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re: And we wonder why we have a "shortage of doctors".
Posted on 6/1/19 at 4:13 pm to GnashRebel
Posted on 6/1/19 at 4:13 pm to GnashRebel
quote:
doctors are the wealthiest profession in the country.
Not even close.
1
Posted on 6/1/19 at 4:51 pm to NC_Tigah
quote:
Under obamacare, costs and payments increased. However distribution of revenue is shunted away from providers and to the most effective lobbying groups --- Hospitals/HospitalAdministrators and Insurance Companies. Not good!
This. It's time that physicians, as a group, stand up and put an end to this shite. The whole system needs us to run. We don't need the admins and pencil pushers. They treat zero pt's, but the vast majority of the big money in healthcare is not going to the providers. No reason why I shouldn't be able to own my own hospital, home health, etc. Especially if I can do it better and cheaper.
What your gonna get is a bunch of pissed off, burned out, cynical doctors stuck in a system they can't afford to get out of. Enjoy!!!
Posted on 6/1/19 at 4:57 pm to NC_Tigah
quote:
Welcome to the pre-2005 world. I'd guess there are north of 75 hospital administration staffers in Charlotte alone who are paid more than the highest reimbursed pediatrician in the metroplex.
So you take 75 individuals on the highest end and compare them to the lowest paid doctors who still make more than most people by far?
I believe the average HA salary is around $100,000 while the average physician is around $225,000.
Posted on 6/1/19 at 4:58 pm to GnashRebel
quote:
All that is fine but does not take away from the accuracy of what I said. Doctors are still the richest demographic. I am on their side but believe in being factual. By all means they can go into healthcare administration but they won’t. The pay isn’t as good and the job sucks. Maybe once you work to the top but to suggest that hospital administrators somehow get rich while doctors suffer is inaccurate. I work with both and see good and bad from both. Additionally, the number of med school slots and residencies are limited by their own kind. That keeps the numbers low on purpose. Basically they have imposed limits on competition where my industry does not. I know the argument is you want the best but there are plenty of qualified people in line that could be accepted but were not. These are facts. Doesn’t mean the issue doesn’t have many facets but it still matters.
Clueless aren't you? We limit competition? Then explain the overabundance of mid-levels and foreign doctors. DO schools, Caribbean med schools etc. There's plenty of "Doctors". Does your industry cap what you can charge? Do they mandate you take call for free and can't invest in your own industry without violating Stark laws? Do they mandate you write up a detailed description of what you did and did not do or think in order to get paid?
So, what field are you in?
Posted on 6/1/19 at 5:03 pm to Jake_LaMotta
quote:
quote: doctors are the wealthiest profession in the country. Not even close.
I work in statistics. The math supports my statement and it isn’t close. Are there SOME people in SOME professions who make more than SOME physicians? Yes. But across the board physicians dominate the top end of income.
I didn’t say I am against doctors making a lot of money. I simply stated that there is no other profession to walk into to get the money physicians want to get, at least early in their career.
Posted on 6/1/19 at 5:05 pm to GnashRebel
quote:
I simply stated that there is no other profession to walk into to get the money physicians want to get, at least early in their career.
Now control for education costs.
Posted on 6/1/19 at 5:08 pm to GnashRebel
quote:NO! Pediatricians. Not "the lowest paid doctors."
the lowest paid doctors
I could have labeled FPs or IMs or Psychs or Neuros or Endos, or Heme, or others. My MedSchool class Valedictorian went into Peds.
Posted on 6/1/19 at 5:13 pm to SmackoverHawg
quote:
Does your industry cap what you can charge? Do they mandate you take call for free and can't invest in your own industry without violating Stark laws? Do they mandate you write up a detailed description of what you did and did not do or think in order to get paid? So, what field are you in?
Once again, I don’t support Obamacare and I think doctors are entitled to be paid. Personally I like free markets. I have in the past worked for the gummint and have sold to the government and can tell you that most industries that touch government money play by a variety of absurd rules that generally achieve one of two things
1. Enrich the corrupt
2. Make costs and quality worse
Right now I work in the healthcare field. We provide advanced analytics as well as consulting. I think you believe me your enemy here. I actually agree with your underlying premise. I merely stated that you won’t see an exodus because the guaranteed money, while not as good as it was, is still better than what most will see 5-10 years into their professions.
