Sure, and my point is that the entire bottleneck is based on a a completely arbitrary artifact of how we handle billing in the US. It is a policy choice.
Residents provide healthcare to patients with real value. This healthcare either gets attributed to the attending physician or goes unbilled. The market value of care provided exceeds what it actually costs to employ and train a resident.
Yes, largely the fact that Medicare forbids billing for resident services. Im sure there is also an objection on the insurance reimbursement side as well, but I see no reason why a successful procedure of adequate quality performed by a resident should not be billable at the same rate.
Residents provide healthcare to patients with real value. This healthcare either gets attributed to the attending physician or goes unbilled. The market value of care provided exceeds what it actually costs to employ and train a resident.
https://pubmed.ncbi.nlm.nih.gov/21217491/