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This is absurd. Do you know what the infection rate is for certain physicians or he complication rate ? Or the rate of over utilization? No body tracks that information closely. This information is not easily accessible or digestible for the average person. People still go to chiropractioners and homeopathic charlatans. Licensure is a necessary evil for baseline competency determination. Any jack ass can hang a shingle and then skip town once he going gets though. As much as ayn rand followers hate it, it is necessary for modern functioning societies. Somalia doesn't look like a very nice place to live even though it is exactly without licensure and other "government meddling".
Well, I'm glad you feel strongly about this, but I'm not convinced it's outright absurd. Now, let me be clear, I am not advocating for anything here--just entertaining the thought. That said, 1) I don't think the idea is that patients will necessarily look that deeply into physician credentials if there is no licensure. Rather, I think the idea is that they would, at the basic level, want to know that the doctor did in fact complete medical school, etc. It would be in the interest of medical schools, etc's reputations to ensure their graduates are of said baseline competency. 2) Somali example does not work here. We would want to compare the effect on healthcare/outcomes. I would most like to see the effect before and after a country did away with an in-place licensure if that exists (doubtful, but I did just learn this discourse has ever even existed, so bare with me). 3) Introducing new idea here. I thought of a scenario of one possible facet of the effect if we did away with licensing: FMGs, who paid/paying less for education and training, (or grads of some cheaper kind of medical school that sprouts, or any doctor who is willing and able to charge less) charge less for their services. Might the quality of care be lower? Maybe. Would it be cheaper for consumers? Yes. Would this do greater utilitarian good (would the amount saved on healthcare be worth the quality risk)? This is my primary interest.
edit - slightly regretting digging into a political issue in a social thread. forgive me. forge on
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