This has led to fewer people applying to medical school. They weigh the entry cost in both effort and money against expected future earnings and decide to go another route. Sounds pretty familiar.

I am aware. I am also aware that many career fields have out-sourcing issues to deal with.

It depends on quality and what your tolerances are.

In the medical field, the enemy from a patients perspective is time. Did we catch it in time? Is there still time to treat it? PA's and GP's have limits on what they can do, and running the gauntlet with internet "counseling", and dealing with insurance carriers rules on what they will pay for all make for a miserable customer/patient experience.

If Doctors can't practice medicine how, when, and where they want to they will vote with their feet. The oath they took is what separates them from the outsourced rampers in EWR.

Significant investment in time

+

Significant investment in funds

+

Significant level of responsibility/accountability

+

Ethics oversight/government oversight

All that adds up.

Doctors want dignity and respect too. I say pay the doctors and nurses what they are worth and stop trying to skimp on costs by outsourcing that as well. When mistakes happen in this area, lawsuits will come, and they will be paid. The cost of that is baked into the cake as well.

There's not a shortage of doctors. There's a shortage of people wanting to make the investment due to the factors you pointed out.

I see similarities in the so-called pilot shortage. No shortage of pilots, just a shortage of those willing to run the gauntlet and make the investment because management's want to treat them like seasonal avocado pickers from south of the border.

A complete sell job would equate to an immediate recall and they know it. They are holding the line because the choke is working.

A resolute stance sounds something like”....we will not allow one more outsourced pilot job period.” But it doesn’t. The message first started with UALPA somehow needing to help the company address the pilot shortage at the regionals. Now the language is “finding the right deal for united pilots”. As someone with over 3 decades left the right deal is only one where the current hulls/ratios are reduced at all levels of our flying spectrum. Not one where we trade $1 for 2 quarters and signal it as a win because 2 is more than 1.

Because business models change, maybe we need to adapt. Let the union do their job to figure out what’s best for our profitability and career progression. News flash scope language could change and it could benefit us.

I realize the industry is very dynamic. I am neither desperate nor unhappy with the place I am in. My point is to thoroughly analyze the process and path we could be led down. A change in scope language shouldn’t catch anyone by surprise. I just want to make sure it is only tightened. And that’s where devil will lie. In other posts I’ve described the fallacy of trading a bunch of 50 seaters for more (fewer) jumbo rj’s being a win for us. As for the top end, it’s something that again needs to be protected will all the aging 777’s.