培训费是上面给医院,上面没这么多钱一下子培训好多医生.医院也一下子容纳不了这么多住院医。住院医出事培训医生要负责的。你是医生你高兴一下子义务带这么多学生？ 1. Accreditation and Quality Control Medical schools, residency programs, and other training institutions need to meet strict accreditation standards to ensure quality education and training. These standards are set by organizations like the Liaison Committee on Medical Education (LCME) in the United States and similar bodies in other countries. Maintaining high standards requires resources, qualified faculty, and clinical training opportunities, which naturally limit the number of students that can be admitted each year. 2. Residency Slot Availability After graduating from medical school, doctors must complete residency training in a hospital to become fully licensed and board-certified. The number of residency slots is often capped by government funding and hospital capacity. In countries like the United States, residency positions are partially funded by Medicare, and funding has been capped since 1997 under the Balanced Budget Act, limiting the expansion of available residency slots despite increasing demand. 3. Workforce Planning and Supply-Demand Balance Governments and healthcare organizations often attempt to manage the supply of doctors to align with projected healthcare needs. Overproducing doctors can lead to unemployment or underemployment, while underproducing can lead to shortages. Workforce planning involves estimating the number of doctors required based on population growth, aging demographics, disease prevalence, and geographic needs. 4. Economic Considerations Training a doctor is expensive, both for students and for the institutions that provide medical education. The cost of medical education is substantial, involving extensive use of resources, faculty, and clinical placements. Limiting the number of students helps manage these costs and ensure that educational institutions can maintain financial stability and high standards of training. 5. Medical Malpractice and Patient Safety Medical practice involves high stakes, and inadequately trained or underqualified doctors could increase the risk of medical errors and malpractice. Capping the number of doctors helps ensure that only those who meet rigorous standards are allowed to practice, thereby protecting patient safety and maintaining trust in the healthcare system. 6. Regulatory and Professional Interests In some cases, professional medical organizations and licensing bodies may exert influence to limit the number of new entrants into the profession to avoid oversaturation, which could impact job opportunities, wages, and the overall prestige of the profession. This can sometimes lead to a more controlled and competitive field but also create barriers to entry. 7. Geographic and Specialty Maldistribution Even when there isn't a shortage of doctors overall, there can be issues with their distribution. Rural and underserved areas often struggle to attract and retain doctors, while urban areas may have an oversupply. The same applies to medical specialties; some fields like primary care may face shortages, while others like dermatology may have more applicants than available positions. 8. Bottlenecks in Clinical Training Clinical training requires access to patients and supervised practice in real-world settings like hospitals and clinics. There are often bottlenecks in finding enough clinical placements, especially in specialized fields. Capping the number of doctors helps manage these resources effectively.
Overall, while the cap on the number of doctors may be driven by a combination of pragmatic concerns and systemic constraints, it is also a point of debate, particularly in countries facing physician shortages. Reforms are often discussed to adjust the balance between supply and demand while maintaining quality and access.
囯家里垫底。
可见ROI很差。
现在，中国人的预期寿命都超过了美国。
美国医疗界必须来一场革命性的变革才行。
但造成这种状况的主要因素并不是医生的工资。
就是让全部美国医生一分钱工资也不拿，对降低医疗费用也是微乎其微。因为全部医生的收入只占8%。
现在一位医生要养十来个辅助人员，管理人员，IT 人气员，法律人员等等，机构越来越庞大。医生压力越来越重。
现在美国家庭医生收入大概二十几万，专科四十多万：平均三十几万美元：从数据上看，的确是高。
但医生训练时间长，学业重，竞争激烈，学费昂贵。就是工作之后也是加班加点，日夜操劳：非常不利健康。
从投坛的角度来看，送子女学医其实是亏本的买卖。本科和医学院的费用大概在60万到80万之间，如果以死皮10%的回报率：40年产生的收益远远大于医生一辈子带来的收入。
现在，很多医院只有1%到2%的利润。不少医院靠借贷维持，在风雨中挣扎。特别是农村或者边远地区更是如此。
美国医疗系统改革，任重道远！
过去他还就诊，现在是做老板不去诊所看病。。
前些年他就诊时，LD找他看过病。最后是正常自费部分要支付不少钱钱。他主动说，我帮你改改。最后同样的治疗/检查，就大部分保险支付。LD事后非常惊奇。
每个行道都有猫腻。就像你们总统说的，nobody wants to pay tax. 他也这么做，你去骂他吗？
最终把责任推向中国
先大量生产垃圾食品把你的钱赚了，你吃的全身是病，然后在生产大量的药给你治。之间收你大量的医疗保险费用。
挣你三次钱。
台湾小社会，单一民族，没有新移民，这些问题比美国要简单得多。
反正就是一辈子当韭菜。
大家都饿的不行不行的，不要担心肥胖，
有病了，上山采几把草药，
想娱乐了，大家围起来跳个忠字舞。
也就是管理组织部门和人员。这些人越来越多，开销越来越大。
Overhead gets bigger and bigger. From 5% in early 50s to 40-60% today.
