Stop licensing doctors?

AFB

Lifer
Jan 10, 2004
10,718
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Someone I know (he calls himself a libertarian if you have to know) suggested that a good way to fix the health care problem was to simply stop licensing doctors. He said this would allow for people to get less expensive care possibly done by nurses when you don't really need a doctor, like for check ups. Because nurses aren't paid as much, this would save people money. I responded with "But, wouldn't that allow a lot of bad doctors to practice possibly hurting people" as this was some concern to me. Of course he responded with "No, not really. People will realize these doctors are bad and won't go to them; let the market decide." Do you think this would be something that would have broad support? Do you think it would help reduce cost?
 

Pliablemoose

Lifer
Oct 11, 1999
25,195
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:confused:


Um, it's already being done with Nurse Practicioners & Physician's Assistants.

You really don't want doctors unlicensed, ever.

Licensing culls the really bad ones out, and ignores the marginally incompetent ones.
 

Stunt

Diamond Member
Jul 17, 2002
9,717
2
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I mentioned this before:
Those damn overpriced doctors...
I think that with a $500b trade deficit, the US might as well import doctors:)
Cheap ones. Like from Cuba.

1) you get to free them from their dictator.
2) cuba's literacy rate is the same as the US's.
3) cuba's life expectancy is the same as the US's.
4) cuba's birth rate is the same as the US's.

They've gotta have some good cheap doctors :)

PS. ~30million americans speak spanish.Census
 

Harvey

Administrator<br>Elite Member
Oct 9, 1999
35,059
73
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That's about as stupid an idea as I've heard. Would you really trust your one and only body to someone whose credentials can't be verified and subject to legal standards and review?

PURE STUPIDITY! :roll:
 

Stunt

Diamond Member
Jul 17, 2002
9,717
2
0
Originally posted by: Harvey
That's about as stupid an idea as I've heard. Would you really trust your one and only body to someone whose credentials can't be verified and subject to legal standards and review?

PURE STUPIDITY! :roll:
I dont even trust some doctors :)
like the ones on tv :p
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
Originally posted by: Stunt
I mentioned this before:
Those damn overpriced doctors...
I think that with a $500b trade deficit, the US might as well import doctors:)
Cheap ones. Like from Cuba.

1) you get to free them from their dictator.
2) cuba's literacy rate is the same as the US's.
3) cuba's life expectancy is the same as the US's.
4) cuba's birth rate is the same as the US's.

They've gotta have some good cheap doctors :)

PS. ~30million americans speak spanish.Census



Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
 

Stunt

Diamond Member
Jul 17, 2002
9,717
2
0
Originally posted by: charrison
Originally posted by: Stunt
I mentioned this before:
Those damn overpriced doctors...
I think that with a $500b trade deficit, the US might as well import doctors:)
Cheap ones. Like from Cuba.

1) you get to free them from their dictator.
2) cuba's literacy rate is the same as the US's.
3) cuba's life expectancy is the same as the US's.
4) cuba's birth rate is the same as the US's.

They've gotta have some good cheap doctors :)

PS. ~30million americans speak spanish.Census



Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
He's talking about how doctors are so expensive.
You are saying produce more doctors so demand is much lower and salary is cheaper??

Exact opposite to what the OP is asking...hehe
 

daniel1113

Diamond Member
Jun 6, 2003
6,448
0
0
Originally posted by: Harvey
That's about as stupid an idea as I've heard. Would you really trust your one and only body to someone whose credentials can't be verified and subject to legal standards and review?

PURE STUPIDITY! :roll:

Werd. Doctors are licensed for a reason, thank goodness.
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
Originally posted by: Stunt
Originally posted by: charrison
Originally posted by: Stunt
I mentioned this before:
Those damn overpriced doctors...
I think that with a $500b trade deficit, the US might as well import doctors:)
Cheap ones. Like from Cuba.

1) you get to free them from their dictator.
2) cuba's literacy rate is the same as the US's.
3) cuba's life expectancy is the same as the US's.
4) cuba's birth rate is the same as the US's.

They've gotta have some good cheap doctors :)

PS. ~30million americans speak spanish.Census



Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
He's talking about how doctors are so expensive.
You are saying produce more doctors so demand is much lower and salary is cheaper??

Exact opposite to what the OP is asking...hehe



Producing more doctors would also lower the cost of producing doctors(more student to bare the burden of supporting a med school).
 

Stunt

Diamond Member
Jul 17, 2002
9,717
2
0
Originally posted by: charrison
Originally posted by: Stunt
Originally posted by: charrison
Originally posted by: Stunt
I mentioned this before:
Those damn overpriced doctors...
I think that with a $500b trade deficit, the US might as well import doctors:)
Cheap ones. Like from Cuba.

1) you get to free them from their dictator.
2) cuba's literacy rate is the same as the US's.
3) cuba's life expectancy is the same as the US's.
4) cuba's birth rate is the same as the US's.

They've gotta have some good cheap doctors :)

PS. ~30million americans speak spanish.Census



Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
He's talking about how doctors are so expensive.
You are saying produce more doctors so demand is much lower and salary is cheaper??

Exact opposite to what the OP is asking...hehe



Producing more doctors would also lower the cost of producing doctors(more student to bare the burden of supporting a med school).
Heh you guys would have a brain drain as the rest of the world would pay more for doctors.
There is a shortage in Canada. We would pay well for your doctors.
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
Originally posted by: Stunt
Originally posted by: charrison
Originally posted by: Stunt
Originally posted by: charrison
Originally posted by: Stunt
I mentioned this before:
Those damn overpriced doctors...
I think that with a $500b trade deficit, the US might as well import doctors:)
Cheap ones. Like from Cuba.

