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Posted: 8/3/2015 10:20:48 PM EDT
[#1]
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I think this is partially true. The companies will cease being "insurance companies", and will become contractors who process claims/payments. Especially when we go to single payer. Quote HistoryQuoted:
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Well you can keep your doctor...unless he is now a lawyer or other well paid professional. My opinion only but shared by others: The insurance companies will shift to managing Obamacare. They will still make good money by fleecing the taxpayer. Page 2 |
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Posted: 8/3/2015 10:28:21 PM EDT
[#2]
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Nope. Insurance already gutted law, just like they did with medicine now in conjunction with Obama. On a completely unrelated note, the insurance companies will make out like bandits under Obamacare and pass all the costs onto you. Quote HistoryQuoted:
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Well you can keep your doctor...unless he is now a lawyer or other well paid professional. I brought up the bail outs written into Obamacare last year and everyone here was  . And said I was being silly.
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Posted: 8/3/2015 10:28:42 PM EDT
[#3]
Quote HistoryQuoted: So when the wage paid to a group of people goes down, fewer people go into that profession? My God, it's almost like there is some kind of economic law at work here.  |
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Posted: 8/3/2015 10:32:03 PM EDT
[#4]
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Posted: 8/3/2015 10:56:24 PM EDT
[#5]
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Posted: 8/3/2015 11:05:53 PM EDT
[#6]
Basic economics are being ignored here medical cost is high because of a lack of supply. We need new med schools and more residency slots. Guess who limiting the residency slots......Uncle fed
More schools have opened but not enough. Why put people through 4 years of school when there aren't residency slots for them. There are plenty of people who are capable of and want to be doctors that do other things because they had a 3.7 instead of a 3.8 gpa.
If the gov really wanted to reduce costs and avoid a shortage they should lift the cap on residency slots, instead we got the ACA. Only the gov could think a 2500 page law wold fix costs by reducing the supply
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Posted: 8/3/2015 11:17:50 PM EDT
[#7]
Why... it's almost exactly as I predicted it would be.
It's almost like I do this for a living. Oh... wait... I do. 
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Posted: 8/3/2015 11:22:05 PM EDT
[#8]
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Why... it's almost exactly as I predicted it would be. It's almost like I do this for a living. Oh... wait... I do.
So how well does making predictions on the internet pay , and where do I get an application? 
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Posted: 8/3/2015 11:23:00 PM EDT
[#9]
Quote HistoryQuoted: There isn't going to be a shortage of doctors. There is going to be a shortage of smart, hard working, dedicated, caring, self-employed and wealthy doctors. They will be replaced with, for the most part, average, clock watching, bureaucratic, middle class doctors employed by hospitals. Why work harder than the next doctor when you all get paid $70,000 and there's no salary growth? Smart people who would have gone into medicine will go into fields that are more rewarding. Who is John Galt? https://bunkstrutts.files.wordpress.com/2010/01/the-doctor-will-see-you-now_ffffound-090808.jpg Kinda. There are plenty of doctors now -- if you have good insurance, or pay cash out of pocket. I looked for a specialist the other day on my insurance company's website and I had over a dozen options in my area and almost all were accepting new patients. However, if you rely only on Medicare or Medicaid for your health insurance, well, things are going to get much, much worse. |
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Posted: 8/3/2015 11:23:00 PM EDT
[#10]
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So how well does making predictions on the internet pay , and where do I get an application? Quote HistoryQuoted:
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Why... it's almost exactly as I predicted it would be. It's almost like I do this for a living. Oh... wait... I do.
So how well does making predictions on the internet pay , and where do I get an application? Would you like to buy an argument? |
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Posted: 8/3/2015 11:25:46 PM EDT
[#11]
Quote HistoryThis 
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Posted: 8/3/2015 11:28:32 PM EDT
[#12]
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. $900 an hour. No wonder this country is fucked.
