Medical Residency Moratorium
Here is an idea that would allow ALL qualified doctor applicants the ability to obtain a license to practice Medicine. Currently, the medical residency shortage has prevented as many as 10,000 doctors per year from completing one of the last required steps for licensure in the US. This idea could be accomplished at no additional cost and without the passage of a new Bill or Amendment.
Applicants to medical residencies in the US fall into 2 major categories, US citizens or non-US citizens. Over the last 5 years, 18,819 NON-US citizen graduates matched into a 1st year US residency program. At the same time, 13,982 US citizen graduates DID NOT match into a US residency (1). Without at least one year of post-graduate training in an accredited US residency program, no doctor can obtain a US medical license. Without a US residency, the UN-matched US citizen doctor graduates cannot even practice in their own country. However, non-US citizen doctor graduates CAN practice in their country of origin without a US residency.
Here is the idea. Give first priority to US doctor applicants for US residency programs, and 2nd priority to non-US citizens, until the residency shortage is eliminated. All applicants would have the ability to work as citizens of their respective countries.
How could this be accomplished without costs or legislation? The costs of Graduate Medical Education are paid through (2):
· Veteran Affairs and Defense
· State and local governments
· Faculty practice plans
The only non-government source of revenue in this list is the Faculty practice plans. Congress could place “conditions” for the receipt of federal money to residency programs by requiring 1st priority be given to US citizen doctor applicants for US residency programs. President Ronald Reagan used a similar strategy to strengthen drunk driving laws nationwide. He convinced Congress to place “conditions” for the receipt of federal money for highway construction in each state. Congress required states pass more stringent drunk driving laws in order to receive federal money. US tax dollars fund most of these federal departments, and tax-paying US citizens should be given 1st priority to receive the benefits they have “paid for”.
While non-US doctors have provided valuable services to our country, these doctors also have the opportunity to practice Medicine in their own countries, while US doctors cannot. Giving 1st priority to US citizens during the medical residency shortage will ensure the preservation of ALL fully qualified doctors.
(3) C:\Users\lesla\OneDrive\Documents\DGME PAYMENTS and How President Reagan....pdf