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re: Effect of Obamacare on doctor salaries?

Posted on 10/27/10 at 10:47 am to
Posted by pnut53088
New Orleans
Member since Jan 2009
2312 posts
Posted on 10/27/10 at 10:47 am to
quote:

Off-campus living expenses: $17,739**


Where the hell are you living?? You can find a nice place in LV for 600/mo.

My SO is in med school, and she said it should set her back about 100k when it's all said and done. Maybe she's lying..
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 10/27/10 at 10:50 am to
quote:

NC, the issue I can't predict is, if you're correct and MD's compensation declines, at what point will prospective med students say "Fu@k it! I'm not going through all this work!" resulting in a drastic decline in the number of primary care physicians.
Actually, students are pretty naive.
So there will be a delay there.
Especially those coming from nonmedical families.

The bigger and more immediate impact will be those MD's in their late 40-50's (the reservoir of expertise) exiting the field or curtailing their practice. That will happen. In fact it is happening. How significant the exodus will be is dependent on the degree to which Obamacare is enacted. With full implementation it could get ugly in a hurry.
Posted by LSURussian
Member since Feb 2005
126962 posts
Posted on 10/27/10 at 10:58 am to
quote:

more immediate impact will be those MD's in their late 40-50's (the reservoir of expertise) exiting the field or curtailing their practice. That will happen. In fact it is happening.
I had not thought about that end of the talent stream, but, yeah, I can see your point.

I have a doctor's appointment this afternoon. I'm going to ask my doctor what his thoughts are. He's in his early to mid-fifties. He's a specialist, gastroenterologist, not a primary care physician. Would that make a difference in his opinion of Obamacare?
Posted by Newbomb Turk
perfectanschlagen
Member since May 2008
9961 posts
Posted on 10/27/10 at 11:01 am to
quote:

My SO is in med school, and she said it should set her back about 100k when it's all said and done. Maybe she's lying..


Well, I've given you the link on the cost. Unless you or her daddy is paying for all of her living expenses, she must be starving and living under an overpass on Franklin Ave.

quote:

quote:
Off-campus living expenses: $17,739**


Where the hell are you living?? You can find a nice place in LV for 600/mo.



So, let's say a med student does get a roommate and rents a double uptown and his/her share is $600/mo. That's $7,200/year.

How much for electricity, gas, sewage, etc.?

How much for food, snacks, etc.?

How much for beer, entertainment?

How much for parking/gas?

How much for transportation to home?

How much for a car (you need a car to live in N.O.)?


You don't think all those "other" cost add up to $10K a year?
This post was edited on 10/27/10 at 11:13 am
Posted by saderade
America's City
Member since Jul 2005
25735 posts
Posted on 10/27/10 at 11:51 am to
This thread is an example of the reason I went to PA school instead of med school. Didn't want to wait until I was in my 30s before I started working with a mound of debt. I am now working at 25, with about 30k in loans. And while I will never make "doctor money", I don't pay malpractice, work about 40 hours a week, no call, no weekends. Also being in a high paying surgical subspeciality means I will do pretty good for myself. I tell undergrads all the time to make sure you go into medical school for the right reasons.
Posted by pnut53088
New Orleans
Member since Jan 2009
2312 posts
Posted on 10/27/10 at 12:33 pm to
quote:

How much for beer, entertainment?


In Med School? Erroneous!
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 10/27/10 at 1:59 pm to
quote:

He's a specialist, gastroenterologist, not a primary care physician. Would that make a difference in his opinion of Obamacare?
Degree of ObamaCare impact would depend at least as much on his employment arrangements, as his field of expertise. If he's self-employed or with an MD group practice, then he'd probably be affected. If he's employed by the hospital, government, etc., it wouldn't make as much of a difference.
Posted by LSURussian
Member since Feb 2005
126962 posts
Posted on 10/27/10 at 2:02 pm to
quote:

with an MD group practice
This.

Plus he is a partner in the facility where he performs my colonoscopy procedure. I always have to sign a form acknowledging I know he co-owns that facility and that it's okay with me to have the procedure done there.
Posted by tirebiter
7K R&G chile land aka SF
Member since Oct 2006
9204 posts
Posted on 10/27/10 at 2:24 pm to
quote:

Plus he is a partner in the facility where he performs my colonoscopy procedure.


