¶ Medical School Tuition Repayment Proposal
What's good everyone . This is Dr Nidarko . Make sure you hit the subscribe button below so that you're always up to date on the new uploads , as well as alerts on this show . The other thing that you can do to help build this community is make sure you leave a comment below .
Let us know what you like , what you don't like about the show and , ultimately , let us know who's winning these arguments , because I need to know that I'm beating Rene in these debates . Run the tape , what's up ? Everybody Live from Docs Outside the Box . I wanted to talk about this , renee wanted to talk about this .
So there's a congressman , congressman , greg Murphy . He put out a tweet yesterday , the 28th , and he says the number one reason for MD shortage is med schools admitting students who aren't going to practice . Only 60% of med students today plan on practicing clinical medicine .
Med schools need to focus on admitting students who want to take care of patients , not just get their MD . How the hell are you going to do that ? But anyway , right .
So he got 60% plan on practicing .
Yeah , so 40 , he's no , so he says that 40% . Basically he's saying 40% . Don't plan on practicing and that's the number one reason why there's a shortage .
At what point are they not planning on practicing ? Are they not planning on practicing when they're pre-med ? Are they not planning on practicing once they get into med school ? Like are medical schools asking pre-med students do you plan to practice ? And 40 percent are like no , and they're admitting them anyway . Where is he getting this statistic ?
So , Dr Murphy , tell us where you're getting your statistic from .
I'd love to hear it . Interesting is the next thing he doubled down on it and said it should be mandated that , unless disabled , each medical school graduate should have to practice medicine full-time for 15 years minimum to refund the federal government for the cost of tuition you mean pay their student loans back .
I don't get it I think that's the one that got people most like yeah .
Somebody got a free ride to school because maybe mommy and daddy paid . I don't know . Maybe that's the only reason that I can explain Like that's the only way I can explain that you don't that he doesn't understand how federal funds might work . You sure he doesn't understand .
You'd be surprised . I looked him up . He was at I think it was medical school , at Big East Brody School , whatever it is . He's a urologist up until 2017 and I think he started doing some non-profit work or for-profit work and then obviously now he's a congressman . But yo , some of this stuff has got me like he's part of the shortage problem ?
He's not . He should get to work what you're doing in Congress , dr Murphy , get to work .
Unless he's trying to say that he's already done his 15 years .
I don't care , because listen , what makes so 15 years is an arbitrary number , right ? What if we actually need all doctors to continue working for 25 years ? I'm proposing 25 years . Dr Murphy , what you got on that ? I think you should go back , leave Congress and go back to work . We need a lot of urologists . We got urology shortage .
So this obviously is problematic . Troll , troll , troll . I don't know where he's getting his statistics from . I don't know where he's getting his statistics from Because if you check Medscape , these numbers don't correlate with Medscape . They're for certain surveys , Satisfaction surveys or med school , what you plan on doing afterwards , type surveys .
So that's really interesting , Right ? The second part for me , that's the one where I'm just like okay , this is either he's just saying there's just to piss people off . There's no way he can believe that he's not saying it to piss people off .
I don't think . I think he has his own agenda right . Like listen , it's been nine days .
Technically he's not part of the . What do you call it ?
I'm just saying it don't got to be part of the cabinet , it just has to be administration driven . It has been nine days Nine Nine days , guys , of what ? Since inauguration ? It's been nine days since inauguration .
Since this administration has taken nine days , it's been the longest year of my life , I would say this I think someone who is someone who is as educated as he is someone who's a urologist . I just have a hard time believing that he truly believes this .
Just because he went to school doesn't mean he's educated .
I don't think he knows . How can you ? How can you ?
Just because you went to school don't mean you're educated .
But if you went to school don't mean you're educated . But if you went to medical school in the united states , what thought process would you ever like ? What part of going to medical school , applying to medical school , paying your loans or even someone paying your school tuition ? Would you think that some , like the federal government , is paying your just ?
because you went to medical school doesn't mean that you're actually educated , but this is what I'm saying that you were exposed to education .
