Heal yourself

Seek a quicker fix for lagging graduate medical funding

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There are few things less maneuverable than the inertia of a federal government program.

From 2000 to 2012, Georgia’s population rose by 2.4 percent, making it the nation’s ninth-fastest-growing state. Meanwhile New York state, like many of its Northeastern neighbors, grew by barely 1 percent – ranking it 32nd in growth.

Yet the rules Medicare uses to divvy up $10 billion per year in spending on graduate medical education are based on a formula that hasn’t been tweaked for more than a decade. That means Georgia’s growing population is facing an increasing shortage of physicians worsened by a lack of residency funding, while New York has a glut of spaces – and a greater likelihood of keeping the doctors once they’re trained.

That’s the gist of a recent story by The Augusta Chronicle’s Tom Corwin and Sandy Hodson, which finds that New York receives a whopping 20 percent of Medicare’s funding to support graduate medical education, while Georgia and other states receive barely a 1 percent share.

Dr. Fitzhugh Mullan, Murdock Head Professor of Medicine and Health Policy at George Washington University and a lead author aid on the study, found that New York receives $103.63 per capita in residency funding compared to $14.114 for Georgia. While Georgia has 3.1 percent of the U.S. population and 2.4 percent of U.S. medical students, the state receives just 1.36 percent of the total residency funding.

“That’s a pretty dramatic story,” he said.

Indeed it is. And because roughly half of all medical students stay to practice in the states where they serve their residencies, the disparity in funding puts Georgia in a self-defeating position of training doctors who then are exported to other states richer in residency positions.

With that looming doctor shortage, and an overall aging population that will require more medical care, that’s a brain drain Georgia can’t afford.

The rational solution would be to reconfigure the Medicare formula, first written in 1983 and revised in 2000. It’s long overdue, and would be a good step toward reversing the decline in physician numbers where census trends clearly show the greatest future need.

But because that requires action from a federal government that can’t even diagnose a website, don’t hold your breath for that change anytime soon.

A more likely solution to the disparity, says Dr. Peter Buckley, dean of the Medical College of Georgia, is for the state to bite the bullet and fund more residency positions to keep up with growing medical school enrollment. That would cut down on the number of physicians trained here and exported to other states for residencies – in most cases, never to return to practice here.

For a long-term cure, congressional action to change the Medicare formula is needed – and perhaps additional residency support funding to keep up with the rising need.

Because Georgia can’t expect fair treatment anytime soon from the grindingly gridlocked federal government, the state should take a cue from MCG and its revived partnership with University Hospital. While the numbers are small in comparison to the overall problem, the residency spots University once again is offering are a good example of cooperation designed to find a solution.

There’s a novel idea. Georgia, don’t wait on the feds to take action; heal yourself.

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Riverman1
83725
Points
Riverman1 11/15/13 - 05:48 am
6
0
Obstacle to Resident Training

It has been known for decades that the way to increase the number of physicians in a state is to increase the number of residency programs, NOT build more medical schools. Besides the funding mentioned here, one of the big problems is resistance by physicians to train those who would be competition later. University Hospital has more than once dropped residency training programs due to this protectionism and it only pays lip service to resident training today due to public pressure.

soldout
1280
Points
soldout 11/15/13 - 09:44 am
0
3
Heal Yourself

The title of the article is the answer. No you can't do brain surgery on yourself but 70% of the ills you have can easily be fixed with energy healing like naet and eft or a combination. It is more scientific than most regular medical care per "Cross Currents" by Dr. Becker who developed equipment that is in most hospitals today. You have an electrical system that runs your immune system and that is where your healing starts. Your body has a lab, a receiver and a transmitter and through muscle testing your body can tell you what is wrong with it. Once you know what is wrong you activate some meridian points while holding the frequency of the ailment and the body begins an adjustment to the problem and healing begins. This can be in person or distance healing since it uses frequency and transmits using your body just like TV and radio signals. You don't really think God created the electrical and frequency system just so us NFL fans could enjoy a great ballgame in HD do you? Just yesterday someone who was allergic to a cleaning product in their hospital room and was thought to be getting the flu and was getting ready to be loaded up with antibiotic on that assumption. In a couple of minutes this person was treated with naet and in an hour or so was feeling much better and cough was reducing. That is the normal result of energy healing. The Word says we perish for lack of knowledge. It doesn't say because of not enough doctors, hospital rooms or money. God made the system so as we learn it our medical shortages becomes a surplus.

soapy_725
43676
Points
soapy_725 11/15/13 - 10:23 am
0
0
Obama has a plan for the aged akin to his "unborn plan".
Unpublished

Knock of the top and the bottom of the population.

soapy_725
43676
Points
soapy_725 11/15/13 - 10:25 am
0
0
Marx & Engles talked a lot about world population. War & famine
Unpublished

They sought to use any catastrophe, contrived or real, to gain power.

deestafford
27514
Points
deestafford 11/15/13 - 10:26 am
3
0
Folks, we ain't seen nuthin' yet when it comes to doctor

shortage. Obamacare requirements with the associated cuts in medicare and medicaid reimbursements, combined with other federal government caused problems, are not only driving many doctors to quit or retire they are causing many to reaccess their desire to become a doctor. The tip of the iceberg hasn't even broke the surface of the shortage pool.