Now I feel good I only had to have a lower abdominal CT scan with contrast although that dye puts a beating on the kidneys.
Posted by LSURussian
Member since Feb 2005
126962 posts
Posted on 10/27/10 at 2:34 pm to
Since my unpleasant confrontation with colon cancer 4 years ago, I have to have an annual colonoscopy.
Posted by LeonPhelps
Member since May 2008
8185 posts
Posted on 10/27/10 at 2:39 pm to
quote:

Where the hell are you living?? You can find a nice place in LV for 600/mo.

My SO is in med school, and she said it should set her back about 100k when it's all said and done. Maybe she's lying..


Maybe that is all she borrowed? I could easily see living expenses being more than just rent. Who doesn't eat or shower or buy anything?
Posted by Newbomb Turk
perfectanschlagen
Member since May 2008
9961 posts
Posted on 10/27/10 at 2:42 pm to
quote:

quote:

How much for beer, entertainment? In Med School? Erroneous!


Are you kidding? They have the best f'ing parties around. I had a ton of friend in Med School when I first got out of undergrad. Man, those kids partied HARD, especially on weekends during their first two years. From talking with many of them, the first two years is rote memorization, and most of them had taken courses very similar to the courses they take the first two years. Don't get me wrong, they studied hard, especially during the week (although Wednesday's at Que Sera was a BIG night for them), but Friday and Saturday nights were pretty wild.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123887 posts
Posted on 10/27/10 at 3:38 pm to
quote:

and most of them had taken courses very similar to the courses they take the first two years.
. . . and most of them had taken High School courses very similar to the courses they take in College.

FWIW, as with the HS-College course comparison, similarity often ends with the course title/summary.

In terms of medschool debt, if certain posts in this thread are indicative, it's apparently very easy to underestimate.
Posted by tirebiter
7K R&G chile land aka SF
Member since Oct 2006
9204 posts
Posted on 10/28/10 at 2:03 pm to
quote:

Since my unpleasant confrontation with colon cancer 4 years ago, I have to have an annual colonoscopy.


At least you had the good fortune of a positive outcome. MY FIL's colon operation for cancer started leaking internally post-surgery and caused mucho problems, that led to 3-4 years of hell for him,he could not eat hardly anything without bad effects even after they went in and fixed the leak.

Don't worry, I am not too many years away from the colonoscopy. What fun.
Posted by LSURussian
Member since Feb 2005
126962 posts
Posted on 10/28/10 at 2:15 pm to
So his problems are related to the surgery and he has not had a recurrence of cancer?
Posted by Early Cuyler
Member since Jan 2009
4291 posts
Posted on 10/28/10 at 2:18 pm to
quote:

(although Wednesday's at Que Sera was a BIG night for them)


UMC in Jackson?
Posted by tirebiter
7K R&G chile land aka SF
Member since Oct 2006
9204 posts
Posted on 10/28/10 at 2:23 pm to
quote:

So his problems are related to the surgery and he has not had a recurrence of cancer?


Correct, he was going septic (or whatever it is called) from the leakage. He is still good 10-years later.
Posted by Newbomb Turk
perfectanschlagen
Member since May 2008
9961 posts
Posted on 10/28/10 at 2:33 pm to
quote:

quote: (although Wednesday's at Que Sera was a BIG night for them)

UMC in Jackson?


No. LSU in N.O. Superior Grill on St. Charles Ave. is located where the old Que Sera used to be. There were 2-for-1 drinks on Wednesday and it was so packed they literally had to shut down the two streets that ran along side because of the overflow crowd EVERY Wednesday. It made Wednesdays a happening day. The had two bars in the area which literally made the living off of the Que Sera overflow on Wednesdays.
Posted by LSURussian
Member since Feb 2005
126962 posts
Posted on 10/28/10 at 2:39 pm to
quote:

He is still good 10-years later.


That's great news!
Posted by tirebiter
7K R&G chile land aka SF
Member since Oct 2006
9204 posts
Posted on 10/28/10 at 3:03 pm to
yeah. I have always heard that if colon cancer is caught early it has one of the highest cure rates, you would know this much better than me. Good luck with it.

Unfortunately he was recently diagnosed with acute leukemia and has short expected life span. His next door neighbor died from leukemia as well, it makes we wonder if the Cancer Alley attribution to lower LA is as labeled. It's like the medical practitioners say, "you are healthy until you are not."
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