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Shortage of physicians since 2009
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Americas Doctor shortage. The Problem: The U.S. is experiencing a shortage of doctors and expected to get worse in the next 10 years. According to Association of American Medical College(AAMC) the U.S. will face a shortage of physicians between the amount 46,100 and 90,000 and another 12,500 to 31,000 primary care physicians by the year 2025. The Affordable Care Act is expected to accelerate this rate specially because the baby boomers are getting old. With their aging comes complex conditions like arthritis, high blood pressure, pulmonary disease, diabetes, and cancer. These conditions will require a lot of medical attention. So, the problem is that not enough doctors are produced to keep up with the changing demographic that will change over the next ten years. The Cause of the Shortage: …show more content…
The shortage of doctors was started back in the 1980’s when the projections of physicians was expected to be over demanded which led to bad decisions and bad public policy on funding for medical education by policymakers.
Currently hospitals train between 27,000 to 29,000 doctors at annually cost of $152,000 via the Medicare program. But some argue that most doctors are clustered in cities leaving rural and poor Americans critically underserved. And another reason is finical reason, doctors who choose to specialize will make more money in the millions than a primary care physicians. One reason why finical is the cause is student debt, an average medical student debt can build up to around $180,000 by the end of medical school. And on the other hand, a primary doctor will take years to pay back their student debt and what makes it worse is the interest rate that builds over the years. These are some factors that will cause shortage of doctors in the
U.S. Solutions for the Shortage: Solutions to the shortage of doctors can start at the government level. Organization like AAMC recommend that the federal cap on slots for medical resident should be raise at teaching hospitals by 3,000 annually at an estimated cost of 1 billion dollars. Currently the government provides $40,000 yearly to train each U.S. physicians to hospital at cost of $152,000 per year. Another solution could be reimbursement to doctor who choose to work in rural areas or poor communities. This will peruse doctors to choose primary care instead of specialties because it will help pay lower student debts and finish medical school faster. Like some states help doctors who work in rural area pay off medical school debt runs into the six figures, if they agree. A third solution could be either training more midlevel practitioners by changing regulations or licensing. These ideas could help improve the shortage of doctors. My opinion: My opinion on the shortage of doctors is due medical school and residency is harsh on the students. To me, I think residency is hardest part of a medical student because of the long harsh hours worked. I personally know a current doctor who struggle during medical school. He was beyond stress when it came to the MCAT. He wanted to reach a high score, so he will be accepted into University of Miami Medical school but failed. He ended up in some Caribbean island to accomplish his dream to be doctor. I think medical exam should be set to a reasonable score where people could choose to be practitioners or primary care doctors.
Ranked third by U.S. News and World Report on the list of “Best Health Care Jobs of 2017”, the Physician Assistant career has a 96 percent job-satisfaction rate, and represents one of the fastest growing jobs in the nation. Created as a position to relieve the job shortage of primary care physicians, Physician Assistants first came to be in the mid-1960s. Since then, the number of PAs in practice has just about doubled with every decade helping to improve health care not just nationally, but on a global level as well. Physician Assistants are licensed to practice medicine, prescribe medication, treat chronic illnesses, and assist in surgery in all 50 states under supervision of a physician. Although some medical practitioners perceive the role
In the past decade, Canada’s population has grown from 5,301,000 in 1900 to over 34,030,589 in 2011, driven mainly by immigration (Central Intelligence Agency, 2011). By 2056 it is expected, one in four Canadians will be 65 years or older, compared to 13 per cent currently. This will put a huge strain on the country’s health care system (Macleans, 2008 p.2). The future of Canada’s health care system is at great risk due to its escalating and aging population. This is triggering a shortage of physicians, particularly anesthesiologists, in some provinces of Canada (Canadian Medicine Journal, 2007). Anesthesiologists are specialist physicians who provide critical care to patients in a number of health programs: operative anesthesia for patients in all surgical subspecialties, acute pain management, procedural anesthesia, obstetrical care, and high-risk medical management, chronic pain management, resuscitation, advanced airway management, and critical care (Intermountain Healthcare, 2011). The current shortage of anesthesiologists is highly impacting access to care in each of these areas. Due to the lack of foresight in government policies, the shortage of anesthesiologists in Canada is increasing and becoming more critical. The Canadian government has failed to train, hire, and retain enough anesthesiologists/assistants for the needs of Canada’s rising population. The Canadian Medical Association (CMA) estimates it would take 26,000 more physicians, presently, in order to bring Canada up to the Organization for Economic Co-operation and Development (OECD) average (Macleans, 2008 p.2).
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
In underserved communities there are too many peoples, and less much health care. There are plenty of benefits for new graduate of primary care such as loan forgiveness program. In stead doctors spending most of their career digging out from educational debe, with loan forgiveness the physician gets help paying down educational debt.
The number of doctors that present in the United States of America directly affects the communities that these doctors serve and plays a large role in how the country and its citizens approach health care. The United States experienced a physician surplus in the 1980s, and was affected in several ways after this. However, many experts today have said that there is currently a shortage of physicians in the United States, or, at the very least, that there will be a shortage in the near future. The nation-wide statuses of a physician surplus or shortage have many implications, some of which are quite detrimental to society. However, there are certain remedies that can be implemented in order to attempt to rectify the problems, or alleviate some of their symptoms.
“In 2007, U.S. health care spending was about $7,421 per resident and accounted for 16.2% of the nations GDP” (Kaiser). Whereas, Japan’s national expenditure on health is roughly 8% of the nations GDP (Kaiser). However, with such low cost, delivery of medical care would be affected in a negative way. Many physicians in Japan have witnessed hospitals overcrowding due to the fact that every patient is treated too equally and the hospital beds are occupied by less urgent cases and there are no penalties for those who over use the system (Harden). Also, lack of required physicians and nurses on duty affects the quality of care because there are only 1.6 physicians per 1,000 people and 7.8 nurses per 1,000 people whereas the average for physicians are 3.1 and nurses are 8.2 per 1,000 people (Kaiser). Therefore, physicians and nurses become overwhelmed with long hours and overcrowding causing the quality and delivery of medical care to
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.
Regardless of the best attempts of medical professionals and educators to increase the workforce over the past, shortages are anticipated in every health care profession. The estimated supply of workers fails to meet the need related with population growth and aging of the population. With the continuous necessity for medical services for the millions who are projected to sign up for Medicaid and the federal and state insurance exchanges, the labor force shortages could become devastating.
Background info or discussion of issue(s): According to a report published by the Association of American Medical Colleges, the demand for primary care physicians will significantly surpass the supply by 2025. This will create an overwhelming shortage of physicians within the next 10 years.
Baicker, & Chandra. (2004). Medicare spending, the physician workforce, and beneficiaries’ quality of care. Health Affairs (Millwood), 184-197.
Georgia does not have a state law that specifically requires employers to offer pregnancy leave. However, most Georgia employers with 50 or more employees may have leave obligations under the federal family and medical leave act (FMLA). I will be mostly referring to this Act and other laws and Acts within the state of Georgia.
The simple formula for the development of organization is hire qualified physicians from the competitive market and develop relationship within the community (Hughes & Beauty, 2008). But imbalance between demands and supply, putting more pressure on health care manpower.