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Started By
Message
re: Has any profession ever lost as much respect as doctors in the last 5 yrs?
Posted on 2/21/25 at 8:02 am to rockford177
Posted on 2/21/25 at 8:02 am to rockford177
quote:
40% of females who graduate medical school have no intention of practicing clinical medicine. Another 20% won’t practice full time
So you’re claiming that only 40% of female medical school graduates will practice full time? I’m assuming these percentages are made up by people who voluntarily chose not to practice, and not by graduates who did not match into residency.
I’m going to need a source on this one.
This post was edited on 2/21/25 at 8:05 am
1
Posted on 2/21/25 at 8:08 am to Righteous Dude
Do i disrespect doctors? no
Do i believe doctors are paid exorbitantly too much? yes
Do i believe medical device are sold exorbitantly too high? yes
Do i believe big pharma is fricking over the public with the prices of drugs? yes
So i believe health insurance companies are fricking over the public by nitpicking coverage of procedures? yes
Do i believe doctors are paid exorbitantly too much? yes
Do i believe medical device are sold exorbitantly too high? yes
Do i believe big pharma is fricking over the public with the prices of drugs? yes
So i believe health insurance companies are fricking over the public by nitpicking coverage of procedures? yes
This post was edited on 2/21/25 at 8:10 am
Posted on 2/21/25 at 8:37 am to Righteous Dude
Conflict of interest is an interesting discussion when it comes to medical ethics.
If your insurance company is publicly traded, who bears the burden of them looking out for the shareholder?
It's probably a tie for pharmaceutical companies, who are the last unregulated piece of US healthcare. But I believe that healthcare in this country would be better if insurance companies weren't allowed to be publicly traded.
If your insurance company is publicly traded, who bears the burden of them looking out for the shareholder?
It's probably a tie for pharmaceutical companies, who are the last unregulated piece of US healthcare. But I believe that healthcare in this country would be better if insurance companies weren't allowed to be publicly traded.
Posted on 2/21/25 at 8:42 am to GumboPot
quote:They do. Only 5% of the fatties will do anything about it.
hope they are saying, I'll give you meds for such and such but you really need to get on an exercise and eating program to lose weight and get you off these meds. Along with meds doctors should be prescribing exercise routines and nutritionists
Posted on 2/21/25 at 8:43 am to DVinBR
quote:What should they be paid?
Do i believe doctors are paid exorbitantly too much? yes
Posted on 2/21/25 at 9:01 am to Flyingtiger82
quote:
That shite was painful and I don’t think it was just a catch all surgery, but I’m sure some do.
Oh some do need to come out. But very many do not. I had a gall stone hang one time and proved very painful. They never found it and just assumed it was in the gall bladder. Scheduled me for surgery to remove it in a few days.
Well… the stone passed on. I cancelled the surgery and haven’t had an issue in years. It was probably in a bile duct from the liver or pancreas and not in the gall bladder.
Spoke with a nurse not long after that and she confirmed that surgeons love removing it cause it’s a quick payday with minimal risk.
Posted on 2/21/25 at 9:10 am to CleverUserName
quote:
Spoke with a nurse not long after that and she confirmed that surgeons love removing it cause it’s a quick payday with minimal risk.
Oh good, a nurse confirmed it. I'm sure she's up to date on the evidence regarding recurrence rates.
Posted on 2/22/25 at 9:01 am to BlackCoffeeKid
AAMC had a survey published in 2019. I guarantee it’s even more than 40% now. I personally know 4 female physicians in my friend circle who graduated and never practiced. Choosing instead to stay home and raise their family
Posted on 2/22/25 at 9:17 am to Wiener
quote:
But I believe that healthcare in this country would be better if insurance companies weren't allowed to be publicly traded.
This is very true. Not saying private companies can't be greedy but corporate medicine has resulted in vastly more expensive care with ever decreasing returns. At the same time, providers have not had a raise from insurance in 20 years and in fact we have been cut the last 5. Same with pharmacies. Nursing salaries have stalled out and NP/PA's are seeing pay declines. Yet United Healthcare, Humana, Cigna have thrived.
