“It is amazing that people who think we cannot afford to pay for doctors, hospital and medication somehow think that we can afford to pay for doctors, hospitals, medication and a government bureaucracy to administer it.”- Thomas Sowell

200% growth of Physicians and surgeons and 660% for “administration”

Projections (BLS 2024–2034)

Medical and health services managers: +23% growth (much faster than average).

Physicians and surgeons: +3% growth (about average).

Administrators continue to grow faster in recent data, though physicians still outnumber managers in absolute terms (the gap has narrowed over time).

Latest 2024 data from BLS show 839,000 Physicians and surgeons vs 616,200 medial and health services managers (BLS category for healthcare administrators/executives)

“Administration” in healthcare includes not just hospital/clinic managers but also roles tied to billing, insurance, compliance, quality reporting, IT, etc.

Broader administrative costs (separate from just manager headcount) should be a bigger driver in the U.S. healthcare spending debates.

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