Episode Transcript
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Speaker 1 (00:00):
All right, guys,
welcome back.
We talked a whole bunch ofstuff.
Talked about a whole bunch ofstuff in the last segment.
Talked about, you know, what wewould change in terms of
tradition and medicine.
Talked about knees running.
Talked about a whole bunch ofstuff Ananda Lewis people don't
trust doctors all kinds ofthings.
So right now we're going to getinto this big beautiful bill.
(00:23):
So if you haven't heard thelast segment, go ahead and take
a listen.
But me, tell us about the bigbeautiful bill.
Speaker 2 (00:31):
That's a long
introduction to start a new
segment, but the New York Times.
Speaker 1 (00:36):
You shouldn't have
talked about so much stuff.
Speaker 2 (00:39):
Alfred, if you could
put this up, the New York Times
put out an article a couple ofdays ago Trump bills cap on grad
school loans could worsendoctor shortage.
So basically, basically, it's astory by the um, by the new
york times, and it talks aboutwhat the proposed one bit of one
(01:00):
big beautiful bill could do tograd students, specifically med
students in medical school.
And the big issue, and how itlimits medical education, is
capping the federal loan amountsfor grad students.
So you can't take out as much asyou normally would be able to
take out.
It eliminates the grad plusloans it increased reliance on
(01:22):
private lenders.
This is big right.
Loans it increased reliance onprivate lenders.
This is big right.
So now you know, the majorityof people would be able to take
out probably 75 to 90% of theirschool education through federal
subsidized or unsubsidizedloans.
Now we're talking about amajority of them are going to
have to go to private lenders,which you know means that they
have higher interest rates.
The protections, like if you gobankrupt or if there's a death
(01:45):
in your family or you have sometype of hardship a lot of those
protections that you have in afederal loan those are gone
right If you go to the privatelenders.
Absolutely and you know peopleare saying that this is a big
time deterrent into enteringmedicine.
Well, now people are like well.
Speaker 1 (02:02):
So I have a question
for you Based on that, what we
talked about in the last segmentshouldn't it be easier for
people to get into med school?
Because now you're going tohave all of these people who
potentially are taking loansthat potentially they can't pay
back because it was so easy toget in but now it's so much
(02:24):
harder to get out, right, if weuse your scenario.
So I do think that this isgoing to.
If this bill really does comethrough which I don't know what
it's looking like.
I haven't been following it soso closely, so I haven't been
seeing what the, I guesscounting the votes, if you will
(02:50):
but if this does come through,then, yeah, I think this will
worsen the physician shortage.
You know, and you know thereare a lot of people who don't
believe that there is aphysician shortage too, though
those are anti-vaxxers alsoProbably the stats are out there
(03:12):
that says that.
Speaker 2 (03:12):
I remember, um, I
remember there was a famous
surgeon.
He was the president of theamerican college of surgeons.
He would say you can put, ifyou put a map in front of
yourself, right.
If you put a map on a wall, ifyou blindfolded yourself, gave
yourself a dart and you threw itonto anywhere in the United
States, it's like guaranteedthere's no general surgeon there
for like.
Speaker 1 (03:28):
Miles.
Speaker 2 (03:29):
Like hundreds of
miles Right.
And that's just the generalsurgery shortage.
Speaker 1 (03:33):
Yeah.
Speaker 2 (03:34):
Right, but there's
physician shortages all over the
place.
I agree with you 100%.
Speaker 1 (03:39):
Yeah, yeah wonder,
though, because remember, um,
remember, when the whole youknow, uh, primary care, primary
care, um, repayment or primarycare, like they would pay if you
(04:00):
were primary care for you to,you know, stay in a certain
place or whatever, and surgerywas not, surgery was not a part
of that, and it's like, but youdon't, you don't have a lot of
physicians in, especially inrural areas, you know, and I
just think that that's a problem.
I think it's a problem and youknow everything I think is tied
(04:23):
in.
It's not a property in theUnited States, it's not
Everything ties in with theother, and I think that this is
why there's not an increase onthe residency cap.
Speaker 2 (04:33):
Yeah, you know, it's
funny.
It's funny like that idiotcongressman who keeps saying all
these stupid comments onTwitter, saying that, like, if
you know, if you're a doctor orif you're in med school and you
want to leave, what is it?
If you want to leave medicineand you don't?
Oh, before 15 years or whatever.
Yeah, like you owe thegovernment.
Like, get out of here, bro.
