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re: Average wait time to see a doctor in US as new patient is 26 days minimum

Posted on 7/15/23 at 11:14 pm to
Posted by Ric Flair
Charlotte
Member since Oct 2005
13658 posts
Posted on 7/15/23 at 11:14 pm to
quote:

In the last 10-15 years you have had a lot of doctors move to concierge care. That’s really affecting physician shortages as well.


Small percentage affected by concierge, compared to the adaptation of the hospitalist system running the inpatient units. Back in the day, doctor would see his own admitted patients when they were hospitalized. Now, there are really two career paths for internal medicine docs—inpatient (hospitalist) and outpatient (clinic).
Posted by LSUA 75
Colfax,La.
Member since Jan 2019
3703 posts
Posted on 7/15/23 at 11:27 pm to
How many stay in Louisiana?
A friend from high school became a radiologist,his 2 sons went to medical school in Louisiana.His daughter married a guy that went to med school in Louisiana.All 3 moved to Houston after residencies.

Wife’s old boss has daughter that is a Dr.,she moved out of state,Another daughter is going to med school out of state,she’s not likely to move back.
Posted by Jimbojambojumbo
Member since Mar 2022
236 posts
Posted on 7/15/23 at 11:38 pm to
My mother is showing signs of dementia and we are trying to her her into a neurologist for a proper evaluation and diagnosis.

The earliest new patient appointment we could find within 150 miles of her was mid-November.

It’s really tough to imagine how much she might lose of her memory before she’s ever even seen a doctor.
Posted by PeteRose
Hall of Fame
Member since Aug 2014
16875 posts
Posted on 7/15/23 at 11:57 pm to
quote:

We have the greatest healthcare in the world. Provided you can afford it.


It's ridiculous. I went to my PCP 3 times for a skin rash and his diagnosis was wrong on all 3 times. I went to a clinic before that because I didn't wan to wait for the appointment. The Dr said he doesn't know and still took the $150 fee. So much for great healthcare.

I was in SE Asia with heart burns about 5 years ago. I went straight to see a doctor the same day. Cost was $2.50. I got some Nexium at the same place and it was $2. Now, it's not the same standard as the US but it got the job done for $4.5.

In fact, you can skip the DR, go to a pharmacist, tell them your symptoms, and they'll give you medications with instructions. Sometimes I prefer this method.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28432 posts
Posted on 7/16/23 at 12:06 am to
quote:

There’s a shortage of doctors because medical school boards full of doctors restrict the size of new classes for decades to create a shortage and artificially increase the value of doctors. The candidates being rejected from med schools today are better than a lot of the older doctors still practicing were at the same age

This is wrong despite being heavily upvoted.

The bottleneck is NOT medical schools. The bottleneck is residency positions, the funding for which has been frozen since 1997. While medical school classes have increased over that time the actual federal funding for training these new doctors has remained static. Direct your ire at the government, not some nebulous board of doctors hiding out in a dimly lit board room conspiring to keep doctor salaries high. New med schools open almost every year, and class sizes are frequently expanded. And still funding for residencies remains the same. You can see why this is an issue.

Also, we do not incentivize going into primary care, and this is a major problem.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28432 posts
Posted on 7/16/23 at 12:10 am to
quote:

128 doctors so let’s say same in New Orleans thats 250 or so let’s say 50 from Tulane stay in State so thats 300 doctors max

Nola class size is close to 200. I’m not sure what the Tulane class size is but only ~15% stay in state (this was my count when I attended their graduation back in 2015).
Posted by imjustafatkid
Alabama
Member since Dec 2011
50515 posts
Posted on 7/16/23 at 12:16 am to
Maybe clot shot requirements weren't such a good idea after all.
Posted by wypipos
Member since Oct 2020
35 posts
Posted on 7/16/23 at 1:52 am to
Shreve is 150/year, soon expanding to 200
Posted by Upperdecker
St. George, LA
Member since Nov 2014
30578 posts
Posted on 7/16/23 at 4:01 am to
quote:

Med schools are not the limiting factor. Residencies are.