United is the shittiest, dirtiest of them all. Their customers hate them. Providers hate them. Everyone despises them yet they have become the largest, most profitable one out there. How? Political protection. They are one of the most widely held stocks in Congress. I've never accepted their shitass insurance and never will. They've tried in numerous ways to try to hurt my practice, but have failed. I can't wait to see Trump's DOJ get in their arse.
Posted on 2/22/25 at 9:25 am to Righteous Dude
I got out of the awful OLOL system about 6 years ago and started going to a new doc at Oschner, he is terrific, he has changed my life for the healthier. he doesn't sit there in front of a PC, he talks to me and makes sure I'm on the right path.
Posted on 2/22/25 at 9:36 am to DVinBR
quote:
Do i believe doctors are paid exorbitantly too much? yes
You have no clue. We've lost about 50% to inflation since 2005. How much should they make? Hell, I know a new linesman that made about $250k last year. Is that too much. I know several that make over $300k. I even know one that makes over a $1million, but he hangs from helicopters a thousand feet in the air in Cali. He deserves every cent, as do the others.
A plumber gets as much or more for a call out, just a call out and nothing else than the average office visit.
I want my doctors paid well and I want the best of the best competing for the spots. This hasn't been the case for a couple decades. They've had to make school and boards pass/fail. Not to mention the infux of poorly trained foreign grads and midlevels that have seen their scope of practice expanded far past the boundaries originally set. Do some research before you go spouting ignorance.
quote:
Do i believe medical device are sold exorbitantly too high? yes
Insurance companies set the pay schedules and the companies producing these lifesaving devices. I had someone bitching that his pacemaker/defibrillator that can be remotely monitored and notify him of issues before he even realizes there's a problem cost more than his truck. I told him I could probably wrangle him one up for the cost of a nice 4 wheeler, but his arse would probably die without the defibrillator. Not to mention his total out of pocket was about 6k for his deductible and co-insurance. Sounds like a bargain to me.
quote:
Do i believe big pharma is fricking over the public with the prices of drugs? yes
Kinda right, but kinda wrong. PBM's and Obamacare have played the biggest role in the price of our meds skyrocketing 1000% or more since Obamacare went into effect. Doctors not involved here either. Your insurance via your PBM decides what I can write and what they'll pay big pharma. Pre-Obamacare and PBM's an expensive monthly med was $120 or less. Gov't subsidies and a monopoly of OptumRx, CVS Caremark and ExpressRx are the ones driving up cost. On many, many of these meds, the PBM makes more in "rebates" than the company that invented, makes and sells the med makes.
quote:
So i believe health insurance companies are fricking over the public by nitpicking coverage of procedures? yes
Yes and no. Some providers are less efficient and maybe greedier than others. I have no issue with insurers denying unnecessary procedures, but they have gotten carried away with it. Then you get the United Healthcares that are just ridiculous and impossible to deal with.
Posted on 2/22/25 at 9:47 am to RogerTheShrubber
quote:
Nah. Its the doctors.
GPs today are worthless. If I could buy antibiotics OTC, I wouldnt ever need one.
You have no clue. Corporate systems and a dumbed down medical training system and I'll admit the overall quality is quite poor, especially in ones over 50. And GP is someone that only did a one year internship and didn't complete a residency. Primary Care includes Family Practice, Internal Medicine, OB/Gyn, Pediatrics, Emergency medicine.
Some of us are quite accomplished diagnosticians and routinely make complex diagnosis and treat multiple complex issues without the need for a specialist. The specialist are also becoming more and more worthless. If they don't have the diagnosis teed up for them, don't expect most to do more than the basics and boot you back to your primary care provider and just repeating the shite I've already done.
I will admit that I have seen a drastic decline in quality of physician in all specialties and an ever increasing lack of effort and responsibility. You want to get better doctors and care? Get rid of corporate medicine and pay us. Instead of insurers dictating who you see, let doctors set their own fees and then the customer can decide if the quality is worth the cost. The whole system is broken.
Posted on 2/22/25 at 9:51 am to SmackoverHawg
quote:
You have no clue
I think people are rightly fed up with the State of medical care in this country on a basic level.
We are awesome with cancer and other serious diseases, but for actual health care, its a horrible system.
Posted on 2/22/25 at 10:18 am to RogerTheShrubber
quote:
I think people are rightly fed up with the State of medical care in this country on a basic level.
We are awesome with cancer and other serious diseases, but for actual health care, its a horrible system.
