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re: Data for you to ponder tonight: insurers are not the villain. Providers are

Posted on 12/12/24 at 7:11 am to
Posted by TripleBarrelBluff1
Sin City
Member since Aug 2024
2430 posts
Posted on 12/12/24 at 7:11 am to
quote:

The real reason is the over regulation and subsequent hiring of middle management administrators in hospitals


There is nothing more useless and pointless than admins in healthcare. These are made up jobs appointed to their friends and they basically accomplish nothing while making everyone else's job that much harder.
Posted by crazy4lsu
Member since May 2005
39286 posts
Posted on 12/12/24 at 7:12 am to
quote:

The data is screaming at you in the face that American doctors of all specialities, hospitals, etc all get paid way more than in other nations, yet you single out insurance.



The data suggests something else entirely.

Posted by crazy4lsu
Member since May 2005
39286 posts
Posted on 12/12/24 at 7:13 am to
quote:

There is nothing more useless and pointless than admins in healthcare. These are made up jobs appointed to their friends and they basically accomplish nothing while making everyone else's job that much harder.



Absolutely. It especially sucks when someone new is hired and tries to make their mark in some insane way.
Posted by VolSquatch
First Coast
Member since Sep 2023
7633 posts
Posted on 12/12/24 at 7:13 am to
quote:

Zero way that I would go to school into my mid 30’s to come out making 155k. We have the best physicians because they make the most money. Like it or not, money is a driving factor in that.


Just paying for school and possibly even on-campus housing and meal plans for would-be physicians who make good grades if it meant we could lower their salaries by a meaningful number would probably be worth it. But salaries are what they are and aren't going to go down.
Posted by Rick9Plus
Baton Rouge
Member since Jul 2020
2432 posts
Posted on 12/12/24 at 7:13 am to
quote:

You have to go full private (still with some government oversight) or you go full single payer. When you muddy the water by dipping your toes in both it just makes both systems worse.


I agree. What we have now is nowhere near a free market, private system. The government has control over who gets to participate. Why do you think the hospitals and clinics all did the Covid shot and mask mandate? Because the govt threatened to pull their funds and *nobody* can stay in business without them.
Posted by rintintin
Life is Life
Member since Nov 2008
16967 posts
Posted on 12/12/24 at 7:14 am to
I would reiterate that administrative bloat is definitely an issue. Hospital administrators love to have meetings and hear themselves talk.

The executive suites could probably be cut in half and you wouldn't notice a difference.

That being said, the overall "fix" for healthcare is very complex. It's not one bad guy that everyone typically tries to point a finger at. It's many many areas.

As another poster mentioned too, it's also the unhealthy population in the US. You can't have an obese and unhealthy population and expect low healthcare costs. It will never happen as long as people continue to be fat fricks and go to the doctor over every little issue without taking accountability.

The same people who think healthcare is a "right" scarf down cheetos and guzzle down coke all day. The system was never designed to handle so many disgustingly unhealthy people.
This post was edited on 12/12/24 at 7:18 am
Posted by SirWinston
PNW
Member since Jul 2014
100883 posts
Posted on 12/12/24 at 7:14 am to
quote:

I don't think you have had a post yet that I agree with, and you post a lot.


He's such a dork. He's the Mike Pence of TD.
Posted by TripleBarrelBluff1
Sin City
Member since Aug 2024
2430 posts
Posted on 12/12/24 at 7:15 am to
quote:

The real reason is the over regulation and subsequent hiring of middle management administrators in hospitals


"Alright guys, we need to work on our wait times. The satisfaction scores are down right now."


frick all of the way off. Not halfway, not 3/4's, all the way.
Posted by TripleBarrelBluff1
Sin City
Member since Aug 2024
2430 posts
Posted on 12/12/24 at 7:16 am to
quote:

SirWinston


quote:

He's such a dork.


Posted by crazy4lsu
Member since May 2005
39286 posts
Posted on 12/12/24 at 7:18 am to
quote:

Just paying for school and possibly even on-campus housing and meal plans for would-be physicians who make good grades if it meant we could lower their salaries by a meaningful number would probably be worth it.



I don't think this would free up talent to go into primary care rather than specialty care, as primary care has its own problems which ensure that seeking specialization is often times a quality of life measure. In an ideal system, you would have higher pay in primary care as a way of gatekeeping specialist care for only those patients who need it. This would also ensure some degree of cost-saving.
Posted by VolSquatch
First Coast
Member since Sep 2023
7633 posts
Posted on 12/12/24 at 7:19 am to
quote:

There is nothing more useless and pointless than admins in healthcare. These are made up jobs appointed to their friends and they basically accomplish nothing while making everyone else's job that much harder.