False
quote:

One major bottleneck in the physician pipeline is medical school admissions, which are only graduating about 27,000 students each year.

quote:

This year’s 36,000 first-year residency slots are inadequate to meet the US need for physicians

More than enough residencies to go around for good US students. International students are taking the residencies
quote:

About 13,000 of the residency match applicants this year were graduates of international medical schools, 8,000 of whom were not US citizens.

International schools realized that the US had availability for residents and now graduate students with the intent that some of them will take US residencies. The US medical school boards created this problem by not graduating enough students, creating an artificial shortage in the market - which was filled with these international students. Now it’s too late and there’s multiple markets trying to take these residencies
Posted by Hoops
LA
Member since Jan 2013
6536 posts
Posted on 7/16/23 at 4:31 am to
Medicaid is an automatic loss. Highly concentrated areas are always going to have longer wait times. Healthcare is becoming awful to work in as the people in this country collectively lose their minds. Making me pay for these fat asses worthless lives to be prolonged won’t fix any of these issues.
Posted by dyslexiateechur
Louisiana
Member since Jan 2009
32136 posts
Posted on 7/16/23 at 4:36 am to
My daughter has some serious thyroid and brain issues and we’ve been waiting to see an endocrinologist since Feb. Her appointment is in August.
Posted by TheSadvocate
North Shore
Member since Aug 2020
3826 posts
Posted on 7/16/23 at 5:35 am to
quote:

Average wait time to see a doctor in US as new patient is 26 days minimum


And now you know why so many... people... just call 9-1-1 to cut in line
Posted by TaderSalad
mudbug territory
Member since Jul 2014
24656 posts
Posted on 7/16/23 at 5:52 am to
A legit “thanks Obama”
Posted by makersmark1
earth
Member since Oct 2011
15867 posts
Posted on 7/16/23 at 6:12 am to
quote:

Now do female med students now versus 20 years ago. I heard a number that to get the productivity over the life of a medical career you’d need 1.5 females for every male doctor.


^this is true.

Also most people want to retire early.

The days of doctors working until they croak are over.
I know I am retiring ASAP.
Medicine is not what it used to be for physicians.
I’ve got enough to call it a day so I’ll be exiting at 60.
This post was edited on 7/16/23 at 6:16 am
Posted by Penrod
Member since Jan 2011
39359 posts
Posted on 7/16/23 at 6:15 am to
These wait times are not very informative, because the USA has two different systems of healtcare. These wait times combine them. One US system is for-pay and the other is free. The free system has extremely long wait times for non-emergencies, and this is what is driving these numbers.

I don’t give a shite how long the layabouts have to wait for non-emergency health care. In fact, I hope it’s long, because that’s how you ration free health care.

I have a job and medical insurance. I am extremely satisfied with the care I get - including wait times.
Posted by LSUBFA83
Member since May 2012
3341 posts
Posted on 7/16/23 at 6:22 am to
I have a relative in Dallas with BC/BS insurance trying to get an appointment with a gastroenterologist. Earliest available was a one month wait (in Frisco) and one doctor couldn't see them until October 2024.
Posted by LSUfan4444
Member since Mar 2004
53817 posts
Posted on 7/16/23 at 6:41 am to
Okay, now do it again and count appt times with PAs and NPs
Posted by LSUfan4444
Member since Mar 2004
53817 posts
Posted on 7/16/23 at 6:43 am to
quote:

There’s a shortage of doctors




Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
119195 posts
Posted on 7/16/23 at 6:44 am to
Most doctors now work for corporations and hospitals
Posted by Klark Kent
Houston via BR
Member since Jan 2008
66843 posts
Posted on 7/16/23 at 6:45 am to
quote:

There was a discussion on wait times in socialized medicine on here recently, I really don’t think they can be much worse than our 26th ranked in the world health care system


quote:

by CuckHillTiger


there’s a surprise
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