What are your wild predictions for the future of physicians? Tabula Rasa

[bGMx]

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I've come from a different field and notice the climate for everything is heating up (not just global warming). Refugee crises, drought and water crises, age-demographic crises, global geo-political strife and the end of American hegemony on the horizon, where are physicians going to decide to put themselves? Is it right as medical experts to be apolitical when individual healthcare and well being is our number one priority? Please discuss any ideas--

Imagine if we mandated that NPs & PAs must do their "residencies" out in the global scene and with impoverished communities-- not only would we increase global health (and thereby true human wealth) but also extend America's soft power and influence.

What as future physicians are we to do?

 

[QuizzicalApe]

do we have any ideas that don't involve repurposing healthcare workers into the mortar holding together america's crumbling hegemony

 

[bGMx]

I believe it's got its pros and cons-- a society which is informed by the healthcare community to care for itself in ways that are prophylactic, and also extends that care to other regions of the world where there is no hope of the same standard of care!

 

[mega_]

Healthcare in United States is not a right, not even a privilege, but a direct, perfect correlation to one's income. Needless to say it is all crumbling down and needs to be reformed yesterday.

 

[libertyyne]

lol, sending american PA's and NPs to train abroad is one of the worst ideas about retaining american hedgemony i have heard in my life.
1. Other countries do not accept NPs or PA's as healthcare professionals.
2. Sending NPs/PAs to have a "residency" abroad is like sending students to practice surgery abroad. Not only does it sound repugnant, it will not deliver any real good will.
3. American hedgemony, or any power projection is the result of economic and military might. Soft power is the result of our domination in tech and hollywood. Our cultural dominance is tied to our economic and military dominance .
4. America in the state of economic decline, any other country that knows anything about the world see's this and is realigning with China or regional alternatives. There have been numerous reports by third parties that have indicated that there are parts of America that are like or worse then developing nations.
5. Why TF would I care about american hedge as a physician? Even if I did your assumption that I should care is correct, your other assumption of American Hedgemony being great for the world is not really bourne out. Things like Iraq and afgan wars, intentional destruction of non-capitalist economies in the south, proping up of strongmen when it suits our purpose. All of these things show American Hedge is of questionable value in terms of utilitarian life saving calculations.

 

[bGMx]

My idealistic self believes in the idea of good being more powerful than evil, and so I stick hard to the idea that military power allows for super states like the United States, the EU and China's to exist, but it is actually the humanitarian missions which are the seeds for long term human peace and flourishing.

This moment in time is unprecedented and likely a transient period of time between massive periods of war. There is peace and extremely low levels of religion leading to as close to a secular science based society as we've ever seen, entirely due to the global culture the US shouldered when we decided to be the world police. Now we've become so self-reliant and filthy rich we've been able to consolidate those self-interests to once again be national and constrained to our own borders. This is giving space for other super powers to play the field and inevitable introduce a hostile competitor to our western values and civil security.

Whenever I read about physicians criticism to the current structure of healthcare, especially in terms of mid-level encroachment, the solution seems to be nothing besides not let it happen all the while letting it happen year after year. From my current perspective, that seems to be because we're simply over-populated... or understaffed... or both! Expanding the role of healthcare providers out of the direct clinical setting appears to be a solution to that, and why not make it humanitarian based which indirectly expands both our own security as a culture AND the well being of society?

I'm pretty sure there is a number n > 0 refugees who are dying or being maimed from relatively benign ailments across the globe who would otherwise benefit greatly from an NP who "can't write an order to save their life" or is "extremely dangerous to patient outcomes." This would otherwise also train the alternative providers, give them a definitive roll in society which is clear and alleviate human suffering.

 

[NicMouse64]

My idealistic self believes in the idea of good being more powerful than evil, and so I stick hard to the idea that military power allows for super states like the United States, the EU and China's to exist, but it is actually the humanitarian missions which are the seeds for long term human peace and flourishing.

This moment in time is unprecedented and likely a transient period of time between massive periods of war. There is peace and extremely low levels of religion leading to as close to a secular science based society as we've ever seen, entirely due to the global culture the US shouldered when we decided to be the world police. Now we've become so self-reliant and filthy rich we've been able to consolidate those self-interests to once again be national and constrained to our own borders. This is giving space for other super powers to play the field and inevitable introduce a hostile competitor to our western values and civil security.

Yes

Whenever I read about physicians criticism to the current structure of healthcare, especially in terms of mid-level encroachment, the solution seems to be nothing besides not let it happen all the while letting it happen year after year. From my current perspective, that seems to be because we're simply over-populated... or understaffed... or both! Expanding the role of healthcare providers out of the direct clinical setting appears to be a solution to that, and why not make it humanitarian based which indirectly expands both our own security as a culture AND the well being of society?

I'm pretty sure there is a number n > 0 refugees who are dying or being maimed from relatively benign ailments across the globe who would otherwise benefit greatly from an NP who "can't write an order to save their life" or is "extremely dangerous to patient outcomes." This would otherwise also train the alternative providers, give them a definitive roll in society which is clear and alleviate human suffering.

No. Nope nope nope nope nope.

 

[bGMx]

^

I'm interested to hear your specific objections!

 

[QuizzicalApe]

the solution for "concern for midlevel encroachment" being "send the midlevels to Somalia" is certainly a hot take