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Upcoming Physician Allocation Issues

2023-03-20 23:23:25.879545+01 by Dan Lyke 7 comments

Med Page Today: How Overturning Roe v. Wade Changed Match Day 2023

Our recent study<span class="screen-readers-only">opens in a new tab or window</span> published in the Journal of General Internal Medicine begins to answer this question. In a survey of more than 2,000 current and future physicians on social media, we found that most (82.3%) would prefer to work or train in states with preserved abortion access. In fact, more than three-quarters (76.4%) of respondents would not even apply to states with legal consequences for providing abortion care. The same holds true for states with early or complete bans on abortion or Plan B. In other words, many qualified candidates would no longer even consider working or training in more than half of U.S. states.

Journal of Internal Medicine: Practice Location Preferences in Response to State Abortion Restrictions Among Physicians and Trainees on Social Media. https://doi.org/10.1007/s11606-023-08096-5

Unrelated to medicine, but I've said I'm going to fulfill duties at the IAGSDC convention in Durham, NC, in the summer of 2024, and if North Carolina has a functional drag ban at that time I'm... not sure what's going to happen. I know I'm thinking about it.

[ related topics: Interactive Drama Sexual Culture Invention and Design Law Journalism and Media Work, productivity and environment Machinery Trains ]

comments in ascending chronological order (reverse):

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-21 11:47:00.689526+01 by: stevesh

So doctors are basing their practice location decisions on partisan political factors? Hippocrates has left the building.

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-21 14:05:28.96979+01 by: DaveP

New Mexico has a bit of a health-care shortage. According to some, this is because of the state’s malpractice law which I haven’t had time to thoroughly research. But the shortage of providers here is real, whether the cause is the longstanding poverty in the state, Covid-related changes to healthcare, or the malpractice law. Glad to see a case where NM is preferable to other states for once, thanks to House Bill 7 and Senate Bill 13

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-21 20:32:47.614101+01 by: Dan Lyke

"partisan political factors" is an interesting way to phrase "legally prohibited from giving healthcare to patients".

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-21 23:25:58.286152+01 by: Dan Lyke

Turns out that if you have to tell your patients that they need to go out of state to seek healthcare, but also have to do it in deniable code, it wears on a physician: “You Know What? I’m Not Doing This Anymore.”

More than a year and a half after Texas implemented its six-week abortion ban, and months after Dobbs, medical providers say they are facing impossible situations that pit their ethical obligation to patients who are dealing with traumatic and dangerous pregnancy complications against the fear of lawsuits, loss of their medical licenses, and incarceration.

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-22 12:21:46.140471+01 by: stevesh

I guess my thinking was that, since the pro-abortion folks have been insisting that women (sorry, 'birthing people') will be dying in the streets thanks to Dobbs, we will need our best medical minds in those states that restrict abortion to care for them.

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-22 16:52:25.603874+01 by: Dan Lyke

If they're prohibited from helping people, what good is struggling against the theocrats?

I mean, would you complain that a nurse or physician wouldn't want to work in Saudi Arabia, or Taliban controlled Afghanistan? Texas looks a lot closer to either of those than it is to California.

#Comment Re: Upcoming Physician Allocation Issues made: 2023-03-22 18:23:17.391978+01 by: Dan Lyke

And I'd also add that this is one of the challenges that we, as a society, are going to have going forward: Do we help refugees from the central states, or do we try to change the central states from the outside so that escaping from the constraints that they apply becomes less necessary?

I know I still love aspects of Chattanooga, and have friends still there, but it wasn't 'til I moved to California that I realized how much living under that regime was wearing on my mental health. And I see other friends really worried about their safety in returning to visit, given some of the recent legal developments. So maybe I could go back to that now, being aware of what it was doing to me and taking specific steps to counter that, but what do we ask of people?

And these ethical questions are only going to become deeper as climate refugees become more and more of an issue.

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