NeedsMoreCapitalism t1_jaaxkc4 wrote
Reply to comment by Empty_Economist in Montefiore residents and fellows to unionize by DrogDrill
https://www.ama-assn.org/education/improve-gme/history-residency-and-what-lies-ahead
>remove all residents from the hospitals. What do you think the result would be? The answer will tell you plenty about your claim that they aren't adding much value.
Yes in the short term. We already know that hospitals would rather hire traveling nurses for 3-4x what a hired nurse would cost.
We already know that in plenty of industries where the interns and first and second year workers do lots of work, that's it's mostly used for.training purposes anyway and the work isn't very valuable.
And look. All I did was repeat what hospitals have said and talk about why the system exists in the first place.
I'm telling you there's a chance that this is reality.
MiamiHeat0603 t1_jadfr61 wrote
The point is that this is actually NOT reality, despite what hospitals are financially incentivized to claim. Residents provide cheap labor and keep hospitals afloat. The alternative is hiring more PA and NP who are by the nature of the way things are set up demand higher pay, or hiring more attending physicians who get paid even higher than that. Residents’ entire salaries are paid for by the federal government as explained above, providing free labor to hospitals. The vast majority of hospitals are such that in certain units the residents are the only doctors/“providers” there overnight. In what world can it be claimed that this is a net negative for the hospital?
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