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re: Doctors just up and quitting

Posted on 11/7/24 at 11:54 am to
Posted by TX Tiger
at home
Member since Jan 2004
36554 posts
Posted on 11/7/24 at 11:54 am to
quote:

My primary care doc went to one of these suite services (MDVIP) to ease the load and provide better care, then still got out a year later.
I know many doctors whose careers have been saved by moving over to MDVIP.

HIGHLY RECOMMENDED!!!
Posted by Big Scrub TX
Member since Dec 2013
36803 posts
Posted on 11/7/24 at 11:57 am to
quote:

You implied doctors are in the AMA

Maybe 20% are
I'm implying the AMA has caused the metering of the number of doctors/practitioners that can be minted per year. They do this via Congress AND by constantly trying to prevent other medical professionals from performing various functions that they insist must ONLY be done by doctors.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
35184 posts
Posted on 11/7/24 at 11:57 am to
quote:

he can't go to hell for lying on billing just to feed his family

I don't know a single broke physician, and I know quite a few of them
Posted by El Segundo Guy
SE OK
Member since Aug 2014
10830 posts
Posted on 11/7/24 at 11:59 am to
Many years ago my wife worked at a home health company. She charted her assessment. A day or so later, the director called her and said she needed to change a few things on her assessment and my wife said no. They called her in the office and they told her to change it and again she said no. My wife told the director if you want to do an assessment and sign your name to it, fine but I'm not changing shite.

Within a week she went back to working ER. All that shite over Medicare fraud.
Posted by tiger rag 93
KCMO
Member since Oct 2007
2746 posts
Posted on 11/7/24 at 12:02 pm to
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.


I’m in a surgical subspecialty and don’t know a single dues paying member of the AMA, yet this constantly gets brought up on this board.
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
35184 posts
Posted on 11/7/24 at 12:05 pm to
quote:

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.

Not to mention increased taxes. Sure you aren't paying for health insurance, but some of their provincial tax rates (which is equivalent to our state income taxes) go up to 21%. For comparison, California has the highest in the US at 13.3%.
Posted by TX Tiger
at home
Member since Jan 2004
36554 posts
Posted on 11/7/24 at 12:06 pm to
quote:

they didn't think they would have to spend hours managing people, hiring, billing and dealing with office drama.
The problem, as I understand it, is that this is driving doctors to join hospital groups, which are basically at the mercy of the insurance companies and have turned their practice into a factory assembly line.

Doctors are now forced (by the hospitals) to meet a quota, seeing a certain number of patients per day, thus running them in and out of the office like an assembly line rather than giving them the medical attention they need.

It's really turning off doctors and why many are moving to things like MDVIP. There's no quota system there and they aren't nearly at the mercy of insurance companies (to get paid) as they would be otherwise. They can therefore concern themselves with practicing medicine and spend as much time with patients as they feel necessary.
This post was edited on 11/7/24 at 12:11 pm
Posted by farad
Member since Dec 2013
11453 posts
Posted on 11/7/24 at 12:08 pm to
quote:

tart budgeting for boutique medicine.


hiya MS...

MDVIP Medicine...
Posted by crazy4lsu
Member since May 2005
37688 posts
Posted on 11/7/24 at 12:12 pm to
quote:

I'm implying the AMA has caused the metering of the number of doctors/practitioners that can be minted per year


The number of residency positions has increased pretty consistently the last few years, up from 30,000 or so positions in 2018 to nearly 41,000 last year. And from what I remember from the latest AMA newsletters, they usually stress how they want to increase residency positions.

Your version of the AMA is a lot more impactful than it is in reality.

quote:

constantly trying to prevent other medical professionals from performing various functions that they insist must ONLY be done by doctors.


Why shouldn't doctors protect their profession? A large portion of my time is spent correcting the frick-ups of mid-levels. I've seen some particularly egregious medication combos from psychiatric mid-levels. Why do I need to spend any time supervising those mid-levels or even working with them?

