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Message

re: Doctors just up and quitting

Posted on 11/7/24 at 11:21 am to
Posted by crazy4lsu
Member since May 2005
37688 posts
Posted on 11/7/24 at 11:21 am to
quote:

Let's see if RFK can bring at least some change.


Lol

quote:

The docs themselves are to blame for a big part of this, as their cartel (AMA) actively prevents people from becoming doctors, thus driving up the price.


No, not really. The truth is more complicated. But from my view it is administrators that are the biggest problem. Most are a waste of space. The amount of administrators has grown exponentially since the 90's.

Posted by wm72
Brooklyn
Member since Mar 2010
8714 posts
Posted on 11/7/24 at 11:24 am to
quote:

The US has the absolute worst healthcare in the developed world in spite of spending way more than any other nation.


Seems to be working perfectly for the shareholders in corporate healthcare industries. Double the cost for half the service.
Posted by pjab
Member since Mar 2016
5727 posts
Posted on 11/7/24 at 11:24 am to
Functional medicine is the new frontier
Posted by BHS78
Member since May 2017
3001 posts
Posted on 11/7/24 at 11:25 am to
Idiot, some actually went into medicine to help people. The govt regs and hospital take over of practices have ruined them. I know some that retired and do volunteer work in 3rd world countries just to help people.
Posted by Ten Bears
Florida
Member since Oct 2018
4195 posts
Posted on 11/7/24 at 11:26 am to
quote:

Common reasons: they can't truly practice medicine, they can only operate like a rat in the maze that insurance gives them; burnout from seeing too many patients each day and only getting a couple of minutes with each; and basically not being able to make a profit unless the "fudge" (lie) on billing items.


I’ve never encountered a DR in America who “isn’t making a profit.”

Maybe they ain’t making what they used to or what they think they should, but I have yet to encounter a DR who has told me business is bad.
Posted by BOSCEAUX
Where the Down Boys go.
Member since Mar 2008
49682 posts
Posted on 11/7/24 at 11:27 am to
quote:

Primary care specialties can be an absolute grind, especially if you aren't truly in control of your practice. I cannot imagine doing clinic 4-5 days a week for the rest of my career. Clinic days are so mentally exhausting.


I don’t like hearing this. My son has match day in March (he passed his big test with flying colors :brag: He wants to be a primary care doctor specializing in Obstetrics. I tried talking him into going the Anesthesiologist route hard but he really liked the one on one during clinicals.
Posted by Smoke Ring
Scenic Highway Crackhouse
Member since Dec 2010
4336 posts
Posted on 11/7/24 at 11:30 am to
It's not that he's not making enough money, he can't operate ethically AND profitably ... it's choose one and lose the other ....
This post was edited on 11/7/24 at 11:32 am
Posted by crazy4lsu
Member since May 2005
37688 posts
Posted on 11/7/24 at 11:30 am to
quote:

My son has match day in March (he passed his big test with flying colors :brag: He wants to be a primary care doctor specializing in Obstetrics.


In my experience, the Ob/Gyn programs are toxic as hell and the L&D nurses are super fricking annoying.
Posted by tide06
Member since Oct 2011
16569 posts
Posted on 11/7/24 at 11:31 am to
AMA has to go.
Posted by Weekend Warrior79
Member since Aug 2014
19004 posts
Posted on 11/7/24 at 11:31 am to
Which of those countries have the obesity issues the US medical industry deals with on a daily basis?
Posted by Dragula
Laguna Seca
Member since Jun 2020
5970 posts
Posted on 11/7/24 at 11:32 am to
quote:

The US has the absolute worst healthcare in the developed world


Clearly a Kamala voter


Many have no clue on foreign healthcare and/or socialized medicine
Posted by lepdagod
Baton Rouge
Member since Jan 2015
4286 posts
Posted on 11/7/24 at 11:33 am to
quote:

but am told if you want to do it right and properly take care of your patients you can't do it through insurance.


