Shortages in Healthcare: Why? How Do We Fix Them?

[@tannermurphree8247]

I am an RN who returned to my former career after year in the hospital. There’s a shortage because the job sucks, endless meetings and anxiety over pleasing the regulators.

[@ahealthcarez]

Thank you for sharing your experience.

[@komilakarimova8919]

I just started watching your videos and honestly impressed! You deliver information in a simple way and with a high quality! It's very rare today to find a person with this unique ability. Appreciate your work a lot!

[@ahealthcarez]

Thank you for your feedback.

[@TheRoland444]

Outstanding informational insight on "everything medical as its relates to human involvement & effort" within the "real world" challenges & constraints, the business of healthcare.

[@StudentLifeLearning]

Thank you, Doc, for making a seemingly complicated topic easy to understand when you explain the market forces of supply and demand in mathematical terms. You just got a new subscriber. Keep up the great work.

[@ahealthcarez]

Thank you for watching!!

[@mdaverde]

Great video, surprised you didn't talk about the reduced doctor headcount due to residency funding

[@ahealthcarez]

Thank you for watching and for your feedback.

[@brianree2220]

Thank you for creating these videos. You breakdown the information so its easy to understand!

[@ahealthcarez]

Thank you for watching and for your feedback.

[@shanap7491]

There are a lot of Uber-like nurse staffing companies that are cropping up. I would like to hear more about this.

[@ahealthcarez]

Thank you for your suggestion.

[@claashorst]

Tip Top! Shared in the discussion in Germany and Switzerland via Linkedin & FB. Thank you very much.

[@ahealthcarez]

Thank you for sharing.

[@DeWayneTooson]

Same thing is happening with public school teachers

[@ahealthcarez]

Thank you for sharing your thoughts.

[@danieldeneve3154]

The physician supply is also restricted annually by government sponsored residency.

[@ahealthcarez]

Thank you for watching and for your comment.

[@haddadda]

They should open more med school spots

[@ahealthcarez]

Thank you for sharing your thoughts.

[@Koru-Health]

Partially correct, but the underlying culprit (for MDs) is the GME funding that pays for residency programs. This funding, primarily through the Social Security Administration (CMS) is a set pool of funds controlled by congress. With a fixed and rarely increasing funding pool for residency programs the number of residency positions available in the US each year is restricted. It would not make sense for a university to graduate more MDs than they can place in residencies.

[@concernedcitizen780]

Maybe cutting the cost of Nursing, medical school and expand those schools. I know medical students $500,000 in debt and nursing students $90,000 in debt

[@briansweeney5759]

Of course some practitioners can afford to buy their own equipment (eg a LASIK machine) and be somewhat ‘affordable’- however more complex areas - eg neurosurgery, transplant surgery, dialysis- require more equipment, theatres, ICU beds, nurses, therapists - which individual specialists could not provide or bill for…

[@ahealthcarez]

Thank you for sharing your thoughts.

[@AggresivelyBenign]

I don’t understand something. How are the US Healthcare costs set artificially low? I understand England and Canada, but aren’t prices in the US negotiated? Or is it that the payers have the negotiating power, so they are setting the prices to their benefit so that the end result is reduced pay for hospitals and providers?

[@carlwattjr]

Limited spaces in med school by ama. Limited salary of nurses by hospitals

[@ahealthcarez]

Hospitals have monopsony power in nursing labor market. Nurses likely to become more unionized to counter.

[@carlwattjr]

@@ahealthcarez what about the limits on supply of doctors, a much bigger cost factor? No limits on nursing schools so it seems like mainly the increasing stress of the job is limiting supply because the job can’t compete with other options. But again, thanks for raising and explaining all these details of healthcare. Really appreciated.

[@carlwattjr]

@@ahealthcarez you might consider an episode on how the difference in quality management between healthcare and all other industries has left healthcare weak on the ability to improve to lower cost. ISO 9000 and other qms in all other industries requires working process improvement. Healthcare seems to just be audited to regulations, leaving healthcare largely passively waiting for regulators to tell them how to change. I am an expert on lean in aerospace if you ever want free advice in that area.

[@concernedcitizen780]

Making medical school cost lower would help. I see medical students $ 500,000 in debt.

[@jeffsmith9420]

Don't worry he will never address that or the fact that US MDs are already the highest paid in the world.

[@TraderZeta]

Great video. You have great presence. I am very fascinated on your thoughts on how the university system could have some impact on the situation.

[@ahealthcarez]

Thank you for watching and for your feedback.

[@SpecialK711]

From Artificial Pricing to Artificial Care => Robo-doc in-a-box here we come. Would be great to hear you speak about the various business venture opportunities being forged as a result of the shortages.

[@ahealthcarez]

Thank you for your comment.

[@ifeanyiozobu5547]

Thoughts or video suggestion on the issue of limited residency slots?

[@ahealthcarez]

Good point. Unlikely to expand IMO.

[@otiliapopescu9264]

That's a great video, thank you, I observed you only depict facts, but why not solutions on them?

[@ahealthcarez]

Thank you for watching and for your feedback.

[@komilakarimova8919]

So to have enough nurses and primary care physicians should their wages be increased? Why do you think it never be solved?

[@ahealthcarez]

Their pay is increased in a cash-pay environment where the customer pays the provider. It’s the 3rd party payment by government and insurance companies that creates the shortage because they suppress the wage below the market level.

[@SpecialK711]

​@ahealthcarez Yes, and they also add significantly to the administrative burden, which is causing many to drop out

[@BurqueMD]

Have you thought about writing a book? I have found your videos so helpful!

[@ahealthcarez]

I have. ‘Healthcare Money Campfire Stories’ available on Amazon. 👍

[@BurqueMD]

@@ahealthcarez great, I'm getting it. Thanks!

[@iMeta4]

Health economics, I did not expect to see you so soon since that one class. This cannot be helped. 🤣 And I meant the topic, not shortages. Thank you US. 😒

[@ahealthcarez]

Thank you for watching and for your comment.

[@NANA-nd1kq]

Will you discuss Singapore model of care provision? Hybrid of government-subsidized catastrophic care and self-pay using tax-advantaged HSAs.

[@ahealthcarez]

Great suggestion. Thank you.

[@jeffsmith9420]

Funny how Bickler keeps deleting my comments pointing out why his analysis is nonsense. Maybe it would make more sense to try and actually understand what he is talking about.

[@azppmd]

Let me know your address and I'll ship you a microphone. Do you need 3.5mm input? On what device are you recording? I bounced after the first 3 seconds.

[@ahealthcarez]

Thank you for your feedback.