650. The Doctor Won’t See You Now

650. 现在医生不会见您了。

Freakonomics Radio

2025-10-24

51 分钟
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单集简介 ...

The U.S. has a physician shortage, created in part by a century-old reform that shut down bad medical schools. But why haven’t we filled the gap? Why are some physicians so unhappy? And which is worse: a bad doctor or no doctor at all?   SOURCES:Karen Clay, professor of economics and public policy at Carnegie Mellon University.Rochelle Walensky, physician-scientist and former director of the CDC.  RESOURCES:"Medical School Closures, Market Adjustment, and Mortality in the Flexner Report Era," by Karen Clay, Grant Miller, Margarita Portnykh, and Ethan Schmick (National Bureau of Economic Research, 2025)."Application Overload — A Call to Reduce the Burden of Applying to Medical School," by Rochelle Walensky and Loren Walensky (New England Journal of Medicine, 2025)."Challenges to the Future of a Robust Physician Workforce in the United States," by Rochelle Walensky and Nicole McCann (New England Journal of Medicine, 2025)."The first step to addressing the physician shortage," by Rochelle Walensky and Nicole McCann (STAT, 2025)."Physician Workforce: Projections, 2022-2037," (National Center for Health Workforce Analysis, 2024).“Projected Estimates of African American Medical Graduates of Closed Historically Black Medical Schools,” by Kendall Campbell, Irma Corral, Jhojana Infante Linares, and Dmitry Tumin (JAMA Network, 2020)."Medical Education in the United States and Canada," by Abraham Flexner (The Carnegie Foundation for the Advancement of Teaching, 1910).  EXTRAS:"Is the Air Traffic Control System Broken?" series by Freakonomics Radio (2025)."Are You Ready for the Elder Swell?" by Freakonomics Radio (2025)."Are Private Equity Firms Plundering the U.S. Economy?" by Freakonomics Radio (2023). Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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  • Hey there, it's Stephen Dubner.

  • Quick announcement.

  • I will be doing a live event on Sunday, November 2nd in Washington,

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  • For tickets, go to freakonomics.com slash live shows.

  • And now here is today's episode.

  • Have you ever tried to make an appointment with your doctor and been told it would be weeks or even months before you could get in?

  • Or maybe you were referred to a specialist and it turned out that the nearest specialist isn't at all nearby?

  • One obvious cause of this problem is good old supply and demand.

  • We have around a million working physicians in the US or one for every 340 people.

  • That is a much lower ratio than other high income countries.

  • I'm telling you, we're 180,000 doctors behind.

  • It's not going to get us to where we need to be.

  • There are also mismatches in where physicians work.

  • Some cities have a surplus while some rural areas have a shortage.

  • There are also mismatches when it comes to specialties.

  • Some places have plenty of cardiologists and oncologists and psychiatrists,