New Doctors Continue to Avoid Red States

Friday, May 10, 2024

For the second consecutive year, disproportionately fewer new doctors across all specialties applied to medical residency programs in states with abortion bans and restrictions, per a new analysis released Thursday. The big picture: In the two years since Roe v. Wade was overturned, state-level restrictions are changing the way some medical residents receive training related to abortions and emergency pregnancy care. The numbers of both OB-GYN and emergency medicine applicants in 2024 were lower in states with complete abortion bans than in those without, according to an analysis from the Association of American Medical Colleges.

Posted by reinheitsgebot at 03:32 PM | 30 COMMENTS | permalink | Comment on This Entry |

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Between the lines: "Because these policy decisions appear to affect where physicians plan to practice, state governments and health care leaders need to consider the potential impact of those decisions on the physician workforce," the researchers wrote.

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Professionals will always go to work at places that they are not perceived to be the enemy.

#1 | Posted by Zed at 2024-05-10 02:24 PM | Reply | Newsworthy 2

Thanks Rein for posting this.
I get almost daily contact from recruiters. I tell them I won't consider moving to Red states because of these conditions.
I suspect recruiting is going to be difficult resulting in care deserts throughout these states. You already had to travel significant distances for OB care in some locations. This is going to make it worse as departments in smaller rural hospitals have to close due to staffing issues.
washingtonstatestandard.com

#2 | Posted by mattm at 2024-05-10 02:31 PM | Reply | Newsworthy 2

In my time in Okiehomie I've learned that medical professionals must get stiffed on a regular basis. I'm asked to pay in advance on a regular basis, and certainly not let out the door without the provider getting paid. With so many uninsured hereabouts, getting healthcare is problematic, and getting paid for services too...

#3 | Posted by catdog at 2024-05-10 04:13 PM | Reply

The Exodus continues. Brain drain is real..

It a feature not a bug. Oligarchy desires a stupid and docile workforce.

America is becoming two realities. The red state divide is policy by those states to favor exploitative industries.

Extraction and industrial production. Cheap labor is a Must.

New doctors don't want to work in sh*th*le places.

#4 | Posted by Effeteposer at 2024-05-10 04:24 PM | Reply | Newsworthy 1

One of many reasons why the Republicans must not gain full control, If they do, they'll point to this as a reason for a nation wide ban on abortion and other female healthcare.

#5 | Posted by Whatsleft at 2024-05-10 04:45 PM | Reply

Red staters will continue to fall to early, preventable death all while blaming the Democrats.

#6 | Posted by horstngraben at 2024-05-10 04:52 PM | Reply | Newsworthy 4

"There's a generation of Republican politicians who aren't as interested in policy as they are in building clips for a gig on Fox News."

Jamelle Bouie

#7 | Posted by SomebodyElse at 2024-05-10 04:52 PM | Reply | Newsworthy 2

Looks like country-fuq Boass is getting his wish.

#8 | Posted by LegallyYourDead at 2024-05-10 05:51 PM | Reply

In other news, WalletHub released a study ranking all 50 states from best to worst in accordance with the working and living conditions they provide doctors. State policies and financial opportunities are some of the most significant factors in determining what constitutes a good state for doctors to work in. The top-ranking states for doctors are Republican-leaning ones and that the bottom of the rankings largely consists of Democratic-led states. See how easy that was?

#9 | Posted by gracieamazed at 2024-05-10 07:26 PM | Reply

No link to your wallet hub study. It was an opinion piece and not based on any research. One of the reasons Montana is first is competition. There isn't much, go to Ohio or Minnesota and you have people knocking down the doors wanting to work for the Cleveland Clinic or Mayo Clinic.

#10 | Posted by mattm at 2024-05-10 09:53 PM | Reply

There were several reasons feeding into me taking an early 60s retirement. During COVID it became much more difficult to deal with the abject willful ignorance (and just plain ignorance) of a small but overly vocal minority. I sound harsh but I really cared about helping prevent disease, not just the infectious type. I didn't approach them (at first) with anything but an attempt to hear and respond to them.

