#and theres this reciprocal relationship of like. the docs wanting to maximize earnings and the govt wanting to minimize spending | Explore Tumblr posts and blogs

sangsaracycling · 12 days ago

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theres also at least in the canadian system the added complexity of like. we have a single payer system (with a lot of gaps in coverage). all hospitals are public . specialists who can only be hired if the hospital has capacity are essentially self-employed rather than being government employees. they have to set up corporations under their own name and then bill their provincial government each time they provide care to a patient. if we let the workers pretend they own the means of production at any meaningful capacity they will fight back any time theres a proletarian movement that is fundamentally in their interest.

#in the states the same physicians are on contracts from healthcare groups #like company owns a series of hospitals and they hire docs #and the companies may have academic affiliations but you're essentially employed by a private firm #in canada the provincial govts own the hospitals and they decide how many docs can be hired #but once hired the doc sets up their own private firm under their own name #and charges the govt an amount (set by the govt) per service provided to patient #and theres this reciprocal relationship of like. the docs wanting to maximize earnings and the govt wanting to minimize spending #so they dont expand hospital capacities etc to be able to hire more docs #and then tell the docs if their hours are reduced to normal hours they wont make as much money tm #so most docs past a certain point of seniority absolutely hate the idea of medical trainees and residents and more junior attendings #asking for the right to see their family at dinnertimes and such #my posts

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