I have a relative that started working at a hospital at 16 and is now in her late 50's. Worked in a similar capacity the entire time. Her position requires you to be a nurse now. She got grandfathered in since she has years of experience. The nurses have to ask her how to do their jobs constantly, even though many are younger and they just moved to a new system that they all had to learn from scratch essentially. If a high school education was good enough for her to do the job well, why does a nurse have to do it now?
Posted by TripleBarrelBluff1
Sin City
Member since Aug 2024
2430 posts
Posted on 12/12/24 at 7:22 am to
quote:

If a high school education was good enough for her to do the job well, why does a nurse have to do it now?


Well, the first answer to any brain dead admin when they question arises of who will perform a new task or take over a task is, "just make the nurses do it."

It's also kind of tied to the magnet hospital status, which is a whole different can of retarded worms.
Posted by VolSquatch
First Coast
Member since Sep 2023
7633 posts
Posted on 12/12/24 at 7:23 am to
quote:

In an ideal system, you would have higher pay in primary care as a way of gatekeeping specialist care for only those patients who need it. This would also ensure some degree of cost-saving.


That makes a lot of sense, thank you
Posted by Delacroix22
Member since Aug 2013
4537 posts
Posted on 12/12/24 at 7:29 am to
Literally meet me at a sonic.

Seriously.

You would never cut it as a doctor.

For step one I studied 9am to 9pm no breaks for four weeks straight.

My eye sight is ruined.
My back is destroyed from sitting in a desk for years studying mindless bullshite.

I have been at work for 60 hours straight scrubbing cases no sleep no food all for the patient to be ungrateful.

I worked for free for 8 years straight putting in 80+ hour weeks being the butt end of every nurse mid level attending etc criticism.

I’ve had peoples brains spill on my shoes as we try to do cpr to save them.

I’ve held grandmas and mothers as I told them their child has died.

Not only did I do this for free I incurred hundreds of thousands of dollars of debt so I could do this. I payed THEM so I could work. And then when we enter the workforce the public is ungrateful such as yourself. Telling us “nope you don’t get to be monetarily rewarded for all your insane sacrifice…”

And then I finally got to start my career at the age of 35. While all my other friends had a 13 year head start on making money and own houses and drive new cars and are members of fancy as frick country clubs.

Doctors are not the problem.

Come say that to my fricking face.

You’re a commie pussy who could never do what we do. You’re just a whiny spoiled brat hater.

frick you and your cheating arse football program as well.
This post was edited on 12/12/24 at 7:31 am
Posted by N2cars
Close by
Member since Feb 2008
37941 posts
Posted on 12/12/24 at 7:47 am to

While I absolutely agree with your sentiment based on my personal experiences with doctors over the past 8+ years ( the dedication to their craft is extraordinary), I would have bet quite a bit of money that you weren't a medical doctor.

That said, good luck.

Posted by Rick9Plus
Baton Rouge
Member since Jul 2020
2432 posts
Posted on 12/12/24 at 7:54 am to
Insurance is the villain! No, wait, doctors are! Nope, the *real* bad guys are the admins! No, the drug companies!

After we all point fingers and try to blame each other for a while, nothing will change. This is why we can’t have nice things. In healthcare, politics, law enforcement, and everything. We keep squabbling and going broke and the same people keep getting rich.
Posted by rintintin
Life is Life
Member since Nov 2008
16967 posts
Posted on 12/12/24 at 7:59 am to
quote:

In an ideal system, you would have higher pay in primary care as a way of gatekeeping specialist care for only those patients who need it. This would also ensure some degree of cost-saving.


This basically has been the system (minus the high pay for PC doctors).

With the prevalence of specialty clinics, ASCs and just the overall ease of finding speciality physicians now, people are choosing to bypass primary care.

I dont think that's necessarily a bad thing though. As a patient, having to run through your PC for everything is inefficient and a time drain if you can go straight to a specialist and get what you need immediately.

Posted by N2cars
Close by
Member since Feb 2008
37941 posts
Posted on 12/12/24 at 8:04 am to
Well, blaming doctors has got to ve nearly last on the list.

The exorbitant cost of medical schooling is OOC.

A lot of these folks graduate owing $250K+ @ 7-9% interest and they are still several years away from making good money.

Doctors making high wages shouldn't be unacceptable. They paid their dues and are in high-stress situations.
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
21987 posts
Posted on 12/12/24 at 8:06 am to
quote:

There is nothing more useless and pointless than admins in healthcare. These are made up jobs appointed to their friends and they basically accomplish nothing while making everyone else's job that much harder.


Much like salesmen at dealerships and realtors, they're just in the way of the end product that I want. Give me the option to not jump through a bunch of hoops and let me deal directly with the person who's providing me a product or service.
This post was edited on 12/12/24 at 8:06 am
Posted by Rick9Plus
Baton Rouge
Member since Jul 2020
2432 posts
Posted on 12/12/24 at 8:08 am to
quote:

Well, blaming doctors has got to ve nearly last on the list.


Agree. Comparing salaries vs UK is like apples and oranges, too. It doesn’t take into account money and time spent on education, hours worked per week, or time and money spent avoiding or defending against lawsuits, all much higher here.
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