The percentage of these patients were small; but the constituted the biggest hassles. Mask wearing, Ivermectin, vaccination status. No matter how this segment was approached, your arguments were moot and peer-reviewed sources were part of the vague conspiracy. The smug undeserved superiority would usually begin with "Well, actually... " and the verbal Gish Gallop would commence. Almost always they were wrong from the jump (such as their sources confusing viruses with bacteria). We had a few we had to ban from the clinic due to their behavior related to this. It was a disproportionate level of stress from an already stressful situation. I got this from the left and right but the scale definitely tilted towards the right particularly as the pandemic continued.

#11 | Posted by zarnon at 2024-05-10 10:09 PM | Reply | Newsworthy 4

In other news, WalletHub released a study ranking all 50 states from best to worst in accordance with the working and living conditions they provide doctors.

Actually, no. That's not what WalletHub used as criteria in its rankings. I mean you *might* stretch not having competition as "better working conditions" and you might stretch "Punitiveness of the State's Medical Board" as being important for your working and living "condition", if you're not a very good doctor.

There were 19 metrics used, and they the highest weight was given to physician pay adjusted to cost of living for the state. That one metric was twice the weight of any other. That should already tell you how the "findings" are going to shake out. The rest of the metrics were:
These metrics are half the weight of adjusted to cost of living wage:
Starting salary
Hospitals per capita
Insured population rate.
Employer-based insurance rate,
Projected share of elderly population
Current competition
Share of medical resident retained
Projected competition.
Number of CME credits required (by all means, go to a state that doesn't give a s**t about those!)

These metrics have the lowest weight:
Presence of Interstate medical licenser compact law.
Quality of Public hospital system
Hospital's safety grade
Presence of Nationally Accredited Health Departments
Physician Assistants per capita
Punitiveness of the State Medical Board
Malpractice Aware payout amount per capita
Annual malpractice liability insurance rate
physician burnout.
wallethub.com

Any wonder that the worst states for health care (from a patient's perspective) are all RED states? How funny that one of the WORST states for doctors is Hawaii, but it's number one for patients:
Best:
www.usnews.com
Worst:
www.usnews.com

#12 | Posted by YAV at 2024-05-10 10:34 PM | Reply | Newsworthy 2

That's not what WalletHub used as criteria in its rankings.

And they are based in Florida and rated Florida 37th.

#13 | Posted by REDIAL at 2024-05-10 10:45 PM | Reply

---- off, cow.

#14 | Posted by LegallyYourDead at 2024-05-10 11:08 PM | Reply

Cannot make the 'big bucks' in a Red State.

#15 | Posted by MSgt at 2024-05-11 02:48 PM | Reply

Cannot make the 'big bucks' in a Red State.
#15 | POSTED BY MSGT

Biden-voting counties equal 70% of America's economy. What does this mean for the nation's political-economic divide?
www.brookings.edu

#16 | Posted by snoofy at 2024-05-11 02:51 PM | Reply

Public healthcare and related policies based on politics will always lead to disastrous and bad societal outcomes. Pysicians in training basing their decisions on political ideology need removed from ever practicing healthcare.

#17 | Posted by Robson at 2024-05-11 03:35 PM | Reply

"Pysicians in training basing their decisions on political ideology need removed from ever practicing healthcare." (SIC)
Robson - pleases clarify. Are you saying that physicians, and by extention, anyone, cannot choose where they live? Seems anethema to a conservative. They are already making decisions regarding medical care based on politics, see Texas and Idaho clinicians denying abortion care for nonviable fetuses.

#18 | Posted by mattm at 2024-05-12 11:46 AM | Reply | Newsworthy 1

I left MO and then IA because I could see what was going to happen in politics. Robson, should I have not been allowed to transfer my skills to the VA in MN?
Perhaps conservative clinicians could have been persuaded to take my place. If they moved because they saught a conservative environment you would not allow that to occur?

