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Posted on 11/7/24 at 6:23 pm to Big Scrub TX
quote:
Let's see if RFK can bring at least some change.
Your delusion knows no bounds.
RFK will fix medicine. Trump will unite the country. Elon will fix the rest. All problems solved.
Posted on 11/7/24 at 6:28 pm to Smoke Ring
I know of no Physician not able to feed his Family ! This is ridiculous !
Posted on 11/7/24 at 6:31 pm to Cosmo
quote:
ol I dont know anybody in the AMA
Only academics for the most part. It's a very small percentage of Doctors. They haven't been on our side for decades.
Posted on 11/7/24 at 6:37 pm to jrowla2
:boohoo:
Posted on 11/7/24 at 6:49 pm to Paul Allen
quote:
Probably walking away since they can make way more money in medical device sales.
I could make the same or more by going cash only and focusing only on my industrial medicine practice. I could eliminate 80% or more of my overhead. You can shite on us all you want, but it won't be long until you're paying extra to see a decent doc.
Posted on 11/7/24 at 7:16 pm to SmackoverHawg
quote:
I could make the same or more by going cash only and focusing only on my industrial medicine practice. I could eliminate 80% or more of my overhead. You can shite on us all you want, but it won't be long until you're paying extra to see a decent doc.
When I found out they a concierge practice is just charging a shite ton of money to the people who already have your cell or knock on you, your parents’, or your in-laws’ door for medical advice, I realized I could totally give up the grind and do that when I’m tired of this broke arse system.
Till then, I’ll ride it till the wheels fall off. I thought I’d get 15 years before disenchantment. I made it to about 5 (somewhere around 6.5 in now)
Posted on 11/7/24 at 7:29 pm to Hopeful Doc
quote:
Till then, I’ll ride it till the wheels fall off. I thought I’d get 15 years before disenchantment. I made it to about 5 (somewhere around 6.5 in now)
The vast majority of my patients appreciate what you do, focus on them and cut the turds loose. I wish the anti-doc dipshits would have more balls and be open about their dislike of us so I could avoid wasting my time and effort on them.
Obamacare and the ever increasing power and reach of big insurance and corporate medicine. has destroyed the profession. If it gets too bad, let me know. I'm gonna check out before too long and need someone good to take things over. I'd just work prn now if I had someone reliable to handle up on things.
One of these days we'll get together and have beer.
Posted on 11/7/24 at 7:31 pm to Smoke Ring
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 don’t understand why the Kaiser Permanente model isn’t more popular nationwide. The are vertically integrated, meaning they are the insurer and the provider. The providers are salaried and don’t have to bill insurance. The docs give up the potential super high earnings in exchange for making a really good living and having the insurance system taken out of their practice. They can treat patients. It makes for a better quality of practice.
I have a brother in law who worked the last 35 years in the Kaiser system and absolutely loved it. He’s retired in his late 60s and now practices part time on his own.
Posted on 11/7/24 at 7:48 pm to Whiznot
quote:
The US has the absolute worst healthcare in the developed world in spite of spending way more than any other nation.
It really isn't valid to compare Americas very diverse demographics to much more homogenous countries. Compare health outcomes across different American sub-cultures to like groups in other countries. For example, compare Americans of Korean and Japanese origin to Koreans and Japanese in their countries. Compare Americans of Swedish ancestry here to their cousins in Sweden and so on. Then we get to see what the system is and is not doing rather than ethnic differences in life style.
For example, the life expectancy of Mexicans in Mexico is about 74 years while Mexican Americans here live to an average of 80 years.
This post was edited on 11/7/24 at 7:49 pm
Posted on 11/7/24 at 7:55 pm to Auburn1968
quote:The biggest differnce between the US and most places is how much we spend at end-of-life and on terminal cases. Over 65 accounts for almost 50% of healthcare spending. Most countries with nationalized systems ration the isht out of elderly and terminal patient care. I can't remember how much of spending is in the last year of life, but it's a huge chunk total spending.
For example, the life expectancy of Mexicans in Mexico is about 74 years while Mexican Americans here live to an average of 80 years.
This post was edited on 11/7/24 at 7:56 pm
Posted on 11/7/24 at 7:58 pm to Jim Rockford
quote:You should get out more. I know two people from the UK that have paid cash money for US oncology care instead of the "free" NHS treatments available to them.
I have yet to hear any European say they'd trade it for ours.
Posted on 11/7/24 at 7:59 pm to Cosmo
quote:
You implied doctors are in the AMA
Maybe 2% are
Fixed
Posted on 11/7/24 at 8:12 pm to Smoke Ring
Never heard of them rationing healthcare like this and suddenly I know two families this week who lost loved ones bc they were told their coverage was maxed out & they didn’t have the cash for surgery when they broke their wrist.
The put my aunt on hospice last yr after diagnosing her with COPD. The family was shocked & said no, she’s not dying. Wtf?
They went home and she was just fine for over a year. She was getting in her scooter chair a few weeks ago and fell face first on porcelain tile. Her face was bleeding & black from bruising but 911 wouldn’t come unless she paid cash bc she was flagged as hospice.
She died last week & I just learned all this at the funeral. I asked my cousin why she didn’t tell me sooner bc I would have gone visit & that’s when she told me the nightmare she’s been through.
The put my aunt on hospice last yr after diagnosing her with COPD. The family was shocked & said no, she’s not dying. Wtf?
They went home and she was just fine for over a year. She was getting in her scooter chair a few weeks ago and fell face first on porcelain tile. Her face was bleeding & black from bruising but 911 wouldn’t come unless she paid cash bc she was flagged as hospice.
She died last week & I just learned all this at the funeral. I asked my cousin why she didn’t tell me sooner bc I would have gone visit & that’s when she told me the nightmare she’s been through.
This post was edited on 11/7/24 at 8:14 pm
Posted on 11/7/24 at 8:15 pm to Smoke Ring
A PCP would be better off just going cash. Even in the Biden economy there are enough people who can afford $75 or so for an annual checkup.
Posted on 11/7/24 at 8:16 pm to pjab
quote:
Functional medicine is the new frontier
Started Ivermectin 4 yrs ago & I’ve never felt better. Despite getting older I have more energy & rarely get winded when I’m very active anymore.
This post was edited on 11/7/24 at 8:17 pm
Posted on 11/7/24 at 8:27 pm to kew48
quote:
I know of no Physician not able to feed his Family ! This is ridiculous !
Yeah this is dumb and anecdotal nonsense.
Perhaps running a private practice is more difficult today than a couple of decades ago, especially primary care, but physicians are by no means struggling.
And employment isn't hard to come by if they don't want to be in a private practice.
Posted on 11/7/24 at 8:31 pm to Louisianalabguy
quote:
Has anyone ever seen the billing from health care providers to insurance? Grossly over charged with over 50% discounts. Everything in health care is fudged one way or the other.
It is a mess. There is blame for all sides. There are companies that exist for the sole purpose of catching the others fraud. Being on one side of this, everyone is to blame. Providers deliberately try to skirt the policies. Payers try to do the same. Pharmacy appears to be the only winner in this chaos.
Posted on 11/7/24 at 8:43 pm to Smoke Ring
But hospital corporations and their insurance company partners ONLY have the patient's best interest at heart.
Ochsna, dawlin......health care like no other
Ochsna, dawlin......health care like no other
Posted on 11/7/24 at 8:55 pm to Smoke Ring
I’ve seen what my internist does all day. Spending 10 min with 40 different fat lazy schmucks a day and handing out scrips.
frick all that noise.
frick all that noise.
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