Insurance companies don't come up with prices do they??? I'm seriously asking... who determines what a doctors fee is... or do they charge whatever the market a bear????
Posted by htran90
BC
Member since Dec 2012
31408 posts
Posted on 11/7/24 at 11:35 am to
quote:

I don’t like hearing this. My son has match day in March (he passed his big test with flying colors :brag: He wants to be a primary care doctor specializing in Obstetrics. I tried talking him into going the Anesthesiologist route hard but he really liked the one on one during clinicals.



I guess FP in a rural area? Because there are a lot of people who exist out there who do well.

Anesthesia has become replaced by CRNAs and AA's or whatever in most states, they end up having to go into subspecialties: pain, cardiac, etc

More liability. More oversight. Less comp after MANY years of training and grinding will do that.

Think of it this way:
3-4 years of undergraduate (18-22)
4 years of medical school (22-26)
3-7 years of training (29-33) working MANY hours a week while making anywhere from 55-70k depending on year in most states.

That's the perfect situation, and now you accumulated 120k+ in loans to pay off too unless you have some family help.

While healthcare costs have gone up, c-suite pay has gone up, physician compensation has stayed flat for 30 years.
Posted by tigerfoot
Alexandria
Member since Sep 2006
58936 posts
Posted on 11/7/24 at 11:35 am to
quote:

Start budgeting for boutique medicine.
I cant believe it is not the available in every city in America. I know I would pay a premium to be able to walk in and be seen on time and by a Dr. But I guess I am not in a large number.
Posted by Dire Wolf
bawcomville
Member since Sep 2008
38741 posts
Posted on 11/7/24 at 11:35 am to
quote:



I’ve never encountered a DR in America who “isn’t making a profit.”

Maybe they ain’t making what they used to or what they think they should, but I have yet to encounter a DR who has told me business is bad.


the doctors i hear complaining about it either aren't suited to run a business or don't want to.

they didn't think they would have to spend hours managing people, hiring, billing and dealing with office drama.
Posted by LSUfan4444
Member since Mar 2004
55632 posts
Posted on 11/7/24 at 11:37 am to
quote:

Most practices and home health company commit Medicare and insurance fraud daily. Home health companies are the worst.


Its why they love Medicare and hate insurance companies. They say they want to "freely practice medicine" which means abuse and overuse the shite out of the healthcare system at the cost of someone else.
Posted by Zephyrius
Wharton, La.
Member since Dec 2004
8577 posts
Posted on 11/7/24 at 11:45 am to
quote:

I think our healthcare system in the USA is about to take another big dip down over the next 5-10 years.



Posted by rockford177
Virginia
Member since Feb 2008
634 posts
Posted on 11/7/24 at 11:46 am to
It’s a combination of moral injury, hospital admin and politics. Most docs are liberals now days and most are female. Call me what you will, but 40% of all female physicians in the US don’t practice when they get out. Literally never help one patient after spending all that time in school. Don’t believe me, google it. 20% of female physicians only practice part time. Call me sexist or whatever but it’s facts. Make an incentive to work or require it to go to med school, you will start to see a change in health care
Posted by Jim Rockford
Member since May 2011
102203 posts
Posted on 11/7/24 at 11:48 am to
quote:

Many have no clue on foreign healthcare and/or socialized medicine


Get put on a waiting list for 9 months and pay little or nothing vs forego a procedure because you can't afford the out of pocket. Six of one, half dozen of the other. Bottom line, there aren't enough medical resources to go around under any system. They're going to get allocated somehow, and somebody is going to miss out.

The national health care model has a lot of problems but so does the for profit model. As dissatisfied as they may be with their own country's system, I have yet to hear any European say they'd trade it for ours.
Posted by dcw7g
Member since Dec 2003
2110 posts
Posted on 11/7/24 at 11:51 am to
quote:

Its why they love Medicare and hate insurance companies. They say they want to "freely practice medicine" which means abuse and overuse the shite out of the healthcare system at the cost of someone else.

Wut? Private insurance companies like Blue Cross or Humana pay doctors WAY more than Medicare does. Medicare is the floor when it comes to physician reimbursement (I'm ignoring Medicaid, which is so much worse it doesn't count).
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