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This article is infuriating. Ok, so Medicare paid hospitals $106k-182k to train doctors in 2015… and as someone who graduated from residency in 2014, we were making $40k-55k. So the hospitals were pocketing 60-75% of the payments, and doctors are supposed to feel grateful?

The solution is obvious: if you want psychiatrists to take Medicare, pay them. CMS has already shifted payments toward primary care because they know it’s necessary, but are dragging ass on psychiatry. They could easily fix the shortage of psychiatric services for low income patients by actually incentivizing it, if they actually wanted to.

Replace the “social contract” with an actual contract and you’ll see results.

Hey America, got any good news about how things are going over there?

Because it's looking past the point where you should be in the streets by now

Ah yes. Is this similar to the social contact that expects teachers to be underpaid and put up with abuse?

I hate the concept of a social contract. I didnt sign any such thing. And how da fuck is it the fault of doctors that america is thw worlds greates third world country.

Damn those psychiatrists, it’s THEIR fault that the medical insurance is creating overly elaborate schemes to avoid paying out.

How dare they suggest that this isn’t sustainable.