this post was submitted on 08 Jul 2024
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Most medical students at Johns Hopkins University will no longer pay tuition thanks to a $1 billion gift from Bloomberg Philanthropies announced Monday.

Starting in the fall, the donation will cover full tuition for medical students from families earning less than $300,000. Living expenses and fees will be covered for students from families who earn up to $175,000.

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[–] [email protected] 268 points 4 months ago (5 children)

Uplifting: this is objectively a ton of good done for these students

Dystopian: this money was earned by the theft of value produced by working class labor and throwing a few breadcrumbs of it back into the system and acting like it’s some great pure good is pure evil and people will lap it up like dogs

[–] [email protected] 69 points 4 months ago* (last edited 4 months ago) (1 children)

Medical education could have been free this whole time through taxes but instead public funding of secondary education was gutted instead of expanded so rich fucks like Bloomburg could keep more money for themselves.

So even worse!

[–] [email protected] 20 points 4 months ago

Even more negative outlook:

The world is dying and fascism is rising and you spend a billion dollars on doctors not graduating with debt? They're guaranteed quality employment! It's the goddamn Dark Ages residency workload that depresses them!

[–] [email protected] 13 points 4 months ago

Yup. Every time there's a feel-good story like, "a corporate donor spent $20,000 so a dozen orphans didn't have to be fed into the Orphan Crushing Machine" the media never questions why the Orphan Crushing Machine needs to exist in the first place.

[–] [email protected] 4 points 4 months ago

Rich people like to talk about philanthropy and charity being very good, and sometimes they speak as though the act of giving is virtuous and transformative for the person doing the giving. I agree with that, at least, but I think it's pretty fucked up that they perpetuate systems that both enable and require acts of charity. Kindness and charity would still necessary and good in a more equal world, but more people would have access to it if there were less wealth hoarding.

[–] [email protected] 51 points 4 months ago (3 children)

The original Hippocratic Oath made you swear not to charge to teach people about medicine.

[–] [email protected] 14 points 4 months ago (1 children)
[–] [email protected] 17 points 4 months ago (1 children)

The Oath was rewritten in 1964 by Dr. Louis Lasagna

I nearly died when I read Dr. Lasagna

[–] [email protected] 7 points 4 months ago

He's sort of a cheesy guy on the surface but he has layers.

[–] [email protected] 14 points 4 months ago

It also made you promise not to do surgery and medical knowledge revolved around balancing bile.

[–] [email protected] 0 points 4 months ago

Hypocritic Oath on the other hand...

[–] [email protected] 26 points 4 months ago (1 children)

With a billion dollars, I'd just buy enough congressman to make university free for everyone. They're not even that expensive

[–] [email protected] 8 points 4 months ago (2 children)

He did try to buy an election already.

[–] [email protected] 13 points 4 months ago

That's where he fucked up, it's so much cheaper to timeshare a politician that to be one.

[–] [email protected] 3 points 4 months ago (1 children)

True, true. Funny how it's so much cheaper to own an elected official than it is to be one

[–] [email protected] 1 points 4 months ago

It makes sense. They don't want to share the pie. But will happily accept an extra slice.

[–] [email protected] 17 points 4 months ago (3 children)

It says starting in the fall it will be free, but how long does 1 billion last? How many years will they be able to do this for now?

[–] [email protected] 45 points 4 months ago (2 children)

Endowments aim to achieve perpetual existence by only spending dividends from investments. Assume growth of 8% of a billion means they can spend 80 million dollars a year without shrinking the endowment.

[–] [email protected] 23 points 4 months ago

And that really highlights the absolute absurdity of billionaires existing at all

😃

[–] [email protected] 4 points 4 months ago* (last edited 4 months ago)

The 4% rule can fail during some cycles, an 8% withdrawal would have numerous failure rates.

You'd have to be willing to adjust heavily during downturns, probably yearly. Adjusting like that could cause uncertainty and make it difficult to apply for all students.

3.5% over an extended period had no failures on any cycle.

The 3.5% was looking at very early retirement, such as 35/40yr old.

