[Synthetic7346]

One thing that's never been clear to me is how either system plans on scaling healthcare. You have X doctors who can see (just a guess) 30X patients. Unless the number of doctors increase, some patients are going to be left out. In the current system it's those without employment. I'm other countries there's a waitlist. How can we make sure there's enough staff to provide adequate healthcare for everyone?

[reticulates]

The U.S. has waitlists too? The U.S. makes people wait based on how much money they have, socialized healthcare systems make people wait based on an assessment of need. The latter is obviously better, even though it is not perfect. You’ll find that most everyone living with socialized healthcare believes it to be adequate when compared to the U.S. system. Adequate does not mean without flaws, adequate doesn’t mean available on demand, adequate means has good outcomes. Very few countries with a similar economy have as poor healthcare outcomes as the U.S.

[maerF0x0]

> You’ll find that most everyone living with socialized healthcare believes it to be adequate when compared to the U.S. system

This is not true for Canadians. Many have to travel to the US, India, or otherwise abroad to purchase the healthcare they desire which is not available to them in Canada.

In Canada you have to get sick enough for the system to triage you into the quotas. But maybe you want to stay healthy before things get too bad?

[reticulates]

The conclusion you're drawing does not follow. Canadians can be frustrated with the Canadian healthcare system and also believe it to be adequate when compared to the U.S. healthcare system. Canadians who are surveyed about healthcare typically say: the system is broken and needs to be fixed AND the socialized nature of it must be protected. Canadians are unhappy with underfunding, Canadians want more funding, they do not want the U.S. system.

[maerF0x0]

Based on my exposure to Canadians, they lament how much tax they pay, and they're unhappy with the single provider monopoly where their pets can get faster and better care for cash than they can get themselves.

[nlitened]

I have a very simple and easy solution: allow any person with any medical education from any country around the world to practice medicine in their field of study, and relieve them from any medical malpractice responsibility (apart from criminal). Let them prescribe medicine, no paperwork, no regulation.

Anybody can choose to which hospital they go, the “state-licensed” crazy expensive one or the “unlicensed” one for 50 dollars a visit.

As far as I understand, currently the pool of people in the US who are allowed to do medical work is artificially limited, and doctors’ salaries are inflated. Just look around the world, there’s a huge supply of doctors with no student debt who would be happy to work for 60k a year. Also tens of thousands of US citizens will just go get a cheap medical degree from other countries, come back, and open private practice.

[rootusrootus]

> You have X doctors who can see (just a guess) 30X patients

FWIW, it's about 1500X plus or minus.

> How can we make sure there's enough staff to provide adequate healthcare for everyone?

The solution now seems to be headed towards using FNP's and similar in place of fully licensed MDs. Which for things like primary care makes good sense IMO.

[hirvi74]

The whole thing is a racket. The amount of doctors is artificially constrained by the AMA. It's also why the US medical school system is so competitive compared to other countries. For example, in England one does not need an undergrad degree then medical school. One just goes straight into medical school at university. It's a 5-6 year long program compared to the US's 8 year program.

Of course, doctors do not earn nearly as much in England as the USA, thus good luck ever getting something like to change in the USA. In America, most people go to medical school for the prestige and the paycheck, and our system utterly reflects both.

[throe849449]

Forced labour? Poland has doctors on 32 hour shifts. Worker comes on monday morning, leaves tuesday evening. The night is spend on ER, with a few naps between patients. Perfectly legal!