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Posted: 8/3/2015 11:40:40 PM EDT
[#13]
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$900 an hour. No wonder this country is fucked. Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. $900 an hour. No wonder this country is fucked. Hillary makes far more per-hour... For talking. At least he's helping people rather than selling influence. Restrain your class-warfare, will you? Sheesh. 
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Posted: 8/3/2015 11:48:22 PM EDT
[#14]
There's a lot of Dr's folding their practice (most general practitioners) or selling out to hospital/conglomerates too because of the new ICD10 standards and the cluster of a roll-out it's having with their billing software, Medicare/Medicare and the private ins companies software. I know several MD's that sold their private practice recently and became salaried staff because with the new billing standards it was very likely 90% of their claims wouldn't be able to be billed starting in Sept/Oct until after Jan 1, 2016 and then actually paid until March/April 2016. They didn't have the cash reserves to keep the doors open for 6 months with how bad reimbursement rates are anymore.
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Posted: 8/3/2015 11:59:27 PM EDT
[#15]
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$900 an hour. No wonder this country is fucked. Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. $900 an hour. No wonder this country is fucked. How much should he make? What's fair? |
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Posted: 8/4/2015 12:21:22 AM EDT
[#16]
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Would you like to buy an argument? Quote HistoryQuoted:
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Why... it's almost exactly as I predicted it would be. It's almost like I do this for a living. Oh... wait... I do.
So how well does making predictions on the internet pay , and where do I get an application? Would you like to buy an argument? This is GD, we're here for abuse
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Posted: 8/4/2015 12:25:37 AM EDT
[#17]
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But, you'll still be taxed, through an absurd and unnecessarily expensive insurance plan, or fined outright if you don't have that. They'll get their blood from the turnip, somehow. Quote HistoryQuoted:
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Her recommendation to avoid having to deal with these problems and "save yourself" from the coming horrors of Obamacare is to get yourself healthy enough so that you won't need a doctor in the first place. That sounds drastically different than the promises coming from the White House. This is my current goal cuz no way in fuck can I afford coverage. But, you'll still be taxed, through an absurd and unnecessarily expensive insurance plan, or fined outright if you don't have that. They'll get their blood from the turnip, somehow. I got hit for 6 bills last year for being healthy w/o insurance. Now I have a not that great, high deductible work plan.
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Posted: 8/4/2015 12:35:06 AM EDT
[#18]
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I got hit for 6 bills last year for being healthy w/o insurance. Now I have a not that great, high deductible work plan. Quote HistoryQuoted:
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Her recommendation to avoid having to deal with these problems and "save yourself" from the coming horrors of Obamacare is to get yourself healthy enough so that you won't need a doctor in the first place. That sounds drastically different than the promises coming from the White House. This is my current goal cuz no way in fuck can I afford coverage. But, you'll still be taxed, through an absurd and unnecessarily expensive insurance plan, or fined outright if you don't have that. They'll get their blood from the turnip, somehow. I got hit for 6 bills last year for being healthy w/o insurance. Now I have a not that great, high deductible work plan. Yay progress! Forward! 
