alt Hacker NewsThis is the bottleneck, right?
I hear people say "we need more doctors" all the time. It would seem to me, the people deciding how many new doctors we train per year, are doctors. Their pay is proportionate to their scarcity, if we had 5x as many doctors, existing doctors would make far less.
Imagine if existing software engineers got to decide how many juniors entered our profession each year. I think things would look very, very different.
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No, the AMA has been lobbying for more residency slots for decades.
Congress decides how many slots get funded and they have been way too slow to fund them.
Congress decides how many doctors are trained each year. Residencies lose money so they rely on federal subsidies, Congress has limited the number of residency slots that get funded and that’s the number of doctors that get trained each year. Medical schools can’t expand without residency funding expansion.
We have created a society in which the tail wags the dog. We have deferred so much control to institutions like the AMA that we have forgotten how to govern. Our politicians wring their hands and wax lyrical about the intractability of issues while they hold all the power to affect change.
I think it's time we stop allowing institutions to rule. We elect our leaders to lead. They need to start fucking leading, or people are going to start voting for some radical alternatives.
Now that senior engineers can utilize an LLM as his junior, the job market its deciding that don't need too many juniors.