GiantsAllDay
9580
Points
GiantsAllDay 11/15/13 - 11:21 am
1
2
I say we amend the Obamacare

I say we amend the Obamacare act to include a $499 stipend to EVERY AMERICAN CITIZEN so they can buy an ipad with the WebMD app. The majority of Americans can then treat themselves using the ipad alone. Actual visits to a physician will be limited to one per year per citizen. There, I just saved the system a ton of money.

GiantsAllDay
9580
Points
GiantsAllDay 11/15/13 - 11:26 am
1
0
Deestafford is right on this

Deestafford is right on this one. I know first hand that many doctors who have practiced for many years, have acquired a bit of wealth but yet have several quality years of practice left (if they desire) are closing their doors and walking away. Get ready for rationed care, folks. We let them get away with it and anyone who voted for these morons deserve an early death when they cannot get in to see a doctor.

Darby
25577
Points
Darby 11/15/13 - 01:40 pm
2
0
"I say we amend the Obamacare act to

include a $499 stipend to EVERY AMERICAN CITIZEN so they can buy an ipad with the WebMD app."

.
Giants - That sound really good to me. Still, math was never my best subject. What's five hundred bucks times 310 million?

Somebody help me out here.....

Maybe somebody from OzBama's IT team. Yeah!

Humble Angela
41338
Points
Humble Angela 11/15/13 - 02:33 pm
2
0
Great idea....buy everyone an
Unpublished

Great idea....buy everyone an ipad with an app that a large number wouldn't use....and if they really DID want to use webmd, they would go to the library and use it for free already....but by all means, let's spend another $150 billion on yet another wonderful idea.

GiantsAllDay
9580
Points
GiantsAllDay 11/15/13 - 02:51 pm
2
0
Humble Angela either doesn't

Humble Angela either doesn't understand sarcasm or was born without a sense of humor in the first place.

Humble Angela
41338
Points
Humble Angela 11/15/13 - 03:07 pm
2
0
You should use the sarcasm
Unpublished

You should use the sarcasm font next time. Sometimes it's difficult to parse through true sarcasm and idiots that actually believe in fairy tale ideas....such as the ACA. :-)

soldout
1280
Points
soldout 11/15/13 - 03:11 pm
2
0
thumbs down

It is funny that I get thumbs down to a system that is working everyday for many people. It eliminates costs, no drugs and works everytime. I guess folks don't like easy and cheap but prefer complex and expensive. At least now folks know it is out there if they have a need and that's the beauty of free speak;...you can cry "I have free water" in a dry and thristy land.

Humble Angela
41338
Points
Humble Angela 11/15/13 - 04:47 pm
3
0
Works every time? Not quite.
Unpublished

Works every time? Not quite.

Darby
25577
Points
Darby 11/15/13 - 10:09 pm
2
0
"....but by all means, let's spend another $150

billion on yet another wonderful idea."

.
H.A. - Hope you realize that, in spite of my reply, I did detect the scorn in GAD's post and, to be honest, my math is not really all that bad either.

Anyway, indicating sarcasm when you write is a little like explaining the punch line of a joke. I'd rather miss the punch line or the witticism rather than have it explained to me. But that's just me.

Anyway, 150 + billion is just pocket change to OzBama's taxpayers (meaning you and I and folks like us). We've got too much now and the government needs it more than we do.

There's literally no end to the bottomless well where that money would come from.

Notice that I didn't strain credulity by saying "virtually no end". Just trying to phrase things so that a good, committed liberal would understand.

Gage Creed
17203
Points
Gage Creed 11/15/13 - 10:11 pm
1
0
I wonder if my ObamaPAD will

I wonder if my ObamaPAD will have hi-fi wi-fi....

GiantsAllDay
9580
Points
GiantsAllDay 11/15/13 - 10:33 pm
2
0
Humble Anglea, you're OK and

Humble Anglea, you're OK and I like you. Many Americans are going to be harmed by the ACA.

Bizkit
31306
Points
Bizkit 11/16/13 - 12:03 am
1
0
Riverman is right. Residency

Riverman is right. Residency training is the ticket. Now we train em and lose them to other states. If we had more then we could fill the schools need here and perhaps recruit from other states-and not all but a significant fraction will stay where they do their residency. It's a winning strategy.

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