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Posted: 8/4/2015 12:37:12 AM EDT
[#19]
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Hillary makes far more per-hour... For talking. At least he's helping people rather than selling influence. Restrain your class-warfare, will you? Sheesh. Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. $900 an hour. No wonder this country is fucked. Hillary makes far more per-hour... For talking. At least he's helping people rather than selling influence. Restrain your class-warfare, will you? Sheesh. He's making that because someone, somewhere failed to plan. Either they didn't pay well enough to retain their old doctors or haven't offered enough to recruit someone. Now they have a multimillion dollar building wih lots of patients and no doctor. 6 neurologists quit the largest hospital in the state with one pen stroke. The hospital then had to pay out a ridiculous amount of money for coverage. Word on the street was the neurologists just wanted to be reimbursed for taking call. The hospital refused, so they quit. |
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Posted: 8/4/2015 12:39:08 AM EDT
[#20]
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There's a lot of Dr's folding their practice (most general practitioners) or selling out to hospital/conglomerates too because of the new ICD10 standards and the cluster of a roll-out it's having with their billing software, Medicare/Medicare and the private ins companies software. I know several MD's that sold their private practice recently and became salaried staff because with the new billing standards it was very likely 90% of their claims wouldn't be able to be billed starting in Sept/Oct until after Jan 1, 2016 and then actually paid until March/April 2016. They didn't have the cash reserves to keep the doors open for 6 months with how bad reimbursement rates are anymore. They've warned us to have 6 months of cash reserves in hand for ICD10. I've only been in private practice 3 years. I'll have to take out a loan of they can't get their shit together. |
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Posted: 8/4/2015 12:39:48 AM EDT
[#21]
As a side effect, the doctor shortage has made PA's and NP's in high demand to fill the gaps. It's why PA is the number one masters degree in the country for jobs right now.
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Posted: 8/4/2015 12:42:24 AM EDT
[#22]
economics, it's like gravity, always there and can be quite painful for those that don't respect it
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Posted: 8/4/2015 1:03:21 AM EDT
[#23]
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. I'll bite, what's a Locum? |
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Posted: 8/4/2015 1:03:53 AM EDT
[#24]
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Leftists are exceedingly good at creating problems then offering "solutions" that are anything but. Quote HistoryQuoted:
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Their solution is more Green Cards. Doctor shortage? No problem. Just bring in those highly qualified doctors and dentists from places like India. http://2.bp.blogspot.com/-cHuvNsihLH8/URHZtoJW7vI/AAAAAAAABpw/5W7HUkn4DrE/s320/one-of-the-best-dentist-ever-seen.jpg Leftists are exceedingly good at creating problems then offering "solutions" that are anything but. Well, sorta. Leftists are great at creating problems and then... Mandating solutions... That FURTHER THEIR AGENDA To steal our country. 
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Posted: 8/4/2015 1:20:01 AM EDT
[#25]
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I'll bite, what's a Locum? Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. I'll bite, what's a Locum? Short to medium term "fill in " physicians or other provides. Either local or traveling. |
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Posted: 8/4/2015 1:25:55 AM EDT
[#26]
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I'll bite, what's a Locum? Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. I'll bite, what's a Locum? Locum Tenens... Basically temp-work for physicians (usually through an agency/company that specializes in such). For critical-demand/short-supply situations, they can be quite lucrative for the doc... Though the agency that found you the gig usually takes a hefty cut. Licensing can also be an issue, since you must be licensed in that state (Federal facilities excepted). Some even pay lodging/travel. The downside is that there is often a good reason why that position is vacant (eg. The job/location/admin-environment/contract-situation/patient-population/lack-of-support/etc is very nasty/unpleasant) |
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Posted: 8/4/2015 1:42:02 AM EDT
[#27]
Long story short, reimbursement for physicians has gone way down. This has led to produce predatory hiring practices were new physicians are hired as employees, not partners, work more hours for less pay than established physicians.
This is created a lack of quality individuals to attend American medical schools and training programs, leading to a much lower quality of physicians entering the training force. Not only that, but increased regulation means physicians spend more time doing mindless administrative work, billing, compliance, and electronic charting that takes away time to see patients, and limits their productivity. I honestly, for the life of me, cannot believe why anybody would want to be a physician in today's climate, especially as salaries will only continue to decrease and work will only continue to increase. I truly believe that at some point we will converge to a VA bureaucratic system where physicians literally work on the clock, doing the minimal amount of work necessary because pay and reimbursement is so low, it is an utter waste of anyone's time to want to be a doctor. Hooray socialism! |
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Posted: 8/4/2015 1:49:40 AM EDT
[#28]
Lots of practices around here are dumping medicaid/state insurance.
