> The antitrust class-action lawsuit Jung v. AAMC alleged collusion to prevent American trainee doctors from negotiating for better working conditions. The working conditions of medical residents often involved 80- to 100-hour workweeks. The suit had some early success, but failed when the U.S. Congress enacted a statute exempting matching programs from federal antitrust laws
https://en.m.wikipedia.org/wiki/Jung_v._Association_of_Ameri...
This will always be excuse "we have to act now, because X is terrible if we dont"
It seems to me, the tradition of working residents to the point of sleep exhaustion is a form of institutional hazing, perpetuated by people that endured it because "I did it, why shouldn't they?" I'm not sure how you crack that nut.
With regulation - for example, there could be a law that prevents doctors working more than 12 hours in a 24 hour period.
Come to think of it, surely something like this exists already?
It also unfairly hamstrings smaller practices with fewer covered professionals. Work gets offloaded from the covered individual to uncovered people in order to maximize the amount of work the covered individual can get done in that time span, or people start getting really particular about what is practicing and what isn't.
Hate to sound like a broken record with other folks in the thread, but nothing is fundamentally changing the game with that regulation, just who pays the complexity tax at any one time does.
So ball bustingly frustrating how bloody interconnected everything is while remaining so broad it's nigh-impossible to model within the confines of your own head. I say this as someone whose occupation centers around being able to very quickly jump between distinct verticals and subsystems while maintaining the capability to project the consequences of a change in one vertical through subsequently connected verticals. Everything seems to come back to a form of dynamic equilibrium where as long as you don't stare too hard the thing behaves well, but the closer you look the chaotic it becomes.
Sorry, but this stance seems like part of the problem.
Doctors shouldn't be working more than 12 hours at a time, for rather obvious safety reasons. People don't stop being sick, sure - that means you change the system so there are more doctors working fewer hours, rather than making doctors work insane hours that risk patients and are terrible for doctors' mental health and wellbeing.
I'm not advocating that doctors should work 12+ hour shifts. Merely that creating a regulation that caps doctoring to 12 hours max a day will tend to create an enhanced scrutiny and sensitivity to what is and is not doctoring; which will lead to unintuitive outcomes in terms of the actual effect of the regulation based on the difference between how the industry runs with it vs. How you actually think it's going to go.
And I disagree with this, for 2 reasons:
1. It's unsafe to have doctors working for too long, even if they want to for some reason
2. It incentivizes management to make doctors work longer shifts (as the current situation is)
I also disagree that making this change would somehow cause confusion about who is a doctor or not - there are already regulations governing the medical profession, so no ambiguity.