Hospitals also are fairly well insulated from negative PR as well since they don't operate in a free market, which prevents patients from being able to choose to go elsewhere.
A cynical would say.
The chronic shortage of doctors? Well, that's because they're perhaps the strongest guild. The AMA puts a cap on the supply of doctors (via # of residency slots they allow). The PAs were invented so that another class of workers could do the work of doctors without jeopardizing the doctors' pay or status.
They are not saying that doctors invented PAs to solve the chronic shortage, they're saying that doctors created the chronic shortage which necessitated policy intervention in the form of PAs.
I think you've just misread the comment and would find that it actually agrees strongly with what you said.
This is factually untrue.[1]
It’s worth noting that the AMA also is structured in such a way that gives undue influence to specialist physicians over GPs and ER docs (their representatives essentially get more votes over group policy decisions).
I’d actually argue that physicians haven’t yet fully grasped their power. Historically, many docs worked in independent clinics or small practice groups. That made them subject to antitrust law when teaming up to negotiate en masse against a large insurer, for example.
Today, with all of the consolidation over the past decade, many have become employees. This has made them less powerful in many ways... except, now they can unionize without any of those old antitrust concerns.
USA could do like they do in tech and import already educated people. In tech we welcome that, in medicine that process requires the immigrant doctors to take additional years of study since medical doctors in USA have a post grad degree for no good reason.
I’d argue that Sanders’ lack of success in the polls is due more to voters’ perceived safety in choosing a moderate to beat Trump rather than disapproval of Sanders’ policies. Everyone has become a pundit and believes that the electorate will only tolerate a moderate while many of those same voters voice approval of progressive agenda items like Medicare For All.
Americans are seeing now more than ever just how much they’re valued when our system fails. Unfortunately, it’s going to result in hundreds of thousands and deaths and ruined futures for so many more.
Now why hospitals are demanding that doctors keep quiet about the consequences of emergency operations under extended use protocols? That's an entirely separate issue. Those hospitals should be named and shamed.
But I completely understand restricting PPE to needed areas. The solution to that is to manufacture more PPE. But if we're not going to do that then extended use protocols are just military sense.
We can't continue to live in this fantasy where companies have so much power over workers and their futures. But changing this involves organizing labor, which is deeply stigmatized in the US.