Open Border Tragedies Caused by Visa Lottery System

[charmander 692]

2 minutes ago, jayjayj said:

Their relationship with a U.S. citizen or LPR merits them an immigrant visa.  

I wouldn't consider relationship a merit especially when used for chain/anchor immigration.

[jayjayj 571]

Just now, bcking said:

I can answer that question before we waste the time.

 

It won't.

Why wouldn't it?  Any reduction in cost to provide health care should be realized at the consumer level.  Increased competition among general practitioners should drive down the cost of a doctors visit for minor illnesses, thus reducing health care costs at a basic level.

[Boiler 46,109]

In my County we do not have a Doctor, we do have a Vet.

 

Somebody coming to the US without having to pay massive student loans could make a living.

[Steeleballz 7,550]

1 hour ago, jayjayj said:

That shouldn't be a problem.  I get great health care when I'm overseas and none of the doctors are American.  

  I agree, but it can be a problem for doctors coming here. I worked with a doctor from the Philippines who waited 7 years to get accepted for residency after arriving in the USA. He was a practicing pediatrician in the PI, so he had already completed his residency there, and was waiting to do duplicate training here. There were very few hospitals set up to accept someone in his situation.

 

  I knew another doctor from Thailand in a similar situation. He eventually gave up and ended up working as a pathology assistant here in the USA.  He was in his early 50's and he said he would be ready to retire by the time he could actually work as a doctor here. 

 

 

[jayjayj 571]

34 minutes ago, N-o-l-a said:

Or we could just pressure the hospitals to open a lot more domestic residency spots (don't foreign doctors need to re-do their residency anyway?).  That would allow more medical school graduates in the United States.

 

 

Here is a good read on the real reason medical residencies are limited -

 

https://www.forbes.com/2009/08/25/american-medical-association-opinions-columnists-shikha-dalmia.html#7b1000ff42f2

[charmander 692]

31 minutes ago, N-o-l-a said:

I worry about imposing requirements on spouses.  There was this period in Denmark where spouses had to have points and I believe it was rescinded and for good reason.  It started to feel discriminatory and put emphasis on things that weren't really important, like for example (and this isn't the exact requirements): you had to be 24, lots of points for speaking English/German/Scandinavian language, points for a degree from a top worldwide university (like Harvard),  etc.   I'd bet the majority of people on this forum wouldn't have qualified.    Doing away with the adult children, parents, and siblings would be reasonable.  If people are so attached to their families, they should not move away from their homeland.

I wouldn't be upset with an English language exam before a visa is issued on the other hand.  English classes are readily available worldwide.

I don't want restrictions to spousal immigration either; I think there is enough checks and balances for marriage fraud. But I actually like what RAISE Act proposes for other family based immigrant visas.

[jayjayj 571]

4 minutes ago, Steeleballz said:

  I agree, but it can be a problem for doctors coming here. I worked with a doctor from the Philippines who waited 7 years to get accepted for residency after arriving in the USA. He was a practicing pediatrician in the PI, so he had already completed his residency there, and was waiting to do duplicate training here. There were very few hospitals set up to accept someone in his situation.

 

  I knew another doctor from Thailand in a similar situation. He eventually gave up and ended up working as a pathology assistant here in the USA.  He was in his early 50's and he said he would be ready to retire by the time he could actually work as a doctor here. 

 

 

There is a cause for this problem.  Check out that link I just posted.

[Steeleballz 7,550]

5 minutes ago, jayjayj said:

Why wouldn't it?  Any reduction in cost to provide health care should be realized at the consumer level.  Increased competition among general practitioners should drive down the cost of a doctors visit for minor illnesses, thus reducing health care costs at a basic level.

 

   I don't think physicians services are actually a big driver of health care costs. My doctor bills $84 dollars for an office visit. Compare that to the $32000 a surgical suite bills for an hour of time, or the $2000 for a 15 minute MRI at a hospital. 

 

   When you go to a hospital for care, the doctors are not actually involved in negotiating the cost of procedures. It's between the hospital and the insurance providers.  

 

   

[charmander 692]

1 minute ago, Steeleballz said:

 My doctor bills $84 dollars for an office visit.

Shoot, our vet charged more than that for our ferret.

[N-o-l-a 7,168]

2 minutes ago, Boiler said:

In my County we do not have a Doctor, we do have a Vet.

 

Somebody coming to the US without having to pay massive student loans could make a living.

 

The bigger problem for some of them is the medical malpractice insurance they have to carry.  There are also a lot of restrictions on small local hospitals that make them do away with L&D for example, so the area tends to lose their obgyn after that.