Posted on 6/1/19 at 5:14 pm to GnashRebel
quote:
I didn’t say I am against doctors making a lot of money. I simply stated that there is no other profession to walk into to get the money physicians want to get, at least early in their career.
True. We are essentially guaranteed a minimum income that is comfortable (except you're 29 at a minimum when it starts and you have at least $250k in debt). But our top end is capped and it's getting harder and harder to get away from the mean.
As a statistician you should appreciate that being a doctor is a much shittier investment than it once was. No figure in the insane liability. Like I said, a local doc just had a $48.5million judgement against him. He makes about $185k/year. The case was not an egregious malpractice incident and in fact, the plaintiff was just as responsible for the bad outcome.
If a doctor can be sued for that amount, shouldn't we expect to be able to earn that in a career? I think that would be fair. It's waaaaaay more than the dollars. What we can earn vs. other careers with easier hours, far cheaper education, earlier earning, no liability and requires far less cognitive ability and effort has disappeared. Risks v reward.
Please calculate a reasonable yearly income for primary care if a precedent has been set with a $48.5 million judgement. Non-criminal and no intentional negligence.
Posted on 6/1/19 at 5:18 pm to SmackoverHawg
quote:
As a statistician you should appreciate that being a doctor is a much shittier investment than it once was
I do. And you better believe that the government is hoping to see how far they can depress the pay to doctors before you see people walk away to a point that people rebel. I don’t think it is there yet.
Posted on 6/1/19 at 5:19 pm to SmackoverHawg
I support reforming malpractice law.
Posted on 6/1/19 at 5:19 pm to GnashRebel
quote:
. I merely stated that you won’t see an exodus because the guaranteed money, while not as good as it was, is still better than what most will see 5-10 years into their professions.
You will in the next 5-10 years if nothing changes.
Posted on 6/1/19 at 5:20 pm to NC_Tigah
quote:
My MedSchool class Valedictorian went into Peds.
Statistics support that gps and peds are the lowest paid mds. Or at least they did fairly recently.
Posted on 6/1/19 at 5:23 pm to SmackoverHawg
quote:
You will in the next 5-10 years if nothing changes.
I have mixed feelings. On the one hand it might spur positive reforms. On the other it might lead to further government takeover even if it makes things worse. The problem is people want low cost, high quality, and immediate access. That premise is absurd and would never be considered by any business. And politicians will use MDs as scapegoats which is easy because they are rich by most standards.
Posted on 6/1/19 at 5:31 pm to GnashRebel
quote:and it is reflected in the past . . . . and it isn't close.
doctors are the wealthiest profession in the country. Not even close.
I work in statistics. The math supports my statement and it isn’t close.
Posted on 6/1/19 at 5:35 pm to GnashRebel
quote:A solely US problem. NO ONE ELSE EXPECTS/wants high quality and immediate access
The problem is people want ... high quality, and immediate access.
Posted on 6/1/19 at 5:42 pm to NC_Tigah
quote:
A solely US problem. NO ONE ELSE EXPECTS/wants high quality and immediate access
I'll be able to when I opt out of insurance for those that can afford it. And you'll get what you can pay for. Bulk of income will come from industrial accounts. Will be walk in/urgent care. Keep up with your own wellness check list. frick being a medical babysitter, record keeper, whipping boy. They can go get a PCP for that shite. Just pay me when they need a real doctor or treatment their doctor refuses them because of ACO/Medical home. Won't need to write pain meds. I'll be hooking people up with z-packs and shite.
Posted on 6/1/19 at 5:46 pm to GnashRebel
quote:Statistics also support that folks in other professions could not qualify as "GPs" (which no longer even exists as a 2019 category) or Peds.
Statistics support that gps and peds are the lowest paid mds
This post was edited on 6/1/19 at 5:48 pm
Posted on 6/1/19 at 5:48 pm to CDawson
quote:if he gets anything less than 15 years, the legal system in LA is screwed up
Grey told deputies he punched the doctor because "he felt like it" and "it would happen again."
20 years is more like it, assault and proud of it
lock him up for a few decades, he is clearly a danger to society and unrepentant
Posted on 6/1/19 at 5:48 pm to davyjones
I want them to come and punch me. I beg for that to happen in public so i can embarrass the thug who tries this shite on me
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