pedrosuave

To clarify I misspoke.

I understand the point is not getting more doctors to pay doctors less.

However when people mention how getting more doctors will reduce physician pay naturally the argument they are putting forth is that somehow physician pay in America is higher than it should be.

That consumers are being gouged on scarcity. That physician pay is currently a "problem" that could be remedied if there was sufficient workforce and physician pay is responsible for your astronomical bills.

I do not think the salary has as much room to go down as people think given the 500k plus debt , years of schooling and residency , pressures of working the job , enormous liability , the fact the pay includes zero sick days /vacations , paid days of any kind , benefits, retirement, insurance etc.

My argument as a physician is this is the least of the problems in healthcare financing and your bill.

The two thousand dollar charge for waking into the hospital then promptly walking out was a real world example --not an exaggeration. The amount charged for that one patient would pay my wage for the night and it was 1 in 60 and took approximately 5 minutes. You can only imagine what the other 59 patients getting critical life saving procedures , CPR , etc are getting billed.

If anything reading this story made me think maybe physicians should be taken care of better and have vacations , time off , etc instead of everything being designed to grind them down.

I see a lot of comments that we need more doctors to be able to pay doctors less. There are of course exceptions but I really don't think 300k a year is unreasonable when coming out with nearly 600k in debt in a field with such high burn out and liability risk.

Unlike salary position that 300k, at least in my field, is all via private equity and we are all independent contractors--meaning does not include any vacation, any paid time off, any sick days, any retirement or medical care or insurance of any kind.

I have not seen a raise since I started which was prior to covid. I'm not saying I need a raise I am well paid but again to be 500k in debt with zero benefits and I see on Reddit buckees managers or UPS /fed ex drivers making 150 to 200k with benefits and the ability to call out sick and the ability to not lose everything because of a single case where you follow standard practices or guidelines followed around the country but something bad still happens.

I go to work everyday with the understanding that the majority of my colleagues have been sued and even if not career ending the stress is enormous. At work I wear a tracker so that every fart and cough and patent interaction can be tracked. A VIP club of patients that donates to the hospital can ruin me with some bad reviews. A stray comment about poor care by an ems crew can end my career (as they bring the hospitals patients).

I don't believe doctors are overpaid and we need more to bring their pay down. A patient will get billed 2000 dollars if they ask for a burrito out front in triage, walk in, are told by me that Taco Bell is across the street, and they promptly walk out without a single test done.

On the other hand I may see sixty people in a busy night which require procedures such as being intubated and put on a ventilator, fractures being reduced , etc.

A major problem is private equity in medicine. Everyone should be focused on removing these groups which skim money off everyone both doctors and patients included. Even if the argument that somehow their efficiency increases result in extra money to the system they can feed on there is no reason why hospitals can't group up and also be efficient and cut them out and pass down savings to the customer or not overwork us docs or treat us like expendable McDonald's employees. The lack of working directly for the hospital there is no metric for skill or seniority or anything like that you are an expendible piece of meat/fall guy that they load down with as many mid level providers as they can get away with

Is just wild to me people thinking ai is tulip fever or a massive bubble when every part of my life ai is entering. Even these forums 35 percent of posts are ai or vibe code related. At work (medical field) ai is replacing scribes and it can read an ecg better than your average doc. TSMC and chip companies are using in their pipelines. Pharm and bio companies are using. Archeologists are using to decode scrolls and find new petroglyphs. Education and tutoring will never be the same ... kids got lucky having YouTube but now you basically have your private tutor. Vfx is being infiltrated. Computer security. I look around and robots are delivering my food and waymo is picking me up. I turn on the news and in the last couple months Ukraine is now using ai targeting on their drones in addition to the machine vision. My apartment complex recently had a renovations and paint job and my landlord showed me how they designed the color scheme and renovations with chat gpt before getting a crew to do the work. I made an app for my family photography contest for the first time something I never dreamed of at 40 years old with no programming knowledge. I updated my framer website faster than I ever have with Ai.

So please explain to me how this is a bubble especially considering that most of these feature are based on llm and not even on how we primarily interact with the world ...visually. the bubble will happen after I can turn on a webcam and the program watches me draw or do a golf swing and gives me realtime tips or i put on some ar glasses and it coaches me at work .

The amount of compute needed for graphics real time info is astronomical compared to llm . We are so far from the top of a bubble. The problem with ai in my opinion invest with the mindset that what goes up must come down and if it went up big it must come down hard soon. That's not a rule of nature or anything somethings are bedrock and keep going up. I'm sure when electricity was invented and reached every house maybe some people thought the bubble was over but we keep needing more and more. There is zero evidence now that we will need less ai compute.

I think it's logical to be skeptical of chatgpt IPO etc but the sector as a whole is crushing and maybe because of fear will have some hiccups but will certainly prevail for a long time imo

Why cant we have smart stop lights. Nothing more annoying than sitting on a street with nobody coming and a red light for some arbitrary time period that's totally incorrect for the time period I'm currently in