By your definition, everyone has shitty insurance.
Heh. You said it, not me. I just thought it really loud. By definition, everyone on average has shitty insurance, as, on average, they have to be paying in more than they get from it. ;)
But, seriously. You want to assert that people who have medical bills totaling over $10,000 who pay them are a 'minority', find something that says that.
Well, strictly speaking, of course they are, as uninsured people themselves are a minority. As are people who have private insurance and people who have government insurance. None of those groups are over 50% of the population.
But I assert that uninsured people pay the amount of the medical bills in this country roughly equivalent to their use of medical care. (This is a default assumption of proportionality, so I don't need to prove that.)
And I'm not letting you get away with that $10,000. I'm talking about on average, the entire thing. Oh, and you don't get to insert 'on time' in there. You know who else doesn't pay on time? Insurance companies. Except they usually demand the right to not pay any penalties.
I suspect, statistically, that the uninsured are less likely to pay, but pay much more when they do, and it does balance out. If you've got some evidence otherwise, I'd love to see it.
And good luck finding those statistics. For some public discussion-distorting reasons, almost all discussion about the cost of health care in this country pretends that paying for health insurance is somehow paying for health care, and no one actually calls up hospitals and say 'How much money did you collect from private individuals vs. insurance companies last year for how many patients?'
I may have been mistaken, but I thought that the AMA had oversight into the certification process for medical schools, and thus does have power over the number of new doctors.
I honestly don't know much about this, but checking, yes, the AMA does have half control over the LCME, who is in charge of accreditation of medical schools.
The rest of the control, however, is the hands of the Association of American Medical Colleges, which seems a much more logical group to blame for restricting openings into the medical field.
While doctors might vaguely benefit from not having as much competition in their field, at this point it's almost moot. They're still working the same amount and being paid the same amount...they're just seeing thrice as many patients, and nurses are doing the rest of the work.
It's hard to imagine they actually want this, or that a doctor's union would actually see 'providing almost no qualified people, so people have rig the system to use as much non-union workers as possible' as a good idea. (In fact, they clearly don't see it as a good idea, as the creation of PAs indicate.) At some point, 'union scarcity' turns into 'We're going to have to figure out how to do without those workers as much as possible'...and we hit that point around 1995. If it's the AMA doing it, it's mindbogglingly stupid.
Medical schools, OTOH, can keep upping their price if they don't have competitor schools. If there are 10,000 slots, and you have 1500 of them, you can charge a lot more than if there are 60,000 slots and you have 1500. Medical schools have no downsides, or at least not until they blow up the entire system.
So I have to blame the restrictions on medical schools.
But the reason I disagreed, I thought you were blaming them for restricting the number of doctors via their union, which didn't make any sense and is standard anti-union nonsense. But I was incorrect, you were asserting they are leaning on the accreditation committee, that makes more sense and is possible, although I'll keep blaming schools instead, or at least some combination of the two.
We both agree that the number of doctors is being kept criminally low by reducing the number of medical schools, and size of said schools. And, be it either the AMA or the AAMC doing it, it's not at the demand of the majority of doctors. (As the majority of doctors aren't even in the AMA.)
Of course, it's perfectly valid to bitch about the AMA inexplicably being in control of that accreditation at all. The AMA has six people on that board, it's hard to see why other unions shouldn't have some of those slots.
Or, for that matter, why a school needs LCME accreditation at all for people to take a license test, which I think you mentioned above in combination with foreign doctors. That's clearly a deliberate trick.