It doesn't mean that you're actually educated .
But this is what I'm saying . It means that you were exposed to education . It doesn't mean that you were actually educated . Okay , because in order to be educated , then you have to say things that really warrant some merit of education behind it . I just wonder where he gets that .
I think he's being punitive on purpose . Of course he is . Yeah , I think he's being punitive on purpose . Of course he is . Yeah , I think he's like well , listen , if you don't practice for 15 years , then you have to . You know the penalty will be you have to pay back all these years in tuition , like .
I think he's saying that on purpose because there's no way .
But how many people are getting a free ride on the federal government to medical school , like , let's really talk about that . Is it a lot or a little ? I don't know . I don't know the federal government like outside of military folks . I don't think there are that many more people .
Maybe National Health Service Corps , which those people already have a mechanism by which they pay back that you can't just jump ship . They make it real expensive for you to jump ship , because then you have to pay three times the amount ?
The second thing that I was thinking was is he talking about residency ?
No , but that's not tuition .
But then he specifically said tuition . So I'm like , well , what the hell is he talking about ? And that's when I was like , ah , he's just being punitive on purpose , right . That's part of this administration . Like we're going to be as punitive as possible , we're going to say things , we're going to force you . You won't even get down .
You either go along or you're going to get down , right , and I think that that's cause I can't see how this could be .
So it's disinformation on purpose , right ? Yeah , I agree that what he said doesn't actually make sense , but it doesn't matter , because what he needs is to rile people up so that the next thing that he says becomes the thing that he actually wants people to do , right ?
So this is disinformation on purpose , because you can't tell me a physician a doctor is that stupid that he would actually think that what he said made any sense about . You know , you have to repay the government for your tuition . That's called repaying your student loans . I don't get it . I don't get it . I'm like who's getting a free ride on the government ?
Actually , the government is getting a free ride on you . Essentially , the government gets a free ride on you .
Exactly .
You put down all the sweat equity . All they do is just guarantee the student loan With interest and then you pay back that student loan in full With interest . So the federal government makes mad money off of this .
Exactly , it's a money maker for them .
Right , federal government makes mad money off of this . It's money for them . Like I said , the only thing that I can think of is that you know , when it comes down to residency training , the whole Medicare system pays like half , and then the med school pays the other half for your education as a
¶ Residency as Employment
resident .
But the way how you explained it , explain how residency works like in terms of because you work , yes , so right , it is illegal in the United States to be employed by somebody and not get paid for the work that you actually are doing . Residents are considered employees . They're not considered students . They're not getting money just for education , right ?
Otherwise what would be the point of resident unions , which we know that there are several resident unions around the country ? So they are employees . They're actually working when they are seeing patients . They generate dollars by seeing patients . So they are actually employees .
So you can't say that they would even pay the Medicaid or Medicare dollars that pay for residency salaries . You can't even say that they would pay those back because it's like , well , but then I worked , so therefore you have to pay me .
I'm nervous , though I'm real nervous . You should be nervous , because folks like this . When they start to put up , it's almost like this is like the canary in the coal mine , like is someone working on legislation Of course they are so that , like this , something like this happens ? I don , of course they are Some type of penalty .
I mean , listen , this is what people , I think , need to understand . Like you are at the whim of whatever administration , whatever leader comes about Right , and so the notion of you know well , you know , we just got to , we just got it .
It's like , listen , you can fight , you can do all the things you want , but at the end of the day , if an administration wants to see something , there is nothing that you are going to do in order to change a person's mind .
Their value may not be the same values that you have , and so we can't fool ourselves into thinking that you will protest or boycott or I don't know what else people are planning to do . Get enough names on a piece of paper for a petition or whatever to change people's minds who essentially want to see something done .
Very specifically , what you have to be able to demonstrate to that person is the risk benefit ratio , because that's how these people work . You have to show them that , listen , if you do this , it will be worse for you , because and usually that because has a dollar sign in front of it .