Edit: just want to add, those failures on the 4% were small. It was like if you started the cycle on 1 of 2 months many years ago and made no changes when shit got very bad, it would fail. The majority of the time you end up with vastly more money. But also past performance doesn't guarantee future performance so who knows, but there is some risk.

[–] [email protected] 9 points 4 months ago (1 children)

The operating expenses will show a sudden and totally coincidental billion dollar increase in 2024, and tuition will be collected as usual in 2025.

[–] [email protected] 1 points 4 months ago

That's how getting the government into student loans worked out. It took longer than a semester, but it cost more money than free college and put so many people in so much crippling debt so that evens out.

Based on that, I expect that the costs will go up $750M and stay there so there will be one semester of free tuition, one of severely reduced tuition, then it will be so expensive that no one can go.

[–] [email protected] 7 points 4 months ago

The Internet says that the total cost for a degree from Johns Hopkins medical student per year is $64,665. In addition, various indirect costs like books, housing, healthcare, various fees, living expenses, and so on, bring that same estimate up to around $105,000 annually.

$1,000,000,000 invested in a stupid boring index fund at an estimated 4% return yields $40,000,000 in interest alone, or, using the above numbers, enough for 380(.95) students each year.

Based on this quick page from their own website: https://www.hopkinsmedicine.org/som/education-programs/md-program/our-students/class-statistics

Wherein they accept just 266 students, it could last for a very long time.

[–] [email protected] 11 points 4 months ago (2 children)

Big doomer comment section

[–] [email protected] 2 points 4 months ago

This is the fediverse, what do you expect? There will always be something to be complaining about here!

[–] [email protected] 2 points 4 months ago

🤙 Mount up

[–] [email protected] 6 points 4 months ago

I am choosing to only see the uplifting stuff here and rejecting the bad.

[–] [email protected] 5 points 4 months ago

Must be nice being elite and to get free education haha

[–] [email protected] -5 points 4 months ago* (last edited 4 months ago) (4 children)

It’s insane making tuition free for medical students, who have the best chances of stable employment and increasing wage growth over the years after graduation. Make tuition free for humanities students instead

Edit: drs have lots of flexible income

Here’s some data though: https://www.collegesimply.com/colleges/maryland/johns-hopkins-university/salaries/

Median US physician salary: https://physiciansthrive.com/physician-compensation/doctor-median-pay/

So this $1B gift to make med school free for people who wouldn’t have had issues paying it off sounds like tax cuts for the rich…

[–] [email protected] 15 points 4 months ago

It should be free for everyone.

[–] [email protected] 14 points 4 months ago (2 children)

I get the hate, but as someone with some experience here, the amount of debt from a normal BA/BSc is miniscule compared to med school...like doesn't even come remotely close. The amount of time spent paying that back for someone that doesn't come from wealth is sometimes longer than they live...

[–] [email protected] -1 points 4 months ago (1 children)

Okay I hear you. I guess I was thinking of drs who end up making quarter mill usd 5-7 years after school. That kind of income isn’t guaranteed in any other profession, not even software engineering or law

[–] [email protected] 3 points 4 months ago (1 children)

Totally agree, it's wild, just wanted to give some perspective from the other side 😊

[–] [email protected] 1 points 4 months ago

I appreciate that, it’s always useful to know more

[–] [email protected] -3 points 4 months ago* (last edited 4 months ago) (1 children)

If you're not making 200k as a doctor in America and it's not a deliberate choice you actually should kill yourself.

/S

[–] [email protected] 4 points 4 months ago

After all that school, I hear you 😅. But physicians in Canada, for instance, make substantially less than our friends to the south...for some specialties, even getting to $200,000 doesn't mean much when you have so much debt, fees, and other business costs. It makes a difference given the huge need for physicians all around...such a sacrifice on so many levels with little payoff untill so much later. Couldn't imagine the impact a donation like this would have anywhere, let alone Canada.

[–] [email protected] 8 points 4 months ago

Yeah it should go to CS departments so we can make ad tech better🤡

[–] [email protected] 2 points 4 months ago

So and so.

This could be a vehicle for a lot of people who don't come from a great financial background and don't want to take loans without knowing if they'll even be able to graduate because they'd likely need to work through school, to get an education that lifts themselves and their families to a higher socioeconomic class.