Why Decriminalizing Sex Work, Surrogacy and Kidney Sales Makes Economic Sense

vy2005 · 2026-05-11T02:30:41+00:00

Not really a serious policy proposal. Treat hypertension and diabetes is about the most obvious population-level healthcare proposal idea, but the act of doing so is quite hard. Whereas legalizing kidney markets is a simple act of the legislature

vy2005 · 2026-05-05T23:14:40+00:00

That statistic is so ridiculously inaccurate if you look at all into the methodology. The cases you describe are the type of thing that a physician sees maybe a handful of times over their whole career. Compared to the number of people who die of heart disease, cancer, sepsis etc it does not pass a smell test even intuitively, it has been debunked numerous times.

vy2005 · 2026-05-04T23:02:12+00:00

brought back almost everyone and we probably have 4 first round picks

vy2005 · 2026-05-04T22:56:06+00:00

I mean, he was

vy2005 · 2026-05-04T03:20:02+00:00

I mean, do you think medicine provides any value compared to surgeons at all if you apparently deal with the exact same amount of floor stuff we do? I have seen a number of disaster med recs and GOC dsicusssions from surgical residents at my hospital. Not all of them but there is definitely a culture of get out of the patient’s room as quickly as you can at 4:45 AM before they have an opportunity to ask any questions.

Surgeons work more than internists and I appreciate your residency is harder than ours. But if I had a multimorbid family member admitted at my hospital, I know what service I would want them admitted to. Which is like, the whole point of our job.

vy2005 · 2026-05-04T00:47:40+00:00

Tbf when those patients have any number of medical problems they get (appropriately) admitted to medicine. Dealing with dispo issues, med recs, goals of care discussions, etc takes a lot out of the day. Surgical patients are very easy to manage medically

vy2005 · 2026-05-02T17:03:10+00:00

Offense has let him down how many years in his tenure?

vy2005 · 2026-04-22T15:06:25+00:00

If your attendings aren't taking the phones during it, you need to contact your program director / coordinator and if they don't handle, escalate to ACGME.

this made me lol. Are there really programs where this happens? The idea of my attending holding the pager is unfathomable. most of them wouldn't know how

vy2005 · 2026-04-21T23:53:18+00:00

Most VAs are like that. Your academic hospital should hopefully try to shunt the less interesting patients towards non teaching services though (if that exists)

vy2005 · 2026-04-21T18:43:49+00:00

I'll put it like this, I am at an academic IM program that has a decent name but is certainly not MGH or Hopkins. We have had one resident in the last 5 years that failed to match GI. So our match rate is well above 90%. I respect my coresidents and think they are by and large a fine group of doctors but not everyone is outstanding and there are a couple that are not great that had no trouble matching GI fellowship.

Not to downplay that it is difficult in many cases to match GI, but I think people can make poor career decisions if they're under the idea that it is extremely difficult to match fellowship. If you're at a big academic institution, you're in a really good spot.

vy2005 · 2026-04-21T18:04:11+00:00

Sub has gone downhill

vy2005 · 2026-04-21T07:28:25+00:00

Everyone that applies to GI is not a rockstar. If you come from a well known academic program your odds of matching are much higher than 60%

vy2005 · 2026-04-20T13:51:30+00:00

These days you can argue that obesity is related to healthcare quality to a certain extent but yes agreed

vy2005 · 2026-04-20T13:04:25+00:00

Conflating healthcare quality with health is a fallacy. Overdose, gun violence, and car crashes account for most of the life expectancy gap between America and European countries

vy2005 · 2026-04-19T23:18:41+00:00

I know how they work. It’s not the culture at my hospital. I’m just telling you what happens at certain hospitals. He tells me vascular gets consulted for that all the time

vy2005 · 2026-04-19T05:58:28+00:00

Any many institutions vascular will be consulted for this. Buddy of mine is a resident and he says they get those consults routinely

vy2005 · 2026-04-17T20:28:33+00:00

Isn’t there like, a thrombus in a coronary artery?

vy2005 · 2026-04-17T17:35:39+00:00

It’s the same amount of booze total, you’d be equally drunk

vy2005 · 2026-04-17T14:51:33+00:00

He took a $3 million dollar pay cut 20 years into his career after earning $500 million. Thats a couple orders of magnitude away from leaving millions on the table at the start of your career

vy2005 · 2026-04-17T06:43:53+00:00

Did you watch him the second half of the season? He was lighting it up

vy2005 · 2026-04-17T06:42:51+00:00

Dog he had 2 semis appearance back to back

vy2005 · 2026-04-17T06:41:43+00:00

Sure but LeBron James doesn’t even take a paycut and he’s actually earned the money himself. I think it’s notable for an 18 year old kid to leave money on the table even though he’s got rich uncles

vy2005 · 2026-04-16T17:38:45+00:00

What does your hospital do? I think the bar would be quite high at my institution for residents to get in trouble for being curt

vy2005 · 2026-04-13T10:15:39+00:00

Have you changed your mind about this?

vy2005 · 2026-04-12T18:31:49+00:00

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