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I'd like to see more public spending on education in the US, but I think this explains why college is getting more expensive. 40-50 years ago, investing in education carried huge returns, because cheaper college made people more likely to choose that path than to get a decent job right out of high school. Today, there's not as much need for public investment in education because the work force is already nearly over-educated, at least in terms of the numbers of people available for many jobs that have specific education requirements.

We should make it real cheap to get educated as a doctor or nurse though (and most other medical stuff). Sure, they have great personal returns on their education now, but that's exactly what we want to erode, by flooding the market.



Do you mean we want to erode doctor/nurse pay because that's what's causing high healthcare costs?

It's been awhile since I worked in healthcare but I don't think primary care provider pay is high on the list of most impactful cost cutting improvements


I think there aren't enough doctors to make institutions compete (much) for business.

It's not so much that they take home an inordinate share of healthcare spending, it's that the market is severely supply constrained.


My experience is that doctors are not the primary bottleneck but the system is rather inefficient in many other aspects.

I think if you add more people to a bad system you tend to make things worse. Better to fix the process rather than throw more (poorly managed) resources at it




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