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Posted: 8/4/2015 1:57:56 AM EDT
[#29]
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Lots of practices around here are dumping medicaid/state insurance. I expect that to become illegal. |
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Posted: 8/4/2015 2:02:35 AM EDT
[#30]
The VA system may be what we eventually morph into, which will be sad.
We had a backlog of vets waiting for joint replacements, they were scheduled out 4-6 months in advance. The bastard OR manager would not let us start a case at 1300 unless we could guarantee to done by 1500. When we tried to start a knee replacement at 1230 one day (a case we could easily complete in the allotted time) we were told we couldn't, and they cited some case from a couple of years before where there had been a complication and the case went long. End result was a policy where we just scheduled just two joints a day and a couple little cases. With their glacial turnover times and mind blowing laziness, it was the best we could do. Meanwhile, across town at a private hospital, four to six total joints a day were being completed before 1700. A well oiled, awesome team of superstar docs, nurses, scrub techs, etc. Government healthcare is to be feared. |
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Posted: 8/4/2015 2:08:57 AM EDT
[#31]
Yep, as soon as the writing started appearing on the wall that the Dems would push the ACA through, my doc started making noises about closing his practice, too. Eventually he went to a concierge style practice and he's still around, but it's more money out of my pocket (on top of higher insurance rates) to participate. At least with fewer patients to care for I have an easier time getting a convenient appointment and I get much more of his time when I come in.
Ironically, it's the people who most got screwed by Obamacare that seem to defend it the most and it's folks like me who hate it the most but can afford the kind of care everyone should be getting. |
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Posted: 8/4/2015 2:15:28 AM EDT
[#32]
It's pretty much moving towards government centralized single payer healthcare full steam ahead at this point. Now that Obamacare has fucked everything up royally, they'll say that's the only solution. They gotta come up with a solution to their solution.
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Posted: 8/4/2015 2:20:26 AM EDT
[#33]
Up until two years ago I was very good about seeing my cardiologist twice a year to manage my BP and cholesterol. Great doctor.
Our company plan was declared illegal because it covered too much. This was Tx BC/BS. So now visits to specialists, such as cardiologists, aren't covered at all until the deductible is reached. My $50 co-pay went to $250 - $350 per visit depending on what lab work was involved. Deductible went from $1200 to $3200. I quit going and of course don't have any meds now. Thanks FBHO. I have lost 35 lbs since I quit seeing the dr. I'm going to assume I'm well now.
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Posted: 8/4/2015 2:22:02 AM EDT
[#34]
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It's pretty much moving towards government centralized single payer healthcare full steam ahead at this point. Now that Obamacare has fucked everything up royally, they'll say that's the only solution. They gotta come up with a solution to their solution. Why the long face? This a great thing! Soon to be gone are the days where those fat cat doctors make $400,000 + a year for working cushy jobs. We're about to take our wasteful, over priced, fat cat system and replace it with one that is as competent, efficient, and compassionate as the IRS, the BATFE, the Veterans Administration, the DMV, and all the other Federal/State agencies combined! Doesn't that just send a thrill up your leg?! We're about to make progress and give free healthcare to all! It's going to be great! Oh and don't let the past failures bother you. This time will be different!
