Re: AAMC issues letter of support for resident cap legislation

From: Gordon Goldman (obgyndoc@swbell.net)
Sun Mar 25 11:19:59 2007

Ditto. Been there 'a la 1980's' It is simple matter of supply and demand. Flood the market with either physicians or other 'health care providers' acceptable to the public and you control the market, be it government or private third party payer. Academia and the hospital systems buy into this for economic, not altruistic motives.

The general public has been so starved of 'quality medical care' (and to paraphrase U.S. Supreme Court Justice Potter Stewart regarding pornography, no, I cannot define it, but I know it when I see it) they are now willing to accept even poor quality care vs. no care. This acceptance by the general public that some care is better than no care is a dangerous precedent that will eventually be more costly in terms of life and the quality thereof, as well as expenses to eventually rectify it.

Again, to paraphrase, 'just my opinion, I could be wrong'. 

--
Gordon M. Goldman, M.D., FACOG
Private Practice, St. Louis, Mo.


On Mar 25, 2007, at 11:25 AM, Harrison Sheld wrote:


> Although some authorities suggest a future shortage of physicians,
> there are at least 2 studies which suggest otherwise. Additionally,
> there is a sea-change in the the deliverers of health care to which
> the public, thanks to managed care, are accepting in increasing
> numbers. It is apparent that physicians are not the only people
> capable of delivering satisfactory health care.
>
> The efforts of the AAMC, based upon perceived shortages, to push
> for increasing numbers of residents, is an open invitation for the
> intrusion of federal "guidelines" into the logistics of physician
> training and distribution.
>
> Hospital reimbursement for resident training could be contingent
> upon these guidelines, including further control on the location,
> number and kind of residency positions. No doubt the needs of
> underserved localities will be considered on a national basis as a
> determining factor on the composition of each resident class.
> Control of post-graduate medical education, currently enjoyed by
> medical academia, would pass to a federal bureaucracy.  Completing
> the federalization of medical education, the awarding of the number
> of medical student loans could depend upon the ability of medical
> school training programs to fill federally mandated residency
> positions.
> The old adage, "be careful what you ask for, you might get it"
> applies.
>



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