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Posted: 8/4/2015 10:50:49 AM EDT
[#1]
My doctor friend was telling me about some things going on in his group while we were on a fishing
trip this past weekend. Said the specialists in his group are seeing pay cuts on the order of tens of thousands due to regulations phasing in. They are already seeing retirements and semi-retirements due to the docs saying its not worth to bust their ass and see pay cuts. Also mentioned that their insurance business lost millions last year due to O-care and they are scrambling to make up the loss. Much of the pay cuts are due to this loss. Several national news sources are saying high percentage insurance premium increases are in the works for next year. |
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Posted: 8/4/2015 11:03:13 AM EDT
[#2]
The slow dance to single payer continues.....
RG |
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Posted: 8/4/2015 11:04:17 AM EDT
[#3]
System was designed to fail so a single player can be introduced.
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Posted: 8/4/2015 11:05:49 AM EDT
[#4]
Quote HistoryQuoted:
The slow dance to single payer continues.....
RG That's what Democrats (Socialists) wanted all along. |
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Posted: 8/4/2015 11:06:22 AM EDT
[#5]
Quote HistoryQuoted:
Knew you'd be here, came to post this. Still in training and not sure who provides the majority of anesthetics in the country. 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. Doctors had little interest in anesthesia as full time practice until WW2 Don't lump CRNAs in with other nurse practitioners. Our history is vastly different And yes. FBHO Knew you'd be here, came to post this. Still in training and not sure who provides the majority of anesthetics in the country. I've been in training long enough cupcake. CRNAs are the best of the group but there is a fundamental difference in training. Dr Jane Fitch has said so explicitly and she has skin in the game more so than I do. I work with NP's and PAs daily and while they have their place and are perfectly capable people, the training of mid levels as a whole is vastly limited and produces a provider without the skills, knowledge, and experience to provide comprehensive care. This is no different with CRNAs, although I think the field as a whole is more competitive. |
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Posted: 8/4/2015 11:06:59 AM EDT
[#6]
There will be great doctors in no shortage, just not on US soil.
Many of the best and brightest will open private medical campuses in places like the Bahamas, Belize, etc and have the best care in the world. Cash and credit cards accepted. |
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Posted: 8/4/2015 11:12:27 AM EDT
[#7]
Hey, maybe we can go to Cuba!
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Posted: 8/4/2015 11:12:42 AM EDT
[#8]
Welcome to Zimbabwe U.S.A.
thank you Hussein Mugabe Jr |
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Posted: 8/4/2015 11:18:48 AM EDT
[#9]
Quote HistoryQuoted:
I've been in training long enough cupcake. CRNAs are the best of the group but there is a fundamental difference in training. Dr Jane Fitch has said so explicitly and she has skin in the game more so than I do. I work with NP's and PAs daily and while they have their place and are perfectly capable people, the training of mid levels as a whole is vastly limited and produces a provider without the skills, knowledge, and experience to provide comprehensive care. This is no different with CRNAs, although I think the field as a whole is more competitive. Quote HistoryQuoted:
Quoted:
Quoted:
Quoted:
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. Doctors had little interest in anesthesia as full time practice until WW2 Don't lump CRNAs in with other nurse practitioners. Our history is vastly different And yes. FBHO Knew you'd be here, came to post this. Still in training and not sure who provides the majority of anesthetics in the country. I've been in training long enough cupcake. CRNAs are the best of the group but there is a fundamental difference in training. Dr Jane Fitch has said so explicitly and she has skin in the game more so than I do. I work with NP's and PAs daily and while they have their place and are perfectly capable people, the training of mid levels as a whole is vastly limited and produces a provider without the skills, knowledge, and experience to provide comprehensive care. This is no different with CRNAs, although I think the field as a whole is more competitive. I think part of the problem is lack of supervision by the MD/DO they are working with or for. My kids pediatrician uses a lot of PA/LPN ( or whatever the acrynym is) and I'm not that impressed. You would think a Pediatric car giver would check a kids ears when their running a fever....nope. If it hadn't be for my neighbor being a pediatrician I would have been in the urgent care clinic over the weekend paying another copay and wasting my time. Yeah this is going to suck and I'm seriously considering an annual fee concierge group because the time wasted alone in the waiting room would be worth the fee. |
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Posted: 8/4/2015 11:19:45 AM EDT
[#10]
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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. 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. Old Russian joke An old Russian woman working in her garden finds a magic lamp. Upon rubbing it a genie appears and offers her one wish "You can have anything you want, just ask" The old woman thinks for a moment and says " My neighbor has 4 goats and I have none. Kill my neighbors goats!" |
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Posted: 8/4/2015 11:30:07 AM EDT
[#11]
My Rheumatologist just retired because of taxes and regulations. She had a private practice and I had been a patient of hers for 22 years. I was very disappointed to see her have to close shop. She filed her taxes this year and realized that it simply was not profitable for her to run an office, employ staff and pay her salary. She told me that she had job offers from two large medical groups in the area but that she simply did not want to practice medicine the way that they are setup like treadmills with no genuine concern for patients and especially patients with chronic disease who require very customized care.