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Posted: 8/4/2015 2:25:15 AM EDT
[#35]
Quote HistoryQuoted: Why the long face? This a great thing! Soon to be gone are the days where those fat cat doctors make $400,000 + a year for doing working cushy jobs. We're about to take our wasteful, over priced, fat cat system and replace it with one that is as competent, efficient, and compassionate as the IRS, the BATFE, the Veterans Administration, the DMV, and all the other Federal/State agencies combined! Doesn't that just send a thrill up your leg?! We're about to make progress and give free healthcare to all! It's going to be great! Oh and don't let the past failures bother you. This time will be different! Quote HistoryQuoted: Quoted: It's pretty much moving towards government centralized single payer healthcare full steam ahead at this point. Now that Obamacare has fucked everything up royally, they'll say that's the only solution. They gotta come up with a solution to their solution. Why the long face? This a great thing! Soon to be gone are the days where those fat cat doctors make $400,000 + a year for doing working cushy jobs. We're about to take our wasteful, over priced, fat cat system and replace it with one that is as competent, efficient, and compassionate as the IRS, the BATFE, the Veterans Administration, the DMV, and all the other Federal/State agencies combined! Doesn't that just send a thrill up your leg?! We're about to make progress and give free healthcare to all! It's going to be great! Oh and don't let the past failures bother you. This time will be different! You know that's another thing that people are full of shit about when people talk about how much doctors make. Sure there are some doctors that can pull a nice salary just like there are some managers that make a nice salary compared to others, but quite a few still come up well short of 6 figures. That wasn't directed at you obviously. |
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Posted: 8/4/2015 2:36:54 AM EDT
[#36]
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It's pretty much moving towards government centralized single payer healthcare full steam ahead at this point. Now that Obamacare has fucked everything up royally, they'll say that's the only solution. They gotta come up with a solution to their solution. I think it will wind up with government provided healthcare. I don't mean insurance, I mean government run hospitals, staffed by government employees. Given the stellar performance of the VA system over the years, that is scary. Anybody still think it was about providing cheap/free healthcare for poor people? Could have bought everybody who was uninsured a lifetime "cadillac" health plan, and had enough left over to buy them a real Cadillac (and a house) and then some. |
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Posted: 8/4/2015 2:38:59 AM EDT
[#37]
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You know that's another thing that people are full of shit about when people talk about how much doctors make. Quote HistoryQuoted:
You know that's another thing that people are full of shit about when people talk about how much doctors make. Yup and I hear that nonsense a lot. For anyone who ever wondered or the rare few who did not know, you may deduct some of your student loan interest every year on your personal 1040 series tax return (f1040, line 33). There is a catch: the deduction is limited to $2,500 per person per year and is phased out at $80,000 MAGI (used to be lower). Guess which industry will often fall into that special area where they are paying a **** load back in student loans and "make too much" to get that pittance of a subtraction from taxable income?
*random rant obviously not directed at you* Quoted:Sure there are some doctors that can pull a nice salary just like there are some managers that make a nice salary compared to others, but quite a few still come up well short of 6 figures. That wasn't directed at you obviously.
Even the ones who made it with a 6 figure salary (or higher) had to bust their rear end and usually had to go into debt for a large chunk of their working life to get there. I am simply flabbergasted sometimes when I speak with people who hold such ignorant animosity towards medical professionals due to assumed salary levels who are actually serving a valuable function and providing an essential service to this nation when those doing the complaining are little more than societal leeches. |
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Posted: 8/4/2015 2:40:15 AM EDT
[#38]
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I think it will wind up with government provided healthcare. I don't mean insurance, I mean government run hospitals, staffed by government employees. Given the stellar performance of the VA system over the years, that is scary. Anybody still think it was about providing cheap/free healthcare for poor people? Could have bought everybody who was uninsured a lifetime "cadillac" health plan, and had enough left over to buy them a real Cadillac (and a house) and then some. Quote HistoryQuoted:
