Monday, July 30, 2012

Med School Blows Past the Education Bubble

I expect the partisans to argue about this article as far as the health care law is concerned:

Health experts, including many who support the law, say there is little that the government or the medical profession will be able to do to close the gap by 2014, when the law begins extending coverage to about 30 million Americans. It typically takes a decade to train a doctor.

However, pertinent to the education bubble, we need doctors - and medical school is not in a bubble compared to other degrees. Of course, in how economics says education is a waste, we find that supply and demand ultimately matter, something many are missing when they try to argue in favor of education. While our marketplace holds too many degrees, unfortunately, we are seeing a major gap in some professions - the main one being medical school. In fact, law school is in a huge bubble, while these same students won't consider pursuing a medical degree (an M.D. is much harder to obtain). One related point I speak about that goes missing in this analysis is that while lawyers want all systems to become more bureaucratic, doctors want the system to produce superior results. The United States almost graduates more lawyers than doctors - what do you think the long term effect of this will be?

The Supply and Demand Problem

Unlike other degrees, we have a major supply problem with medical school. We have a massive generation aging (the Baby Boomers) and we've expanded medical coverage under the health care law (increasing competition for goods and services). We don't have the equivalent increase in students attending medical school and we continue to see a rise in lawyers - these lawyers will only complicate the future healthcare system. In other words, health care costs will continue to rise for the foreseeable future due to a lack of doctors (this factor alone will cause problems). As this causes pain in the medical field, it could create more shortages because a shortage of labor can lead to overwork of that labor (ie: with a doctor shortage, existing doctors have to "offset" the labor shortage, thus some may choose to retire early). This could also cause pain in related medical professions, such as nursing.

Another factor, contributing to this problem, is the hostility toward young men on college campuses. In a private discussion I had with executives titled "Too Many Young Men In STEM Fields", I highlighted government policies trying to attract more young women, while punishing young men with interest in science (normally, a precursor to medical school). To put it bluntly: we need doctors regardless of their gender (note the the policy to decrease help to young men in STEM fields while trying to promote young women is a move to strengthen Obama's popularity among young single women - most of whom support his candidacy). While I understand the political move by Democrats, as young women are predominantly their voters, the problem is that we have a labor shortage in medicine. When you're faced with a labor shortage, you don't exacerbate the problem with policies that increase the shortage. Don't miss that male doctors are much more likely to work longer hours than female doctors. This means that you would need as much as twice as many female doctors as male doctors.

Note: The unintended consequences of serving only your group of people is that you end up undermining your group of people. We live in a society with a specialized division of labor. In this society, we rely on others and their skills (specialty). If we have a shortage of any specialty, we all pay a higher cost. Any political policy that favors one group over another in a way that would discourage one group from obtaining a specialty (especially when that specialty is in a shortage), will result is huge consequences for everyone including the favored group.

Ideology Over Pragmatism

A college professor once told me that all problems fundamentally begin when people place an ideology over pragmatism and we see that here. We have a shortage of doctors, an aging population, and plans to expand healthcare (all on top of a growing national debt that will eventually bankrupt the country). Yet we don't have the fundamentals in place for these things to exist in reality. In addition, we're adding legal complexity to the healthcare system (thank you lawyers!) and we're discouraging young men from going to college, ironically lowering the supply of future doctors that we'll need. In a way, the future looks bright for those in medical school, but sadly looks dim for the rest of the country.