What if the reason we want some protection for these procedures is because the procedures have high stakes, especially if something goes wrong? As in, it is in the best interest of the health of the patients that we advocate for retaining responsibility.

The more corporate model has been used, the worse it is for everyone. I think a large part of your blame is misplaced, honestly.
Posted by Pfft
Member since Jul 2014
4564 posts
Posted on 11/7/24 at 12:13 pm to
quote:

they didn't think they would have to spend hours managing people, hiring, billing and dealing with office drama.


White liberal nurses and office ladies 8-10 hours a day, anyone would want to quit, or kill themselves.
Posted by Snipe
Member since Nov 2015
13813 posts
Posted on 11/7/24 at 12:22 pm to
quote:

Functional medicine is the new frontier


What does that even mean?

Posted by Privateer 2007
Member since Jan 2020
7238 posts
Posted on 11/7/24 at 12:24 pm to
Physicians have it better here than anywhere else in the world.

Let them quit.
We can bring in UK, Canadians, etc
Posted by LuckySo-n-So
Member since Jul 2005
22306 posts
Posted on 11/7/24 at 12:30 pm to
quote:

another internal medicine doctor who's been a buddy since childhood


quote:

he can't go to hell for lying on billing just to feed his family,


Internal Med. MD’s average about $200k, with a range from $115k-$280k.


Excuse me for not feeling sorry for your friend. Even at the very bottom of $115k, he should be doing fine.


Posted by crazy4lsu
Member since May 2005
37688 posts
Posted on 11/7/24 at 12:36 pm to
quote:

Internal Med. MD’s average about $200


You are off by a decent amount.
Posted by tiger rag 93
KCMO
Member since Oct 2007
2746 posts
Posted on 11/7/24 at 12:36 pm to
quote:

Internal Med. MD’s average about $200k, with a range from $115k-$280k. Excuse me for not feeling sorry for your friend. Even at the very bottom of $115k, he should be doing fine.


If I went through as much schooling and training as I’ve gone through I’d be pissed if I only made $115,000 the rest of my career
Posted by TX Tiger
at home
Member since Jan 2004
36554 posts
Posted on 11/7/24 at 12:37 pm to
quote:

My primary care doc went to one of these suite services (MDVIP) to ease the load and provide better care, then still got out a year later.
I would really be interested in hearing why he got out because I have been around many docs who moved over to MDVIP and yours is the first story I've heard where they got in and then got out.

I'm very curious to know why.
Posted by Hoops
LA
Member since Jan 2013
7272 posts
Posted on 11/7/24 at 12:39 pm to
quote:

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


Bc we spend a fortune saving worthless lives. It’s always my morbidly obese smokers on oxygen that want every item they’ve ever heard of and when the time comes won’t go on hospice “bc I’m a fighter” lmfao
Posted by CHGAR
Haile, LA
Member since Aug 2022
939 posts
Posted on 11/7/24 at 12:41 pm to
I walked away from accounting in my early 50s simply because I wanted to. Fortunate I was able to afford too. More power to these folks for living THEIR life on THEIR terms.
Posted by rickyh
Positiger Nation
Member since Dec 2003
12682 posts
Posted on 11/7/24 at 12:46 pm to
We have a friend that is a woman's doctor. She is 44 years old and recently quit her practice. The constant grind was to much for her. She was always on call and she had her freedom taken away. She realized giving her entire life to her job wasn't worth it.
Posted by AUstar
Member since Dec 2012
18437 posts
Posted on 11/7/24 at 12:48 pm to
quote:

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


True, but it's not because our doctors are bad or our technology sucks. We have some of the best hospitals and research institutions in the world.

The problem is our population is fat, lazy, diabetic, etc. Not much a doctor can do about poor lifestyle choices. Just take a look at photos of people on the street from the 1980's prior. Hardly any fat people. Now it is rare to see a skinny person. Being fat will significantly shorten your lifespan.
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