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It's pretty much moving towards government centralized single payer healthcare full steam ahead at this point. Now that Obamacare has fucked everything up royally, they'll say that's the only solution. They gotta come up with a solution to their solution. I think it will wind up with government provided healthcare. I don't mean insurance, I mean government run hospitals, staffed by government employees. Given the stellar performance of the VA system over the years, that is scary. Anybody still think it was about providing cheap/free healthcare for poor people? Could have bought everybody who was uninsured a lifetime "cadillac" health plan, and had enough left over to buy them a real Cadillac (and a house) and then some. Why, yes. Yes they do. |
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Posted: 8/4/2015 7:45:22 AM EDT
[#39]
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You know that's another thing that people are full of shit about when people talk about how much doctors make. Sure there are some doctors that can pull a nice salary just like there are some managers that make a nice salary compared to others, but quite a few still come up well short of 6 figures. That wasn't directed at you obviously. Quote HistoryQuoted:
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It's pretty much moving towards government centralized single payer healthcare full steam ahead at this point. Now that Obamacare has fucked everything up royally, they'll say that's the only solution. They gotta come up with a solution to their solution. Why the long face? This a great thing! Soon to be gone are the days where those fat cat doctors make $400,000 + a year for doing working cushy jobs. We're about to take our wasteful, over priced, fat cat system and replace it with one that is as competent, efficient, and compassionate as the IRS, the BATFE, the Veterans Administration, the DMV, and all the other Federal/State agencies combined! Doesn't that just send a thrill up your leg?! We're about to make progress and give free healthcare to all! It's going to be great! Oh and don't let the past failures bother you. This time will be different! You know that's another thing that people are full of shit about when people talk about how much doctors make. Sure there are some doctors that can pull a nice salary just like there are some managers that make a nice salary compared to others, but quite a few still come up well short of 6 figures. That wasn't directed at you obviously. Jealous people voting to stick it to people who make more than them is a poor basis for public policy. The Democrats have made it into an art form. |
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Posted: 8/4/2015 7:51:22 AM EDT
[#40]
That explains why all the premed and medical school classes are completely empty.
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Posted: 8/4/2015 8:02:57 AM EDT
[#41]
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That explains why all the premed and medical school classes are completely empty. lol They don't understand what they're getting themselves into. They only know medicine from watching House and reruns of ER. I've talked multiple people into avoiding medical school. If they absolutely want to do healthcare as a profession, I advise them to become a PA or ARNP. |
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Posted: 8/4/2015 8:10:08 AM EDT
[#42]
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lol They don't understand what they're getting themselves into. They only know medicine from watching House and reruns of ER. I've talked multiple people into avoiding medical school. If they absolutely want to do healthcare as a profession, I advise them to become a PA or ARNP. Quote HistoryQuoted:
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That explains why all the premed and medical school classes are completely empty. lol They don't understand what they're getting themselves into. They only know medicine from watching House and reruns of ER. I've talked multiple people into avoiding medical school. If they absolutely want to do healthcare as a profession, I advise them to become a PA or ARNP. for heaven's sake, DONT talk them into law school. Recent law school grads are starving. |
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Posted: 8/4/2015 9:41:21 AM EDT
[#43]
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But, you'll still be taxed, through an absurd and unnecessarily expensive insurance plan, or fined outright if you don't have that. They'll get their blood from the turnip, somehow. Quote HistoryQuoted:
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Her recommendation to avoid having to deal with these problems and "save yourself" from the coming horrors of Obamacare is to get yourself healthy enough so that you won't need a doctor in the first place. That sounds drastically different than the promises coming from the White House. This is my current goal cuz no way in fuck can I afford coverage. But, you'll still be taxed, through an absurd and unnecessarily expensive insurance plan, or fined outright if you don't have that. They'll get their blood from the turnip, somehow. I'd been spouting the "stay healthy & out of the system" message back when the ACA was still on the table, in as much as HC wsd already circling the drain before it hit. Now it's in the tube. Lately, I've been contemplating the theoretical point at which my tax losses get high enough that I just throw in the towel, join the party & wait for the system to break... |
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Posted: 8/4/2015 10:22:08 AM EDT
[#44]