Like there is absolutely no waythat's going to roll, and if
(04:55):
that's, that's trolling at itsbest.
Yeah, like if the government orif we as a society I'm talking
about a United States societydecided to say, hey, health care
is a priority, everybody'sgoing to get a certain level of
health care, and that alsoincludes that we're going to try
to increase the workforce inmedicine, Then, yeah, then you
would have a point, right, right, because that means that the
government would subsidize likesomething Right, but like it
(05:19):
doesn't occur whatsoever.
So it's like, yeah, they don'teven understand.
Even the Congress people don'tunderstand.
Speaker 1 (05:23):
So they understand,
they just don't care.
They're not stupid.
Listen, they're not stupid.
You know they have their agenda.
They know exactly, you know towhat constituency they are
pandering.
They know exactly what they'redoing.
They're not stupid.
So they, they just don't care,you know.
But if this comes down the pikeand there is a physician
(05:45):
shortage, my question is whatare we going to do?
Right?
Or if there is more of aphysician shortage, I really
should say, because there isalready a physician shortage
what are we going to do?
No-transcript like extremeleverage.
Speaker 2 (06:13):
You got to use it
first, but hold on.
Speaker 1 (06:15):
So before we go on,
Just because you got leverage,
don't mean you're going to useit.
Speaker 2 (06:20):
You're right about
that.
We talked about it in previousepisodes.
So on YouTube I'm going to sendthese comments to people and to
Alfred.
But there's one comment thatsays on YouTube I guess we
pre-meds will end up going toCzech Republic, Hungary, I think
these schools cost 20K per year.
Matching will be tough, evenfor primary care, but at least
(06:40):
we can remain in Europe and keeppracticing as we wait to match.
So that means that people arealready looking at different
plans already.
Yeah, people will move.
Speaker 1 (06:50):
We live in a global
world.
That's the other thing.
Right Is that we live in aworld where people really will
just pack their bags up and sayyou know what?
I'm going to go just live in adifferent country.
Speaker 2 (07:06):
All right, here's
another one.
Yeah, I'm past that 100,000mark in community college,
coming out of special ed classesin high school, oh wow, yep,
didn't get a degree, oh well, Ialso don't have a retirement or
a job, so good luck garnishingme.
My heart disease will probablykill me before you get any of my
money.
Oh wait, I don't have any.
(07:26):
Sorry that I'm teasing you alittle bit.
Good luck planning for that USSouthern Wealth Fund.
I'm sorry, what is it?
Us Sovereign Wealth Fund?
Great, now I can't retire untilI'm 70.
Not like I'm going to have anymoney anyway.
Well, based on how the economyis going, I don't think anybody
will.
Okay, here's another one.
That's a long game.
That's the long game.
(07:49):
Here's another comment NationalHealth service corps in schools
with the cheapest tuitions,regardless of location, are
looking like my only options ifthis bill goes through.
Oh, what a world we live in.
But I will do anything exceptmilitary to get the md degree.
So you know these are realcomments.
(08:11):
Yeah, yeah, these are realcomments.
So you know it's.
Look, you know this is going tohave some big time effects.
Speaker 1 (08:19):
Yeah, it's going to
have some major consequences.
Speaker 2 (08:23):
You know, man, I
don't know, I mean Elon and
Trump were fighting about this.
Yo, they were boys.
Speaker 1 (08:30):
So why are they
fighting about this?
Speaker 2 (08:35):
I don't know.
I think, ultimately, what itall boils down to is somebody
wants more money or someonewants they're not getting enough
, and then I get all thesedifferent things.
I mean, this is this like.
This is not like you said, thisis not out of altruism, I'm
sure, like the bill doesn't givelike electric vehicles
something, and as a result, he'slike, yeah, he's mad.
Speaker 1 (08:55):
Yeah, pork is what
they call.
It.
Put pork in this bill.
You know, something thatdoesn't even belong in the bill.
But you know, do you think thatdoctors will have more leverage
if this bill does go through?
Like down the pike?
Right, not like well, the billgoes through and then all of a
sudden, right, but I'm talkingabout, let's say, even 20 years
(09:18):
from now.
Do you think doctors will havemore leverage not use, but have
more leverage?
Speaker 2 (09:26):
Yeah, I think so.
I just think the way in which,how we communicate, what we
listen to, what you see onsocial media, it's only a matter
of time before more and morepeople start to realize that
they don't want to be employedanymore.
Right, give me one second,actually give me one second.