Welcome to the machine!
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Posted: 8/4/2015 11:38:16 AM EDT
[#12]
Quote HistoryQuoted:
Precisely Quote HistoryQuoted:
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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 This current crop of interns we just got in seem to be more retarded, less competent and less motivated than last years group. A lot of times, I have to page their residents or attending to issues resolved. Because of the upcoming shortage, I think standards are being lowered just to keep the numbers up. |
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Posted: 8/4/2015 11:53:01 AM EDT
[#13]
Some insight from a neighbor who's a hospital administrator:
Increasingly, hospitals are being assigned groups of people (from the government health exchange networks I expect) that they are responsible for within the local community. It's a sort of risk pool of healthy people, average people, unhealthy people, and really unhealthy people. Depending on how each person is classified, the hospital is given a sum of money each month. For a healthy person in the risk pool, the hospital might receive $200/month while the hospital might receive $1100/month for a really unhealthy person like an obese diabetic alcoholic or such. Then the hospital is completely responsible for providing care to all those in their pool of assigned patients. If it costs the hospital less to treat a patient than the money the hospital receives each month, the hospital makes money. If it costs more to treat someone than the money the hospital receives, the hospital loses money. It's up to the hospital to find creative ways to save on the cost of treating patients. My first question upon hearing about this was, "Doesn't this incentivize the hospital to withhold treatment?" The reply the hospital administrator gave was, "Well, yes. But the hospital is also supposed to be compensated based on patient satisfaction. So that is supposed to balance the incentives." Yeah.  
The administrator also commented that, "Americans are going to have to give up on the expectation of getting treatment just because they can afford it." Healthcare is going to be rationed. |
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Posted: 8/4/2015 11:57:53 AM EDT
[#14]
our facility here has had a HUGE doc turn over the last few years. older docs retiring instead of staying practice and many younger ones looking to go more and more into research vs patient care.
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Posted: 8/4/2015 12:05:07 PM EDT
[#15]
Quote HistoryQuoted:
our facility here has had a HUGE doc turn over the last few years. older docs retiring instead of staying practice and many younger ones looking to go more and more into research vs patient care. What good is going into research if there are no doctors smart enough to implement the research findings? |
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Posted: 8/4/2015 12:10:02 PM EDT
[#16]
Quote HistoryQuoted: Welcome to Zimbabwe U.S.A. thank you Hussein Mugabe Jr  |
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Posted: 8/4/2015 12:11:37 PM EDT
[#17]
Catastrophic Injury Insurance Policy:
America wanted 3rd world health care, they voted for it twice. Obama made his intentions clear in 2007 but the masses couldn't be bothered to spend 5 minutes actually researching the man. |
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Posted: 8/4/2015 12:12:23 PM EDT
[#18]
Quote HistoryQuoted: Would $15/hr be more fair? Quote HistoryQuoted: Quoted: Quoted: 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? Healthcare is a right!!!!! He should work for a small honorarium!!!!!! |
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Posted: 8/4/2015 12:12:37 PM EDT
[#19]
Quote HistoryQuoted:
Some insight from a neighbor who's a hospital administrator: Increasingly, hospitals are being assigned groups of people (from the government health exchange networks I expect) that they are responsible for within the local community. It's a sort of risk pool of healthy people, average people, unhealthy people, and really unhealthy people. Depending on how each person is classified, the hospital is given a sum of money each month. For a healthy person in the risk pool, the hospital might receive $200/month while the hospital might receive $1100/month for a really unhealthy person like an obese diabetic alcoholic or such. Then the hospital is completely responsible for providing care to all those in their pool of assigned patients. If it costs the hospital less to treat a patient than the money the hospital receives each month, the hospital makes money. If it costs more to treat someone than the money the hospital receives, the hospital loses money. It's up to the hospital to find creative ways to save on the cost of treating patients. My first question upon hearing about this was, "Doesn't this incentivize the hospital to withhold treatment?" The reply the hospital administrator gave was, "Well, yes. But the hospital is also supposed to be compensated based on patient satisfaction. So that is supposed to balance the incentives." Yeah.
