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48 points bookofjoe | 4 comments | | HN request time: 0.849s | source
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amluto ◴[] No.42172284[source]
> Recently, her hospital’s dermatology program received more than 600 applications for four residency slots.

Perhaps if supply of dermatologists was not so strongly limited, prices and wait times would improve.

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1. quantumwoke ◴[] No.42172399[source]
The problem is not limited supply but rather the ability to train sufficient supply in a reasonable timeframe which necessitates attending pay cuts (because they can't do as much work) and creation of funded structured training programs with good teachers and case mix. Source: my wife is a doctor
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2. scld ◴[] No.42172483[source]
Increasing the time and cost of the training is how the supply is limited.
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3. quantumwoke ◴[] No.42173639[source]
Can you expand on this? I don't think this is the whole story. Perhaps a concrete example would help.
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4. scld ◴[] No.42236969{3}[source]
In something as large as a nation's regulated medical industry, I agree that no one thing will be the whole story.

However a concrete example is the "pulling up the ladder behind you" effect of regulatory capture.

There are more people who want to become doctors than our country allows to become doctors.

Our current state of affairs regarding compulsory medical residency programs is a result of years of increasing the barriers to entry (for good or bad reasons, doesn't really matter). Now it's up to Congress to pass Medicare reform laws to update their funding for the residency programs, but that has just not happened (one of the major I-told-you-sos when dealing with government intervention).

It's probably not the case that we want to completely deregulate, however a major consequence of almost any regulatory intervention that operates on the basis of increasing credentialism is that we will end up with some % less than ideal supply.