Friday, June 16, 2017
The President and the Congress are
deliberating a bill to replace Obamacare with a market-based
solution. I have such a solution. Relax the licensing requirements
for foreign doctors to practice in America.
Russia for one has many doctors, many
of them quite good. They come to America in large numbers, they will
drive down the costs of medicine through competition. The result will
be a much greater reduction in medical costs than can be done by any
government-based bill.
According to a Soviet-born American
economist named Mikhail Alexeyev, the real reason for the high costs
of medicine in America is cartelization by AMA. It is very hard to
become a doctor in America, and it is harder for a foreign doctor to
be licensed to practice in America. If you have to have a 4.0 GPA to
get into medical school, have to pay through the roof to finance your
education, and do 18 hour days in residency, very few people will be
able to become doctors. And limited supply will always meet high
demand at an exceptionally high rate.
There is a solution to this problem. It
is to increase the supply of doctors by licensing more foreign
doctors. In Russia and China, there are many qualified doctors who do
not get paid very well where they are. Many of them would be happy to
come in America. These people are neither incompetent nor stupid.
They are excellent at what they do, and they would do good job in
America.
If Mr. Trump is serious about fixing
America's medical mess, this is what he would look to do. There is no
way that there will be enough doctors graduating in American medical
schools to satisfy the rising demand as the baby boomers retire. But
abroad there are millions of qualified professionals. They come to
America in large numbers, they will fulfil this demand. And that will
reduce the medical problem in this country.
Now Barack Obama did not appear to have
the guts to take on the root of the problem as Mr. Alexeyev
articulated it; but Donald Trump just might. If workable solutions
cannot be achieved from within, then they can be incentivized from
without. Increase the supply of doctors. Reduce medical costs through
competition. Allow qualified doctors a chance at a better life.
Positives all around.
This would be the true market-based
medical solution. And that will reduce medical costs better than
Obamacare or any other government-based action.
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