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Hillary makes far more per-hour... For talking. At least he's helping people rather than selling influence. Restrain your class-warfare, will you? Sheesh. Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. $900 an hour. No wonder this country is fucked. Hillary makes far more per-hour... For talking. At least he's helping people rather than selling influence. Restrain your class-warfare, will you? Sheesh. To be fair, there needs to be an honest discussion about what the economics of medicine can support. I'd also throw in the economics of educating MD's, since that is another cost driver. The US economy, in general, is full of subsidized bloat, & HC is riding that bandwagon, too. |
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Posted: 8/4/2015 10:27:39 AM EDT
[#45]
Quote HistoryQuoted: Why... it's almost exactly as I predicted it would be. It's almost like I do this for a living. Oh... wait... I do. And i love taking care,of patients. I just hate the new people coming into,healthcare. I hate the legion of administrators and clip board RNs bossing everyone around The old docs are scaling back or quitting. It will be intolerable in 5 years. I would rather teach biology and live in a studio apartment at this point. |
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Posted: 8/4/2015 10:30:27 AM EDT
[#46]
Quote HistoryQuoted: There isn't going to be a shortage of doctors. There is going to be a shortage of smart, hard working, dedicated, caring, self-employed and wealthy doctors. They will be replaced with, for the most part, average, clock watching, bureaucratic, middle class doctors employed by hospitals. Why work harder than the next doctor when you all get paid $70,000 and there's no salary growth? Smart people who would have gone into medicine will go into fields that are more rewarding. Who is John Galt? https://bunkstrutts.files.wordpress.com/2010/01/the-doctor-will-see-you-now_ffffound-090808.jpg |
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Posted: 8/4/2015 10:40:25 AM EDT
[#47]
In just the past year, two of our specialists have stopped servicing Medicare and Medicaid patients, and our GP tossed up his hands, said "fuck it", and went into early retirement.
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Posted: 8/4/2015 10:41:40 AM EDT
[#48]
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$900 an hour. No wonder this country is fucked. Quote HistoryQuoted:
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It's strange, I was just offered a Locum position at stupid money rates, something on the order of $900.00 and hour. Granted my specialty is pretty specific, but I simply can't see a hospital paying me that kind of money. $900 an hour. No wonder this country is fucked. Would $15/hr be more fair? |
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Posted: 8/4/2015 10:45:34 AM EDT
[#49]
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I've talked multiple people into avoiding medical school. If they absolutely want to do healthcare as a profession, I advise them to become a PA or ARNP. I've done the same, for both medical school and pharmacy. Eventually, those fields will oversaturate too. Get in early, make your money, and have a plan to walk away. |
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Posted: 8/4/2015 10:50:40 AM EDT
[#50]
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Just curious why you think that? They do shift work so it's predictable and get a lot of time off. There are even hospitalists that are nocturnists ie. only work nights so he could likely only work day shifts. I'm a specialist and I would have no interest in that kind of work though. Quote HistoryQuoted:
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It's going to result in a big crunch to have nurse practioners and physician assistants take over the primary care fields, and some specialty fields, at a cost of poorer quality of care. Family medicine, internal medicine, OB/GYN, emergency medicine, and anesthesia are being taken over by nurses. In this regard Obamacare advocates can claim they have maintained or even increased access for patients, although their outcome measures are almost intentionally designed not to evaluate the resultant effect of poor quality care. I had a friend who was very competitive in med school, in some regards more so than myself, and he matched into internal medicine with no interest in pursuing a subspecialty. He just took a hospitalitist job and I can't see that being a viable long term employment strategy. To his credit he is out of training while I have a few years left, on the other hand I have what I believe is better job security and certainly a better pay scale. Just curious why you think that? They do shift work so it's predictable and get a lot of time off. There are even hospitalists that are nocturnists ie. only work nights so he could likely only work day shifts. I'm a specialist and I would have no interest in that kind of work though. I think hospitals are going to chase the bottom line and replace physicians wherever possible with mid level providers. Hospitalists at all of the private hospitals here primarily admit and optimize home meds, maybe order an RT protocol, sliding scale insulin. More and more teams here are having NP's round and the physicians are becoming more of a peripheral accessory. It's a lot different practice than the ICU or an academic hospital practice. I don't think the hospitalist job is bad per se but as more private groups are folded into an employee position they're going to lose leverage and the hospitals are going to decrease costs. |
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