Source? But also what difference does that make? Just pay American workers more.
> Just pay American workers more.
If we set aside software engineering - 40% of rural doctors in the US are here on H1B visas. There's not a "pay them more" button we can hit that generates more domestic doctors, especially not in under 10 years. All you'd do is compete amongst a limited supply.
At the same time, the doctor with just 4-5 years of school and hundreds of thousands less debt can not only treat patients more cheaply, but will have more years of practice too.
That leaves the only real difference (other than degree inflation) as being 3 years of residency, but most of the older generation of doctors effectively did the same thing entering into an existing practice or working in a hospital under an experienced physician.
If you climbed the ladder (like a lot of nurse practitioners do), the ADN+BSN took 5 years with 3-4 more years for the MSN or 4-5 years for the DNP.
Put another way, that nurse practitioner has MORE applicable years of schooling than a doctor who got some random degree with the handful of med prereqs then went to med school, internship, and residency. Lots of nurse practitioners also work in the field all the while they are in school which further increases their actual experience.
The real takeaway is that all these extra years, loans, and interest combined with fewer years to practice medicine translate into more expensive care without improving outcome.
That's literally how the button works. An undersupply in the market, increases prices.. kids and students deciding what they want to do with their life, see the wages and decide 10 years of school is worth it... and after 10 years you get more doctors.
If there's an undersupply, that's a clear indication that young people are looking at the field and deciding the wages don't justify the investment.
By short-circuiting the process of the free market, you're guaranteeing the shortage will continue.
The problem is that the relationship is non-linear. The data shows that at a certain amount of comfort and income, most people really aren't willing to make drastically uncomfortable lifestyle choices for any amount of money. I'm not suddenly going to become a lineman even if it pays double what I make now.
How many kids in our culture are actually looking at earning potential as the #1 factor when they choose a career?
Immigrant doctors may also hate working at these facilities, but the prospect of raising their family somewhere in the USA is a huge value add for them.
Eh I think this is sort of BS. First yes literally you could be paid enough. Everyone has a price, including you, and you’re not fooling anyone. Second you can find arrangements that perhaps enable you to spend a few years doing what amounts to public service in exchange for maybe no debt or higher pay and then move on - this is a very common thing in the labor market.
Also, what does that say about you that you hate being around your fellow countrymen more than someone from outside of your country?
This administration could address that, but if anything, they seem to be moving in the opposite direction.
> Employers must attest to the Department of Labor that they will pay wages to the H-1B nonimmigrant workers that are at least equal to the actual wage paid by the employer to other workers with similar experience and qualifications for the job in question, or the prevailing wage for the occupation in the area of intended employment – whichever is greater.