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The AMA artificially caps the number of doctors and hospitals we have to increase salaries and costs. So no it doesn't necessarily take more resources to do these things

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They've backed off on that and I think support more residency slots for training doctors now, but it actually is a funding issue because Medicare pays for a lot of that.

We also have very high to impossible standards for training doctors, and our residency rotation program requires you to not sleep because it was designed by a literal coke addict.

Which is dumb because there’s plenty of money to pay the residents otherwise.

The AMA has reversed position from their 1990s lobby to limit residency slots (which got enacted under the Republican "Contract with America"). At this point, increasing funding for residency slots would be seen as increasing government spending and is politically unpalatable.

medical school admissions is such a zero sum pissing contest of schmoozing profs for research positions, building houses for free in africa, grinding academics far past the point where the knowledge is beneficial, sheer perseverence, and sometimes being the right skin colour. the US could 10x the number of residency spots (and therefore med school spots) without significantly diminishing the capability of the incoming class to be good doctors.

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