86% of American healthcare costs come from chronic disease. Singapore has advanced primary care clinics focused on hypertension, diabetes, and cholesterol and that is part of their success. Why don’t we do that?
I wonder if the cost of educating physicians has some bearing. U.S. schools cost $450k (Duke) to $580k (Columbia), while the average in Singapore is around $56k. Our educational costs are ridiculously high.
Precepting residents from the local UF Internal Medicine program I encountered several who did an exemplary job counseling patients and clearly had a true passion for preventive medicine. When I spoke to them regarding how great a job they could do in primary care, every solitary one said their educational debt was too great to even consider it.
I wonder if the cost of educating physicians has some bearing. U.S. schools cost $450k (Duke) to $580k (Columbia), while the average in Singapore is around $56k. Our educational costs are ridiculously high.
Agree completely with you Alan and Bill.
Precepting residents from the local UF Internal Medicine program I encountered several who did an exemplary job counseling patients and clearly had a true passion for preventive medicine. When I spoke to them regarding how great a job they could do in primary care, every solitary one said their educational debt was too great to even consider it.