#19 | Posted by mattm at 2024-05-12 11:49 AM | Reply | Newsworthy 1

Pysicians in training basing their decisions on political ideology need removed from ever practicing healthcare.

#17 | POSTED BY ROBSON

Those physicians leaving Red States are doing so in large part because they fear making a "mistake" in giving care and going to prison.

Not rocket science, ROBSON. You were expecting something different?

#20 | Posted by Zed at 2024-05-12 11:54 AM | Reply

My point is not conservative vs liberal but the need for apolitical policies in practioners of public healthcare. Covid policies are an example of how injecting politics creates distrust and massive divide. The opinion of politicians and media is promoted - why? Politics in anything never improves efficiencies outcomes and policy. Keep it out of healthcare.

#21 | Posted by Robson at 2024-05-12 12:09 PM | Reply

"My point is not conservative vs liberal but the need for apolitical policies in practioners of public healthcare."

Unfortunately health care has no choice but to be politicized.

Single Payer (or some other form of universal coverage) isn't particularl political in the rest of the world.

But we allow money in politics, and health care is 18% of GDP, so health care is necessarily political because of the $$$.

#22 | Posted by snoofy at 2024-05-12 12:18 PM | Reply

Politics in anything never improves efficiencies outcomes and policy. Keep it out of healthcare.

#21 | POSTED BY ROBSON

You are one stone-cold hypocrite, ROBSON.

#23 | Posted by Zed at 2024-05-12 12:33 PM | Reply

My point is not conservative vs liberal

#21 | POSTED BY ROBSON

Your "points" are invariable nihilistic, ROBSON.

Out of genuine curiosity, what did you do to yourself that being such a hypocrite does not seem to faze you anymore?

#24 | Posted by Zed at 2024-05-12 12:35 PM | Reply | Newsworthy 1

Help me understand Robson, you would force surgeons to do top surgery for gender care; or not let anyone do it? That has certainly been politicized.
"Christian" hospitals are now allowed to refuse to abortions, does that continue? Matters of conscience often have political consequenses.

#25 | Posted by mattm at 2024-05-12 12:56 PM | Reply

" I get almost daily contact from recruiters. I tell them I won't consider moving to Red states because of these conditions."

For decades, I've been close with the owner of a placement firm. (The bride was a VP when we met.) Based on what she's been telling me, I'm stunned there are ANY maternal health doctors choosing Red states.

#26 | Posted by Danforth at 2024-05-12 01:30 PM | Reply

I should start looking for jobs just to tell recruiters I won't ever consider relocating to a Red state.

#27 | Posted by snoofy at 2024-05-12 01:52 PM | Reply

The nice thing about retirement and freedom is you can live where you wish and where society is mostly safe, mostly crime free and where taxes are not oppressive. Support your neighborhood and defend against intrusion and crime.

So go out as a physician or retiree and find your blue state utopia, if you can find it or afford it and hopefully feel safe.

Im happy where we live semi rural. Not perfect but we have had same nice crime free and honest neighbors of common values for >3 decades. Neighbors are spread out. None are close to each other. There is low density USA common sense instead of the crazy politics that want us stuck in high density high rise tenements that by design breeds crime and leftwing politics. Rural but relatively close to good people and wonderful academic healthcare amd within minutes of larger metro areas. I hope to never be living in Democrat land of poverty, apartments, and crime but it is what Dems want for us.

#28 | Posted by Robson at 2024-05-12 07:48 PM | Reply

Rural but relatively close to good people and wonderful academic healthcare amd within minutes of larger metro areas.

#28 | Posted by Robson

Your christofascist policies are making that healthcare disintegrate

#29 | Posted by SpeakSoftly at 2024-05-12 08:14 PM | Reply

ROBSON

I don't recall seeing any tenements in South Florida. They must be hiding behind all the palm trees, tennis courts, riding stables and swimming pools.

Next time I stop by the Hard Rock Casino, I'll peek out the back door. Maybe that's where they're hiding.

#30 | Posted by Twinpac at 2024-05-12 08:55 PM | Reply