the political desire to do such a thing.