Own them and tell the young woman to whom Geaux referred to take of herself. After all, it's not your problem, right?
To your opponents point, not all Medicaid patients are created equal. Even the most tender hearted/open minded amongst us would quickly realize that there are people abusing the system vs those with a true need. He is right, the great thing about our jobs is that the doctor gets to be judge and jury.
At the medical school I attended, there was a small sign in the corner of a small residents' conference room that read
"Some days there are just not enough hours in the day to the do the right thing"
There can be unintended consequences of "doing the right thing". Here is a quick real life example:
Surgeon who accepts Medicaid gets consulted by the busy hospital that has recently accepted the role of becoming the indigent care provider in the city. Said surgeon has to leave his busy clinic to see the consult in urgent/emergent fashion. The surgeon takes care of the patient in expedited fashion.
Surgeon may have to cancel/reschedule paying patients. Patients may become disgruntled and decide to see a different surgeon in town.
Consulting providers realize that few surgeons accept Medicaid, hence they are happy to send the bulk of their Medicaid patients and hospital consults your way (since it is very difficult to get patients in to good
providers who see Medicaid).
Office of the surgeon gets overrun with the baggage of some of the Medicaid patients. Other strata of patients recognize this and distance themselves from the surgeon. Patients flee to another providers to avoid this hassle.
End result is the Medicaid accepting surgeon gets his practice overrun. His payer status shifts. He spends his days toiling in an inefficient manner for ever decreasing pay. Meanwhile his competing surgeons who have declined Medicaid patients are happily accepting his previously private pay/insured patients.
Medicaid surgeon's overall capital declines. He cannot support office staff that he may otherwise sustain. Overall office efficiency breaks down. Labs do not get followed as timely. Things get missed/overlooked. Patients do not get call backs. Lawsuits spring up from the litigious faction he has chosen to help take care because "it is the right thing".
Surgeon is unhappy/stressed 24/7 and his patients become the dog he kicks. At this point, his standing as a care provider is diminished in the eyes of his patients. Frustration ensues on all sides. Surgeon tries to compensate by seeing more people per day. Care gets crappier. Cycle continues...
I know lots of mental gymnastics are involved, but strangely, this is not far from the painfully sad truth. I do understand that other professions have stressful jobs and equal challenges. I am not trying to lament the hardships of MDs. The point I am trying to make is that if you had an option to make a volitional decision to avoid such exposure with a given profession, wouldn't you. There are very few among us who would not.
Another important truth. Money is important to physicians (shocking). The infrastructure for care that is expected by the public cannot be maintained without it.
This post was edited on 1/31 at 5:17 pm