1) you get to free them from their dictator.
2) cuba's literacy rate is the same as the US's.
3) cuba's life expectancy is the same as the US's.
4) cuba's birth rate is the same as the US's.

They've gotta have some good cheap doctors :)

PS. ~30million americans speak spanish.Census



Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
He's talking about how doctors are so expensive.
You are saying produce more doctors so demand is much lower and salary is cheaper??

Exact opposite to what the OP is asking...hehe



Producing more doctors would also lower the cost of producing doctors(more student to bare the burden of supporting a med school).
Heh you guys would have a brain drain as the rest of the world would pay more for doctors.
There is a shortage in Canada. We would pay well for your doctors.

Maybe yall need more more doctors as well...
 

conehead433

Diamond Member
Dec 4, 2002
5,569
901
126
So what's next? Stop licensing people to drive so people will quit getting killed in car accidents?
 
Dec 28, 2004
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Licensing does not insure that Doctor's know what they are doing. Doctors are basically prescription dispensers. Poeple shouldn't need to pay a doctor's fee to get some mediine they obviously need.You should be able to just go talk to the pharmacist and get it.
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
Originally posted by: GuinnessExtraStout
Licensing does not insure that Doctor's know what they are doing. Doctors are basically prescription dispensers. Poeple shouldn't need to pay a doctor's fee to get some mediine they obviously need.You should be able to just go talk to the pharmacist and get it.



While i agree there are many meds that a pharmacist could prescribe, there are probably just as many or more that need to be diagnosed by a doctor.
 

KMurphy

Golden Member
May 16, 2000
1,014
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It would reduce costs, but you get what you pay for.

That's exactly why wages for engineers aren't comparable to those of doctors and lawyers. Engineers don't have to be liscensed (or even degreed) to practice engineering.

Doctor and lawyer organizations would not stand for it. The engineering organizations got trumped by teh evil corporations and universities to keep churning out more and more engineers to keep costs down.
 

Infohawk

Lifer
Jan 12, 2002
17,844
1
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I actually think this is a very interesting idea for most of the licensed professions, but to a much lesser extent for doctors.

Lawyers, for example, have a cartel. It's not too hard to get into the legal profession but it's still too much for most of the work that is done. Many people pay very high fees to pay lawyers to do things that non-lawyers could very easily do. In fact, you are seeing some of it now being outsourced to accounting firms but you still have a long way to go. There really isn't a good reason to license lawyers except to increase fees for lawyers. Consumers of law services should be able to choose for themself whether they want a cheap lawyer who hasn't gone to law school or passed a bar or an experienced laywer for more advanced legal dillemas. There was a time laywers didn't even have to go law school (and in some states still don't). Lawyers want difficult bars and education requirements because they (and others feel they're are too many). The funny thing is if there were more lawyers legal costs would be lower.

Now doctors are different because you really do not want some incompetent people doing irreversible physical damage. That said I think doctors, like lawyers, tend to protect themselves a little too much. It is too difficult to get into medical schools these days. That's one reason we need to import doctors from other countries. Another side-effect is the poor saps who get educated in South America so they can be a doctor later in the states. We should have more doctors to reduce costs. But there should be some licensing. Just not as much as we have now.

I don't think we should get rid of licensing but we need more variable licensing or easier licensing requirements. For example you could have a legal license that would only allow you to do tax work that wouldn't require you to know how to litigate (which all current tax lawyers in principle know how to do today). That would mean more tax attorneys which would lower the cost of getting legal tax advice.
 

Bowfinger

Lifer
Nov 17, 2002
15,776
392
126
Originally posted by: charrison
Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
I've read that the real problem is the AMA. It limits the number of licensed physicians to keep their salaries artificially inflated. I cannot vouch for this -- not my field at all -- but I thought it was an interesting theory.

 

daniel1113

Diamond Member
Jun 6, 2003
6,448
0
0
Originally posted by: KMurphy
Engineers don't have to be liscensed (or even degreed) to practice engineering.

Are you kidding me? Most civil and mechanical engineers must be licensed.
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
Originally posted by: Bowfinger
Originally posted by: charrison
Or we could just open up more med schools. Med schools are limited to the number of doctors they can turn out(forget which organization sets the limit).
I've read that the real problem is the AMA. It limits the number of licensed physicians to keep their salaries artificially inflated. I cannot vouch for this -- not my field at all -- but I thought it was an interesting theory.



That is what a lawyer friend of mine said as well. He actually said the legal field should do what the AMA does as there are too many lawyers.
 

Tom

Lifer
Oct 9, 1999
13,293
1
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stop giving 20-30% of our health care dollars to insurance companies. (I made those numbers up, btw, but I bet it's somewhere in that range)

only way to get better healthcare for less money. The economic model that led to the idea of private insurance, doesn't work for healthcare, it just adds a layer of cost.

 

Dissipate

Diamond Member
Jan 17, 2004
6,815
0
0
Originally posted by: Tom
stop giving 20-30% of our health care dollars to insurance companies. (I made those numbers up, btw, but I bet it's somewhere in that range)

only way to get better healthcare for less money. The economic model that led to the idea of private insurance, doesn't work for healthcare, it just adds a layer of cost.

So people should go around with no health insurance? Great idea.

"The total for that surgery will be $500,000."

"*sigh*, time to sell the house and car I guess."

:roll:
 

charrison

Lifer
Oct 13, 1999
17,033
1
81
Originally posted by: Tom
stop giving 20-30% of our health care dollars to insurance companies. (I made those numbers up, btw, but I bet it's somewhere in that range)

only way to get better healthcare for less money. The economic model that led to the idea of private insurance, doesn't work for healthcare, it just adds a layer of cost.



The problem with insurance currently, is that medical insurance is not being used for insurance. It is being used for everything. Insurance is supposed to be for the unexpected, not every cold and sniffel.