Shame on surgeons and others who train these nurses
Advanced plastic nursing.
It's already in the VA (independent midlevels posing as doctors). Just not among proceduralists.
What's the pinnacle of plastic surgery? In goes a nurse and out comes a "doctor".
Wouldn't work in America because there is such a huge spread of income inequality between states.
Or we could just focus on where the real problem is: unnecessary administrative positions.
It might actually go quite a ways
And the legal liability will never go away, even in a socialized system. Politicians are mostly ex-lawyers, and the legal industry has lobbying power that puts physicians to shame. Combine that with the fact that malpractice is largely regulated at the state level, and you're basically in a situation where if we end up socialized we'll have all the downsides of socialized medicine with all the liability of the current system. Hooray.
Such systems, as implemented in the US VA system, would be the most likely framework. That would obliterate the medical malpractice industry and the public would be easy to sell on not backing a world in which doctors don't face consequences for harming their loved ones (or so the ads would say). Lobbying is a powerful thing, literally the most powerful force in the country. We would undoubtedly lose.
Taxes — the average Canadian family’s largest expense
Given that not everyone has kids or pays for their education (or sees their kids go to medical school, for that matter), that whole point is kind of null for many. So I'm looking at the health care cost savings- which, for a wealthy individual, don't add up to a savings. The average family in the top 10% of earners (of which physicians are certainly a part) in Canada pays almost $38,000 per year toward health insurance via taxes. So then we look at malpractice, which is highly specialty dependent. A policy in the specialty I hope to match to runs around $2,000/year in my state. So then we're looking at higher tax burdens and a lower exchange rate, so you've got to make up for that in wages. Psychiatry certainly doesn't- average wages in Canada are the same or substantially less than in the US.
How Much "Free" Health Care Really Costs Canadians
Also, per CIHI's official report (and they pay the vast majority of psychiatrists in Canada directly, so these are accurate numbers), the average psychiatrist salary in Canada is $259,000 as of the most recent report in 2015. The closest thing we've got in the US is the Medscape Compensation Report, which has a very large sample size and tends to be fairly accurate, which estimates psychiatrist salaries to be an average of $235,000. Basically, you're still making more after the exchange rate in the United States. One interesting thing to note, however, is that psychiatrists actually make more in the desirable area of California- an average of $252,000.
Really depends on the field. Primary care and psych have gone waaaaaay up in the last fifteen years, much faster than expected. Anesthesia, well... You guys have gotten boned left and right. Medical education is a one-time expense, so if you're taking more than a 13k a year pay cut for it for the rest of your life, you're not coming out ahead (and possibly even much less than that, if you've got less debt). Now, if you intend to pay for your kids' education, well... That's another story I guess. Cost of living though... Well it all depends. Basically if you're having kids, Canada can be a big boon.
Fair enough. My point is that docs in socialized healthcare do alright. That's all.
Not everywhere. See Germany, the UK etc.
That 15 ER docs made 400k when many ER docs here would scoff at such a number says a lot.
Those are literally the only two countries where docs do okay in a socialized system.
Here in the Northeast the average ER doc salary is around 250k, + or - 20k.
Medscape: Medscape Access