就政府搞那个平权运动，各学校工厂公司不都增加平权运动办公室？只要政府出台个政策，就增加一个部门。花销就大一圈。
譬如照个X 光要多少钱？如果是急诊，适当提高一点，可以理解，但是从价格构成上来看是不合理的，因为机器使用和折旧是一样的，要提高的话可以在服务费上提高。我不能理解的是普通患者收１００拍个照，急诊要收８００拍个照？这机器损耗那么大还是检验师需要不同的技艺了？急诊和门诊差别应该在服务费上，而不是在其他物理性检验上做文章。以此类推，药物也好，化验，手术也好都可以明码标价，医生也可以根据资历，毕业住院医等明码标价，大家根据实际经济状况自我挑选，看普通感冒我可能选择普通医生，看癌症，我有钱就选最好的医生，没钱就选一般的医生，这样医生也有incentive 提高服务，医术不好顾客就越来越少，实行真正的市场调节。这种成本架构透明化不难，就像我们做生意一样，每个产品从原材料到加工到流通渠道到卖给各个零售店的利润率都可以透明化，整个行业才有竞争性。医疗体系为什么做不到？LOL
门诊室里给病人看病的医生是只培训了几天原本烧锅炉扫走廊的政治背景正确的劳动人民。上海的医疗条件已经比其他地方好，不过被政治正确误诊了也只能自认倒霉。
我小时候手臂脱臼被政治正确医生接歪了，我父母私下里偷偷找了被打倒的老医生才重新接好。
如果是疑难杂症，只能各安天命了。
培训费是上面给医院,上面没这么多钱一下子培训好多医生.医院也一下子容纳不了这么多住院医。住院医出事培训医生要负责的。你是医生你高兴一下子义务带这么多学生？ 1. Accreditation and Quality Control Medical schools, residency programs, and other training institutions need to meet strict accreditation standards to ensure quality education and training. These standards are set by organizations like the Liaison Committee on Medical Education (LCME) in the United States and similar bodies in other countries. Maintaining high standards requires resources, qualified faculty, and clinical training opportunities, which naturally limit the number of students that can be admitted each year. 2. Residency Slot Availability After graduating from medical school, doctors must complete residency training in a hospital to become fully licensed and board-certified. The number of residency slots is often capped by government funding and hospital capacity. In countries like the United States, residency positions are partially funded by Medicare, and funding has been capped since 1997 under the Balanced Budget Act, limiting the expansion of available residency slots despite increasing demand. 3. Workforce Planning and Supply-Demand Balance Governments and healthcare organizations often attempt to manage the supply of doctors to align with projected healthcare needs. Overproducing doctors can lead to unemployment or underemployment, while underproducing can lead to shortages. Workforce planning involves estimating the number of doctors required based on population growth, aging demographics, disease prevalence, and geographic needs. 4. Economic Considerations Training a doctor is expensive, both for students and for the institutions that provide medical education. The cost of medical education is substantial, involving extensive use of resources, faculty, and clinical placements. Limiting the number of students helps manage these costs and ensure that educational institutions can maintain financial stability and high standards of training. 5. Medical Malpractice and Patient Safety Medical practice involves high stakes, and inadequately trained or underqualified doctors could increase the risk of medical errors and malpractice. Capping the number of doctors helps ensure that only those who meet rigorous standards are allowed to practice, thereby protecting patient safety and maintaining trust in the healthcare system. 6. Regulatory and Professional Interests In some cases, professional medical organizations and licensing bodies may exert influence to limit the number of new entrants into the profession to avoid oversaturation, which could impact job opportunities, wages, and the overall prestige of the profession. This can sometimes lead to a more controlled and competitive field but also create barriers to entry. 7. Geographic and Specialty Maldistribution Even when there isn't a shortage of doctors overall, there can be issues with their distribution. Rural and underserved areas often struggle to attract and retain doctors, while urban areas may have an oversupply. The same applies to medical specialties; some fields like primary care may face shortages, while others like dermatology may have more applicants than available positions. 8. Bottlenecks in Clinical Training Clinical training requires access to patients and supervised practice in real-world settings like hospitals and clinics. There are often bottlenecks in finding enough clinical placements, especially in specialized fields. Capping the number of doctors helps manage these resources effectively.
Overall, while the cap on the number of doctors may be driven by a combination of pragmatic concerns and systemic constraints, it is also a point of debate, particularly in countries facing physician shortages. Reforms are often discussed to adjust the balance between supply and demand while maintaining quality and access.
比如中国人学数学的多，最后去华尔街，或做CS。
印度人学医的多，最后大多数医生都是印度人。
然医学院需要严格的训练，这我同意，但是也不是一点也不能扩大人数的，还是利益集团垄断这个市场。
我看病 LOL 医生也要take risk 就是如果自己技术不好就没有饭吃，现在的问题是医生是最保险的职位，没有竞争啊。
会有成千上万的人失去工作和职业，那些家庭和孩子会失去生活资源，回旋镖还是要杀回来。
俺就遇到做一个医疗检查，几个LAB抢着拉人，就是做生意赚钱，而且，她们都是助理和技术人员，并非医生。