r/medicine - Comment by u/ChaseFromPawPatrol on ”Andrew Yang: It's time for physicians to pass on the torch to NP + Automation”
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  • Sandals [none/use name]
    ·
    4 years ago

    Fight on comrade.

    I will warn you that I think you have to be particularly careful with coming on with the verbage too quick. The vast majority of US physicians come from very privileged backgrounds/PMC households and many will self-identify more with the bourgeoisie than rightfully in the proletariat. Additionally, these folks tend to be peak neoliberals at best if not flat out conservatives.

    That being said, they are a heavy target for exploitation and many know this, so if done cleverly you can channel their frustrations towards the actual root of the problem.

    Talking Points that will get you traction:

    1. If you work for a living, you are a worker. Because of their wage most doctors feel that they exist more in the "upper-middle" or "upper" class of America, and often feel victimized by others who think they are paid too much or don't earn their wage, etc. It is important to redraw the class division in their head from "upper/middle/lower" to "Worker/Owner" so they may realign themselves with the rest of the healthcare workforce and not with the hospital CEOs or "c-suite suits". Honestly, american doctors have been feeling the squeeze for many years as the business side of healthcare has done what it needed to increase profit margins. Remind them they are workers first (You did a good job btw in that post generally, big ups).

    2. Doctors are threatened by AI/Mid-level encroachment. It's easy to get minds in the right direction if you can properly underline why this is happening. Labor is the most expensive aspect of running a business, and capital hates paying for it. They 100% want you to take on 1 -2 NPs because the insurance gets billed the same and you take on all the liability. You just tripled your productive output for maybe 25% of what they bill but also tripled your liability. It's not the NP/PA/Whatever that is the enemy, but the hospital that is squeezing every dollar it can out of you. Same thing goes for AI. These are topics that have a lot of energy and emotion behind them, but it's often wasted on in-fighting.

    As a notice /r/medicine isn't purely physicians but a mix of healthcare workers. Also, there are some premium chuds there and the ban hammer is used liberally for any violations of civility, so be warned.