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Posted on 11/7/24 at 12:54 pm to crazy4lsu
quote:I obviously want whatever it is we do to be evidence based. I'm not trying to tell you your personal experience. However, I have a hard time believing some of the aspects of "being a doctor" can't be striated to other professionals efficiently and effectively.
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.
quote:Yeah, they seem to finally be saying such - and also saying there's a massive shortage of docs.
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.
Posted on 11/7/24 at 12:54 pm to Smoke Ring
Health insurance companies, Tricare, Medicare, and Medicaid, now totally control the healthcare industry. I have heard these same stories from other docs.
Posted on 11/7/24 at 12:54 pm to Smoke Ring
My primary doc bounced around to several big clinics before opening a boutique practice. Stated all the concerns and frustrations the op talked about, but I wasn’t going to pony up the $3500 yr fee he wanted. Then I found the only mom and pop single Dr practice left in my area, hope he stays open.
Posted on 11/7/24 at 12:55 pm to lepdagod
quote:
Insurance companies don't come up with prices do they???
They actually do. They negotiate rates/prices with other large medical groups hence “in network vs. out of network doctors”
Posted on 11/7/24 at 12:57 pm to tigerfoot
quote:
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.
It’s lack of catastrophic insurance available on the marketplace that’s stopping a lot of people from doing this.
Posted on 11/7/24 at 12:59 pm to madamsquirrel
quote:
boutique medicine.
The future, for those that can afford it. Everyone else will get what amounts to cut rate public health services.
Posted on 11/7/24 at 1:04 pm to Oilfieldbiology
quote:I would keep my regular insurance. Hell by the time we pay urgent care 15 times a year because we can’t go to our Dr if we are sick I doubt I would pay more than twice my urgent care co pays.
It’s lack of catastrophic insurance available on the marketplace that’s stopping a lot of people from doing this.
If you are sick you can’t go to the Dr. they really only handle scheduled check up shite.
Posted on 11/7/24 at 1:08 pm to tigerfoot
quote:
by the time we pay urgent care 15 times a year

Posted on 11/7/24 at 1:09 pm to Smoke Ring
My wife is a doctor. She says these are very common issues doctors across specialties face. It is not good.
This post was edited on 11/7/24 at 3:11 pm
Posted on 11/7/24 at 1:20 pm to medtiger
Oh I get it. That may be an exaggeration but I would bet it is 10. Once or twice for my wife and me and 2-3 times per kid.
As I said if you are sick and just need to get checked out you can swing in get a shot and script and move on. If I call our primary care docs you gotta make an appointment a day later. Hell. I have a 15 year old that’s gonna break something or do something stupid at least once or twice a year. Start at urgent care and send X-ray to ortho and go from there.
As I said if you are sick and just need to get checked out you can swing in get a shot and script and move on. If I call our primary care docs you gotta make an appointment a day later. Hell. I have a 15 year old that’s gonna break something or do something stupid at least once or twice a year. Start at urgent care and send X-ray to ortho and go from there.
This post was edited on 11/7/24 at 1:22 pm
Posted on 11/7/24 at 1:27 pm to Big Scrub TX
quote:
However, I have a hard time believing some of the aspects of "being a doctor" can't be striated to other professionals efficiently and effectively.
But for what end? At our continuity clinic, I can triage a patient, write a complete note, get their prescriptions sent and send them on their way in 30 minutes. If seeing patients is what makes money for my institution, then it would be better if they just freed me to see patients. Working with mid-levels slows down the work of actually seeing patients. I can't speak for other specialities, but I don't see the need unless the area has a true lack of physicians. I'd argue that NP's and PA's don't tend to even go to places of need anyway.
A big thing for me is that administrative interference fricks up the joy of seeing patients. Dealing with mid-levels who get alarmed at innocuous things also is annoying and pointless.
Posted on 11/7/24 at 1:38 pm to BHS78
Why are you calling me an idiot? Do you genuinely feel better?
Posted on 11/7/24 at 1:38 pm to Smoke Ring
My former doctor, who I actually liked compared to past ones, left and started a concierge practice with another doc. So much better for him. If it was just me and the wife we might do it, but that doesn't work for a family of 6.
Posted on 11/7/24 at 1:58 pm to Smoke Ring
I feel like you could start up a nice little cash only practice and kill it.
Posted on 11/7/24 at 1:59 pm to LuckySo-n-So
quote:
Internal Med. MD’s average about $200k, with a range from $115k-$280k.
When I read this I thought there was no way an MD made only $115K, but I looked it up and sure enough that is the low end. Crazy to me.
Posted on 11/7/24 at 2:01 pm to Whiznot
I believe this has more to do with the shitty food we eat and exercise we don’t get.
Posted on 11/7/24 at 2:07 pm to Smoke Ring
My healthcare plan would have fixed all the issues being talked about, but no one wanted to listen.
Long ago, really long ago, I was talking to my family physician and he pointed out all the issues mentioned by the OP. This system has been broken for a long time. He retired early because of this mess. It will eventually collapse and when it does, we'll get govt control of healthcare and that will end any notion of freedom in this nation. Imagine covid with govt control of your healthcare.
Your healthcare is far too important to let the govt have control of it.
Long ago, really long ago, I was talking to my family physician and he pointed out all the issues mentioned by the OP. This system has been broken for a long time. He retired early because of this mess. It will eventually collapse and when it does, we'll get govt control of healthcare and that will end any notion of freedom in this nation. Imagine covid with govt control of your healthcare.
Your healthcare is far too important to let the govt have control of it.
Posted on 11/7/24 at 2:10 pm to madamsquirrel
quote:
boutique medicine
Concierge practice.
It's worth it
Posted on 11/7/24 at 2:13 pm to Tiger Chemist
quote:Tell me you're from Alabama without telling me you're from Alabama.
My mom wife
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