Tag: hospital

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free trade & free markets general freedom too much government

Doctoring Malady

medicine, healthcare, medical care, hospital, doctors

There is a doctor shortage. Economists who study such issues project that the shortfall will continue to grow.

That is, the pool of available professionals for advanced and general practice medicine is shrinking relative to demand.

A report last year at Definitive Healthcare provides a list of reasons:

  1. Shifts in physician and patient populations
  2. Most healthcare workers prefer not to work in rural hospitals 
  3. Medical school and residency programs are limited 
  4. Healthcare workers are burnt out 

What wasn’t mentioned? The COVID response debacle. When an elephant makes a deposit on the waiting room floor, don’t ignore it.

But, instead, the list of causes and cures was predictable: “too many administrative tasks” (need more assistants, or at least AI?); “poor work-​life balance” (but that’s always been the case); “insufficient salary” (you could see that one coming a mile away, right?).

A study published in March, “The Complexities of Physician Supply and Demand: Projections From 2021 to 2036,” prepared for the Association of American Medical Colleges, dips its timid toes in that topic, but says little of significance. 

And as I scrolled through a report on the study, I thought: this is none of my business. Just as it’s none of my business to fret much about the supply and demand for toilet tissue or garbage trucks. This is all supposed to be taken care of by “the market.” 

Trouble is, we do not have a free market in medical care. We have an over-​regulated, vastly subsidized healthcare system.

The key to the future supply of doctors is getting the government out of doctors’ business. Hesitating to turn that key, or saying that government “must do more,” merely makes the malady worse.

This is Common Sense. I’m Paul Jacob.

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education and schooling ideological culture regulation

To Die for DEI

hospital, doctor, D.E.I. DEI, diversity, equality, inclusion

Next time you’re being operated on, you probably don’t want your doctor to be someone trained and hired solely because he satisfied affirmative-​action criteria.

We’ll have to especially worry about this possibility, though, if trends at certain institutions continue — including at universities such as UCLA Medical School. There, up to half the students are now flunking basic tests of medical knowledge.

By design.

In November 2021, a new dean of admissions, Jennifer Lucero, “exploded in anger” because an admissions officer had doubts about admitting a black applicant whose academic credentials were way below the average of other students at the school.

“Did you not know African-​American women are dying at a higher rate than everybody else?” she wanted to know, demonstrating a capacity for non sequiturs. Forget scores: “we need people like this in the medical school.”

The time for UCLA professors and admissions officers to raise hell about Lucero’s illegally race-​conscious admissions policies was then, or sooner. At least now, though, many are speaking out.

“I don’t know how some of these students are going to be junior doctors,” one instructor tells the Free Beacon. “Faculty are seeing a shocking decline in knowledge of medical students.”

“I wouldn’t normally talk to a reporter,” says another. “But there’s no way to stop this without embarrassing the medical school.”

Well, word is out now — and in abundant detail. Let’s hope it’s not too late to set this school and others back on the right track.

This is Common Sense. I’m Paul Jacob.

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national politics & policies too much government

The Rationale Has Ended

hospital, bed, pandemic, corona virus, Covid, lockdown,

Early on, we feared the worst. Based in no small part on the extravagant predictions of serial alarmist/​lockdown scofflaw Neil Ferguson, a British epidemiologist, the worry quickly became: our hospitals will be swamped!

To prevent that, governments around the world 

  1. instituted lockdown orders, shutting down most commerce and peaceable assembly, to “flatten the curve,” thereby postponing many incidents of coronavirus and giving hospitals a steadier workload over time; and
  2. set up emergency clinics and hospitals, to take on overflow.

In the U.S., the Army Corps of Engineers contracted with private companies to set up field hospitals. Given the alarmist talk of “exponential growth,” that sure seemed like a prudent use of $660 million.

Now?

Well, most never saw a patient.

Many field hospitals are being dismantled.

And so is the case for the lockdowns: the hospitals are generally not being swamped, which means that as summer approaches we can open things up and let herd immunity build up.

Indeed, we may already have reached that condition, according to Nic Lewis writing on Judith Curry’s Climate Etc. blog. 

At issue is the “Herd Immunity Threshold” (HIT). The disgraced Ferguson’s original HIT was over 50 percent, while Lewis argues that the actual HIT level “probably lies somewhere between … 7% and 24%,” suggesting that “total fatalities should be well under 0.1% of the population by the time herd immunity is achieved.” 

Why the lower HIT? 

More realistic models take into account human diversity — a point also made by economist Daniel B. Klein, who adds important truths like “[f]or most people COVID-​19 is scarcely a disease at all!”

It turns out that being reasonable about this pandemic requires neither complete gloom and doom nor risky response.

This is Common Sense. I’m Paul Jacob.

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hospital, bed, pandemic, corona virus, Covid, lockdown,

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