I agree. I take it personal sometimes when people make broad statements about doctors, but I'll admit that I often am dismayed as to how bad it has gotten. Primary care training, especially Family Practice, has become too woke and focused not on "real medicine", but bullshite social agendas. The training is much less rigorous and thus new physicians are much less knowledgeable than older ones,
And pay is an issue. I graduated in 2000 and my total med school debt was $34k (tuition, books and fees). Now it's upwards of $70k/year. Our interest was paid by the gov't until we were 6 months into practice since we were cheap labor for the system. Thanks to Obama, interests starts day one and isn't subsidized by the gov't. Starting pay for virtually all specialties is unchanged from 20 years ago or less with loan repayment. No one worth a shite is going to choose lower paying specialties. Why train for 11-12 years post high school, incur hundreds of thousands of $ in debt, be able to be sued for tens of millions of dollars to make $150-200k per year? Hell, I could go to work at one of the local plants after E&I school and be making that at age 21 with zero debt.
To much is being skimmed off the top by insurers and corporations. When I started my practice, I think about 60% of doctors worked for themselves. Now that number is about 8-9% and shrinking.
Unfortunately, it's going to take better pay for physicians, greater autonomy and a renewal of prior standards to become a practicing physician to see changes. Or AI doctors. Personally, I'm quite concerned about the care that will be available as I get older.
Posted on 2/22/25 at 10:20 am to SmackoverHawg
quote:
I agree. I take it personal sometimes when people make broad statements about doctors,
Its the entire system, man. Its broken.
Ive told this before but my granddaughter had a sore throat, puss pockets etc. I had to pay $550 out of pocket for a script I knew I needed before walking in the door.
Its a racket.
Posted on 2/22/25 at 10:24 am to SmackoverHawg
That’s good feedback back Hawg
I’m guessing that docs being employees rather than the practice owners leads to a lot corporate decision making versus what’s in the patient’s interests.
Brings us back to billionaires running our country for their interests, not the American citizens’.
I’m guessing that docs being employees rather than the practice owners leads to a lot corporate decision making versus what’s in the patient’s interests.
Brings us back to billionaires running our country for their interests, not the American citizens’.
Posted on 2/22/25 at 10:28 am to Righteous Dude
It isn't a 5 year problem for doctors. It's been a slow decline in quality of care for decades.
The best physicians started retiring in the 90's and were replaced by drones whose sole mission is to make as much money and retire as early as possible. It's a numbers game. As many people through their office as possible.
The best physicians started retiring in the 90's and were replaced by drones whose sole mission is to make as much money and retire as early as possible. It's a numbers game. As many people through their office as possible.
Posted on 2/22/25 at 10:32 am to Righteous Dude
RFK gave a wonderful speech about this, and how much of this is due to being captured by Big Pharma in both the government and private sector.
Now is the time to clean out the corruption and graft from big agriculture to big pharmaceutical it’s ALL connected and all contributing to the insane rise in chronic disease.
Now is the time to clean out the corruption and graft from big agriculture to big pharmaceutical it’s ALL connected and all contributing to the insane rise in chronic disease.
Posted on 2/22/25 at 10:40 am to Righteous Dude
“Nobody”.
Who made you the speaker for all?
Car salesman is top of my list and suspect you are one.
Who made you the speaker for all?
Car salesman is top of my list and suspect you are one.
Posted on 2/22/25 at 11:12 am to Righteous Dude
I go on a golf trip with about 20 doctors every year.
A few years ago, we had a big argument about the Covid vaccine during a golf trip.
It was me vs 20 doctors. I’m the only person not in the medical field on the trip.
Guess who was correct?
I bring it up every time I see all of them now.
I sat there and asked these doctors questions about the vaccine they did not want to answer…it was a remarkable eye opening experience that even smart people can be easily manipulated.
They have all conceded they were incorrect.
A few years ago, we had a big argument about the Covid vaccine during a golf trip.
It was me vs 20 doctors. I’m the only person not in the medical field on the trip.
Guess who was correct?
I bring it up every time I see all of them now.
I sat there and asked these doctors questions about the vaccine they did not want to answer…it was a remarkable eye opening experience that even smart people can be easily manipulated.
They have all conceded they were incorrect.
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