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Message

re: Doctors just up and quitting

Posted on 11/7/24 at 12:53 pm to
Posted by Oilfieldbiology
Member since Nov 2016
39748 posts
Posted on 11/7/24 at 12:53 pm to
quote:

The amount of administrators has grown exponentially since the 90's.


Just like colleges and publicly traded companies that had to deal with government bullshite.
Posted by Big Scrub TX
Member since Dec 2013
36803 posts
Posted on 11/7/24 at 12:54 pm to
quote:

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.

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.

quote:


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.
Yeah, they seem to finally be saying such - and also saying there's a massive shortage of docs.
Posted by DownSouthJukin
1x tRant Poster of the Millennium
Member since Jan 2014
29819 posts
Posted on 11/7/24 at 12:54 pm to
Health insurance companies, Tricare, Medicare, and Medicaid, now totally control the healthcare industry. I have heard these same stories from other docs.

Posted by LSUEnvy
Hou via Lake Chas
Member since May 2011
12387 posts
Posted on 11/7/24 at 12:54 pm to
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 by Oilfieldbiology
Member since Nov 2016
39748 posts
Posted on 11/7/24 at 12:55 pm to
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 by Oilfieldbiology
Member since Nov 2016
39748 posts
Posted on 11/7/24 at 12:57 pm to
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 by Hogbit
Benton, AR
Member since Aug 2019
3091 posts
Posted on 11/7/24 at 12:59 pm to
quote:

boutique medicine.

The future, for those that can afford it. Everyone else will get what amounts to cut rate public health services.
Posted by tigerfoot
Alexandria
Member since Sep 2006
58936 posts
Posted on 11/7/24 at 1:04 pm to
quote:

It’s lack of catastrophic insurance available on the marketplace that’s stopping a lot of people from doing this.
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.

If you are sick you can’t go to the Dr. they really only handle scheduled check up shite.
Posted by medtiger
Member since Sep 2003
21819 posts
Posted on 11/7/24 at 1:08 pm to
quote:

by the time we pay urgent care 15 times a year



Posted by Tiger Chemist
Member since Nov 2009
3055 posts
Posted on 11/7/24 at 1:09 pm to
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 by tigerfoot
Alexandria
Member since Sep 2006
58936 posts
Posted on 11/7/24 at 1:20 pm to
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.
This post was edited on 11/7/24 at 1:22 pm
Posted by crazy4lsu
Member since May 2005
37688 posts
Posted on 11/7/24 at 1:27 pm to
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 by Paul Allen
Montauk, NY
Member since Nov 2007
77231 posts
Posted on 11/7/24 at 1:38 pm to
Why are you calling me an idiot? Do you genuinely feel better?
Posted by calcotron
Member since Nov 2007
9295 posts
Posted on 11/7/24 at 1:38 pm to
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 by theOG
Member since Feb 2010
10677 posts
Posted on 11/7/24 at 1:58 pm to
I feel like you could start up a nice little cash only practice and kill it.
Posted by MikeBRLA
Baton Rouge
Member since Jun 2005
16891 posts
Posted on 11/7/24 at 1:59 pm to
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 by auwaterfowler
Alabama
Member since Jan 2020
2619 posts
Posted on 11/7/24 at 2:01 pm to
I believe this has more to do with the shitty food we eat and exercise we don’t get.
Posted by POTUS2024
Member since Nov 2022
20943 posts
Posted on 11/7/24 at 2:07 pm to
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.
Posted by N2cars
Member since Feb 2008
34095 posts
Posted on 11/7/24 at 2:10 pm to
quote:

boutique medicine

Concierge practice.

It's worth it
Posted by TX Tiger
at home
Member since Jan 2004
36554 posts
Posted on 11/7/24 at 2:13 pm to
quote:

My mom wife
Tell me you're from Alabama without telling me you're from Alabama.
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