It's only a matter of timebefore people start to realize
(09:53):
that, hey, like, this is not thetraditional way, doesn't work
for them, right?
So you know it's, it's like, soI don't know if you know, like,
there's this big thing thatcame through with the NCAAs,
where they're going to paypeople.
They're going to have to startpaying people.
The athletes, right, and what itdoes Basically, it's going to
(10:13):
force a lot of the lower tierDivision I schools to kind of
just drop certain programs Liketrack and field probably may
just go by the wayside, even atbig schools, because all of this
money that they're getting likethe TV money that they're
getting these schools aregetting they're going to use it
primarily to pay the athletesfootball players or maybe, to a
(10:34):
lesser extent, basketballplayers.
There's only so much money thatcan go around.
They're probably going to justbe like look, track and field,
like flying to, you know, withall the pole vaults and all
these Like you ain't goingnowhere.
This program is dropped, right,so it's going to have a major
effect, right, but that's whatwe wanted.
We wanted athletes to get paid.
(10:54):
There's's going to have a majoreffect, right, but that's what
we wanted.
We wanted athletes to get paid.
There's always going to be sometype of effect.
Yeah, same thing.
It's like be careful what youwish for.
The same thing with medicine.
It's like when hospitals orwhen executives, when you try to
really squeeze, you know,providers, particularly when you
squeeze doctors a lot, then thependulum is going to swing
(11:15):
completely to the other way,right, that usually is what
happens?
Right, right.
And then you have kind of likea wild wild west type of
situation where you may have,like you know how I always say,
like there should be no doctorswho are employed, employed, all
doctors should be locums.
Like that doesn't work right,because, like, if you have all
doctors who are like yeah, Idon't want to work on Wednesday
(11:36):
and you're a hospital and youjust happen to need an
appendectomy on Wednesday, right, you know.
So, basically, what I'm justsaying is I think that I think,
yeah, there's going to bedoctors who are currently
practicing, new doctors who getin there.
They're going to have a lotmore leverage.
The question is are you goingto be able to use it?
Are they going to use it?
Speaker 1 (11:56):
I doubt it, though.
Are they going to even attemptto use it?
You know.
And then the question will beyou know, will they regulate?
Will they?
In light of that, will there bemore regulation of doctors, of
course, at that point.
Speaker 2 (12:12):
So, that It'll become
such an issue.
It'll become such an issue atthat point Between the shortage
and what's going on, that peoplewill just be like the
government will be like we gotto do something about this and
then, overreact.
Yeah, that's what's happeningwith the NCAAs we're going to
have to do something.
That's going to overreact andcause something worse, but it's
(12:32):
crazy, crazy times.
Speaker 1 (12:34):
So do you know?
Does it say in the article thatyou read when the bill is
supposed to come before theSenate, Because it passed in the
House?
Speaker 2 (12:45):
Yeah, so the Senate
is working on it.
So right, they do their editsand send it back to the House.
Well, they do the edits, thenit has to get passed to, it has
to get passed by the Senate.
Then they send it back to theHouse, right, but then the House
does some more things.
But I don't know, don't knowhow this is going to, but this
is, this is scary.
Speaker 1 (13:06):
No, like this is
scary, like for real, this is
scary, this is actually reallyscary.
I mean this, they got it.
Speaker 2 (13:16):
They got it Right.
You don't have to sit throughthis for another year and a half
.
People, f, f, a, f?
O, right, like.
That's how I look at it.
It's like yo like it's a lot ofF-A-F-O going on right now,
when you get to a point whereyou go to your local hospital
and you don't have a generalsurgeon or you don't have an OB
(13:37):
that's there like Mm-hmm.
Speaker 1 (13:39):
It's a lot of F-A-F-O
going on right now.
Look at Los Angeles, yeah.
Speaker 2 (13:43):
Look at Los Angeles.
Yeah, anyway, listen, we havegot to get out of here.
I got to go to bed.
Dr Renee, you're dope as always.
Tell them how they can get intouch.
Speaker 1 (13:54):
I love how you always
like give me a compliment right
before you want me to dosomething.
It's not true, it's not.
Speaker 2 (14:04):
It's not true.
That's not true.
Yeah, it not true, that's nottrue.
Speaker 1 (14:09):
Yeah, it's true.
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(14:32):
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Speaker 2 (15:15):
All right, y'all.
I'll catch you guys on the nextepisode of Docs Outside the Box
.
Y'all, peace, we love y'all.