 

In any case, I think most healthcare visits could be accomplished by seeing a PA or a NP and in my county, they area.  So much wasted times and resources on those who visit the doctor with every little cold/flu.   

[jayjayj 571]

1 minute ago, N-o-l-a said:

 

The bigger problem for some of them is the medical malpractice insurance they have to carry.  There are also a lot of restrictions on small local hospitals that make them do away with L&D for example, so the area tends to lose their obgyn after that.

 

In any case, I think most healthcare visits could be accomplished by seeing a PA or a NP and in my county, they area.  So much wasted times and resources on those who visit the doctor with every little cold/flu.   

This is the answer!  But it will never happen, because the AMA is completely against it.

[Boiler 46,109]

Our NP retired last year.

[bcking 3,157]

Just now, jayjayj said:

Why wouldn't it?  Any reduction in cost to provide health care should be realized at the consumer level.  Increased competition among general practitioners should drive down the cost of a doctors visit for minor illnesses, thus reducing health care costs at a basic level.

This is a very complex discussion and off topic for this discussion, which seems to be primarily focused on how immigrants are disproportionately killers and criminals.

 

You initially just said bring in more doctors, not specifically GP's. So I think first off we should decide which one we want to discuss.

 

If we wanted to focus on just GP's I could MAYBE see an argument that is several steps removed where increasing GP care would lead to decreased cost. It wouldn't be in the method you describe though. If you added more GP's in the mix and expected "competition" to bring down costs, it wouldn't be sustainable. We have a lack of GP's in the USA because that aspect of healthcare is not profitable, or rewarding. Throwing even more GP's in, without doing anything else to change the system, wouldn't help. Not to mention that GP care is an INCREDIBLY small proportion of our healthcare costs. GP's cost pennies compared to other things so even if you drove down their cost through competition, you'd be remove a couple drops of water out of a very very big bucket.

 

Now if we could promote more GP care (Again - Just more GP's won't do that) we may be able to reduce long term costs by making our people generally healthier, and focusing on preventative medicine. However, again, that won't just magically happen by adding 50,000 more GP's (or 100,000, or 1,000,000). 

 

If, instead, we are talking about just adding 50,000 "doctors" and assume they were made up of a similar distribution that we have now it still wouldn't make much of a difference. Our healthcare spending isn't driven by a lack of specialists or doctors in general. Do we need more? Sure we do, but that isn't going to save us much money in the long run. "Physician services" (Not just GP's but all physicians) account for maybe 15% of our total healthcare expenditures. Competition may reduce that a bit but will make very little overall impact.

 

One third of our healthcare spending is in hospital care. Just having more doctors wouldn't change that. Another 10-15% is in prescription drugs, again something that more doctors won't fix. The other pieces are small and unrelated to physician expenses.

 

We could look at it another way, but addressing the areas of "waste" in our healthcare system (instead of just looking at where we spend money). Several people have done that. Look up Berwick and Hackbarth, they wrote an article about it (https://jamanetwork.com/journals/jama/article-abstract/1148376).  The Institute of Medicine came up with a similar list.

 

Bottom line - The number of physicians, physician compensation/competition - These things are major contributors to what we spend money on, or what we waste money on.

 

[Boiler 46,109]

http://www.denverpost.com/2017/11/13/#######-fighting-charges-evans/

 

Evans police have arrested three men on animal fighting and cruelty charges after authorities discovered several injured roosters and euthanized 28 roosters.

 

Luis Mosquedo-Razo, 31; Pablo Cortez-Diaz, 27; and Gambino Villegas-Delgado, 52, have each been arrested on felony charges of animal fighting and cruelty to animals. Cortez-Diaz was also charged with possession of a controlled substance.

Police were called Friday night on a complaint about an animal running at large, according to a Monday news release by Detective Shawn Holmes.

When a community services officer arrived at the home in the 3700 block of Burlington Avenue he discovered an apparent illegal animal-fighting operation.

Numerous roosters had been physically altered and some were injured, the news release says

[Steeleballz 7,550]

Just now, charmander said:

Shoot, our vet charged more than that for our ferret.

 

      Pet's can be expensive I guess. I saw not long ago that many people buy pet health insurance nowadays.

    

3 minutes ago, jayjayj said:

There is a cause for this problem.  Check out that link I just posted.

 

     That's part of the issue. The 2 doctors I knew were several years ago. I don't know if credentialing services have improved.  It shouldn't be that hard to evaluate someones foreign training.