Saturday, November 06, 2010

If doctors were treated like teachers...

I did not write this, but it's spot-on and deserves to be re-posted, so hopefully Joel won't mind too much that I'm throwing it up here on my blog. This is exactly why those of us who choose to work in public education are skeptical about all the noise that charter school advocates like to make about how great they are (a few are, others, not so much), and why many of us are less than impressed by some of those "educational reforms" that you keep hearing bandied about by celebrities and politicians.

If doctors were treated like teachers: by Joel Shatsky, The Examiner, 12/09/2009

If doctors were treated like teachers:

1. "Charter hospitals" could certify "smart people" as qualified to begin practicing medicine without any prior experience in the field if they had had "some business background."

2. Since a "doctor" can "doctor" anything, a cardiologist would be on staff at a hospital in place of a urologist when there was a shortage of urologists. The cardiologist could "learn on the job." Of course, a general practitioner could be used in the place of any specialist since such a doctor would have "general knowledge" of anything involving medicine.

3. Whenever a doctor gave a patient a prescription, the patient's parents could come to the doctor's office demanding he or she change the prescription since the parents "knew better."

4. Because of a shortage of doctors, Mayor Bloomberg would institute a summer "crash course" in medicine for people who had no background in the field but "liked playing doctor" when they were little. Those who got through the six-week course would then be considered qualified to care for the most severely ill patients since no other doctors would want to do the job.

5. Doctors would qualify for "permanent license" if they showed by their rates of patient survival that they were "improving their scores." In order to do so, doctors would only treat the healthiest patients and refuse to treat the sicker ones to keep their rates of successful treatment high.

6. Many "Charter hospitals" would be established in which unlicensed doctors could practice the latest techniques on their patients, using the funds of public hospitals to subsidize them. Of course, only the healthiest patients, whose relatives cared enough about their condition to place them in a charter hospital would be admitted. Any patient exhibiting signs of serious illness would be immediately discharged and placed in a public hospital.

7. The average longevity of a doctor's career would be considered "normal" if he or she practiced for no more than five years.

8. If a hospital proved to have a poor "patient survival record," it would be closed down and three new hospitals would be created in the same building with nothing to do with each other but with three times as many bureaucrats running them.

9. Any patient who entered a doctor's care when already terminally ill would be expected to make a full recovery -- or the doctor would be considered incompetent.

10. A special program -- "Heal for America" -- would recruit students who graduated from the top colleges in the country but with no background in pre-medicine to "try to make a difference" by being placed in the most severely crowded and understaffed clinics and hospitals so they could know "what it feels like" to be a doctor, if only for a few years.

11. The American Medical Association would be condemned by politicians and health "experts" for "protecting incompetent doctors" on the basis of mortality rates in high-risk neighborhoods and the organization would be disbanded as a "menace to public health."

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