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Started By
Message
re: The sanctity of the medical profession has been lost to corporate centralization
Posted on 3/24/23 at 3:59 pm to SaintsTiger
Posted on 3/24/23 at 3:59 pm to SaintsTiger
I have privately had this discussion with doctors many many times
0
Posted on 3/24/23 at 4:21 pm to SaintsTiger
quote:
Most physicians’ time isn’t spent with patients but on the administrative burdens they were trying to avoid. A 2016 study in the Annals of Internal Medicine found that doctors spend two hours on desk work for every one hour with patients.
That’s because the government and insurance has gotten more and more involved every step of the way.
Why do I need insurance and a copay to go for an annual check up where the nurse takes my vitals, and the doc spends 5 minutes talking to me about how I’m doing?
Posted on 3/24/23 at 4:23 pm to GreatLakesTiger24
quote:
was it significantly different, say, 20 years ago?
20 is a good round number but it was truthfully about 14-15 years ago.
Posted on 3/24/23 at 4:24 pm to SaintsTiger
quote:
hospital systems lobbied for policies that created a regulatory environment too thick and expensive for private practitioners to remain solvent. For doctors, hospital-acquired practices held the promise that as employees they could forget about red tape and bottom lines because the hospital would handle it. Doctors would purportedly get to focus on practice instead of administrative tasks.
Yay lobbyists and federal regulators!
Posted on 3/24/23 at 5:51 pm to SaintsTiger
Dude, the medical profession has been corrupted ever since I was a kid, so probably even longer. I'm almost 40 now, but when I was kid me and sibling's got checked out by family doctor and said we all checked out in great health. But he also said he wanted to give us some sample drugs to try out. He gave us all some sample drugs and told my grandma to give it to us for 'such and such'. As a kid, I was like wtf dude. We in great health, you just said so, and you giving us drugs?
This was in a little bum frick town. Not to mention the dentist in the same town, told my grandma I needed braces or I wouldn't be able to eat by the time I'm 40. I was like in the 4th or 5th grade, and I got braces when I was in the 6th grade. It was a load of shite and completely fricked.
This was in a little bum frick town. Not to mention the dentist in the same town, told my grandma I needed braces or I wouldn't be able to eat by the time I'm 40. I was like in the 4th or 5th grade, and I got braces when I was in the 6th grade. It was a load of shite and completely fricked.
Posted on 3/24/23 at 7:23 pm to armsdealer
This is not a true story. Nobody getting $800k out of residency
Posted on 3/24/23 at 8:06 pm to Dire Wolf
quote:Paying for equipment and their own insurance is another reason they work for corporations.
Hiring nurses/admin, dealing with insurance, marketing and all that is too much of a pain in the arse.
Posted on 3/24/23 at 8:27 pm to SaintsTiger
It really is sad now that decisions are made by insurance companies instead of doctors.
Posted on 3/24/23 at 8:28 pm to John_V
quote:The reliance on "someone else" paying (and that includes 'private' payors) is what destroyed the industry.
Medical was screwed the second that the government became synonymous with health insurance
Patients are no longer the customer. The insurance company is the customer. Patients are just a vector to bill the third-party payor.
Posted on 3/24/23 at 8:29 pm to Oilfieldbiology
quote:Obamacare required this to be covered by all plans. Cutting costs...
Why do I need insurance and a copay to go for an annual check up
Posted on 3/24/23 at 8:56 pm to chinese58
That’s what the admin people want them to think. With medical malpractice caps as low as they are and doctors only required to pay for the first hundred thousand or so of coverage, to say nothing of strict proof requirements, low damage caps and tight timelines, they really have a sweet deal on liability and insurance requirements.
This post was edited on 3/24/23 at 9:02 pm
Posted on 3/24/23 at 9:17 pm to SaintsTiger
Hospital systems are swallowing up many private practices in a variety of ways.
In addition, to increasing administrative burden and costs , MIPs, EMR etc. Inflation costs and employee costs without associated increases in reimbursement.
In fact there are decreasing reimbursements from insurance companies in general. But hospital systems are often reimbursed more for the same office visit(billed at a hospital location) vs when your solo doc bills for that visit. Hospital systems can also often times afford to pay doctors more than they when make on their own because the above, but also because they also reap the benefits of having all of those doctors ordering tests, imaging, doing surgeries etc.
Basically all the above makes it hard for the private practice sector to actually compete with hospital systems.
In addition, to increasing administrative burden and costs , MIPs, EMR etc. Inflation costs and employee costs without associated increases in reimbursement.
In fact there are decreasing reimbursements from insurance companies in general. But hospital systems are often reimbursed more for the same office visit(billed at a hospital location) vs when your solo doc bills for that visit. Hospital systems can also often times afford to pay doctors more than they when make on their own because the above, but also because they also reap the benefits of having all of those doctors ordering tests, imaging, doing surgeries etc.
Basically all the above makes it hard for the private practice sector to actually compete with hospital systems.
Posted on 3/24/23 at 9:21 pm to SaintsTiger
It's a tough crossroad. It's not about us, it's about the patient. But fighting for autonomy and against corporatization, while appearing selfish, is in the patients' best interest, at least ideologically. But doctors will continue to feed upon themselves. Any forward movement today will only pave the path for these inherently antisocial fricks to rape the next generation of doctors regardless of how it affects the profession or patient care. Give a bookworm, who never had a girlfriend before the MD, power.... and the result is worse than the pro-capital alternative.
Posted on 3/24/23 at 10:18 pm to SaintsTiger
I’m guessing a lot of doctors are pissed at the lower Medicare reimbursement levels this year, combined with inflation. Hospital administrators tell the docs they’re getting a pay cut compared to last year (lower reimbursement per rvu). Meanwhile, tic tock travel nurses still get a healthy sign on bonus/above market pay.
Unfortunately, with large healthcare systems like Oschner, Kaiser Permanente, et al, they can manipulate the MGMA data for large regions of the country.
Unfortunately, with large healthcare systems like Oschner, Kaiser Permanente, et al, they can manipulate the MGMA data for large regions of the country.
Posted on 3/24/23 at 10:23 pm to SaintsTiger
quote:
Physician-trainees at Mass General Brigham are attempting to unionize.
They already have post-call days off (at least a half day). The reform of residency rules around 2003 was enough, in my opinion.
Posted on 3/24/23 at 10:28 pm to armsdealer
quote:
800/yr
his complaint was he only was getting $300 a month worth of food in the cafeteria when he got $800 a month of free food during residency
I would be happy with 100k and 100 a month stipend at a cafeteria that I didn’t have to leave the workplace to go eat at.
Some people are just too spoiled.
Posted on 3/24/23 at 10:37 pm to Tarps99
quote:
I would be happy with 100k and 100 a month stipend at a cafeteria that I didn’t have to leave the workplace to go eat at. Some people are just too spoiled.
Are you a doctor? Did you forego 4 years of earning potential in med school and 3-8 years of earnings beyond surviving during residency? All while racking up 6 figures in debt?
Posted on 3/25/23 at 12:32 am to SaintsTiger
I tell everyone that wants to be a physician that it’s just a bigger rat trap now.
Posted on 3/25/23 at 5:43 am to kywildcatfanone
quote:
It really is sad now that decisions are made by insurance companies instead of doctors.
They aren't and anyone who tells you that decisions on your healthcare are not in your hands and rather made by your health insurance company which has no input from their own doctors is lying to you and is doing so to cause divide and tension for their own personal gain and profit.
Posted on 3/25/23 at 6:30 am to SaintsTiger
They really won't enjoy socialized medicine then.
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