The administrator also commented that, "Americans are going to have to give up on the expectation of getting treatment just because they can afford it." Healthcare is going to be rationed. Accountable Care Organizations....essentially rebadged HMOs.... |
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Posted: 8/4/2015 12:17:13 PM EDT
[#20]
The GP I see twice a year is leaving the office I go to. No idea yet if she's being replaced or if I'll have to go hunting on my own for a new one . My Ortho doc left a year ago. I still don't have a new one.
ETA. FBHO |
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Posted: 8/4/2015 12:17:40 PM EDT
[#21]
Quote HistoryQuoted: Some insight from a neighbor who's a hospital administrator: Increasingly, hospitals are being assigned groups of people (from the government health exchange networks I expect) that they are responsible for within the local community. It's a sort of risk pool of healthy people, average people, unhealthy people, and really unhealthy people. Depending on how each person is classified, the hospital is given a sum of money each month. For a healthy person in the risk pool, the hospital might receive $200/month while the hospital might receive $1100/month for a really unhealthy person like an obese diabetic alcoholic or such. Then the hospital is completely responsible for providing care to all those in their pool of assigned patients. If it costs the hospital less to treat a patient than the money the hospital receives each month, the hospital makes money. If it costs more to treat someone than the money the hospital receives, the hospital loses money. It's up to the hospital to find creative ways to save on the cost of treating patients. My first question upon hearing about this was, "Doesn't this incentivize the hospital to withhold treatment?" The reply the hospital administrator gave was, "Well, yes. But the hospital is also supposed to be compensated based on patient satisfaction. So that is supposed to balance the incentives." Yeah. The administrator also commented that, "Americans are going to have to give up on the expectation of getting treatment just because they can afford it." Healthcare is going to be rationed. No rationing if there's a "disparate racial impact".  |
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Posted: 8/4/2015 12:23:48 PM EDT
[#22]
Quote HistoryQuoted:
What they're doing right now is going to concierge work. Hospitals are hiring poorly trained "doctors" from foreign programs who barely speak English but can be taught to check all the right boxes for the bureaucrats that run the places. Quote HistoryQuoted:
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Well you can keep your doctor...unless he is now a lawyer or other well paid professional. What they're doing right now is going to concierge work. Hospitals are hiring poorly trained "doctors" from foreign programs who barely speak English but can be taught to check all the right boxes for the bureaucrats that run the places. No. Each hospital will have one doctor and then a bunch of PAs who will check the right boxes. |
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Posted: 8/4/2015 12:24:17 PM EDT
[#23]
Welcome to the world of next Tuesday!
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Posted: 8/4/2015 12:25:47 PM EDT
[#24]
Quote HistoryQuoted:
Catastrophic Injury Insurance Policy: http://i.imgur.com/AzG1Lhbl.jpg America wanted 3rd world health care, they voted for it twice. Obama made his intentions clear in 2007 but the masses couldn't be bothered to spend 5 minutes actually researching the man. At this point I'm ready for the masses to eat shit and die. 
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Posted: 8/4/2015 12:33:41 PM EDT
[#25]
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Lost my regular Dr., he said fuck it and closed up shop. Was calling around for a new one and was rejected by almost every one till I said I had insurance from my job and cash. Then it was a fight over me , I just need to find the best one out of those I called now.
It really sucks that my neurologist quit as well as I liked him and itsa bitch to find one that will take me as a new patient. Its really going to suck in the next few years when more and more are dropped by their drs I really like my neurosurgeon as well. He fixed a serious back injury for me and I am effectively 100% recovered. He's an older guy though, even without Obamacare I know he'll retire soon. Just hope I don't get messed up in my back again
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Posted: 8/4/2015 12:38:47 PM EDT
[#26]
Quote HistoryQuoted:
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 it's not just the GPA thing. It's fuck off stupid costs involved. Recently, I gave serious consideration to leaving my career and going into medical, clinical psychology in fact. When I realized that I'd be in debt 6 figures, and the first figure probably wouldn't be a '1', I dropped that idea post haste. The long hours I could deal with if the reward were sufficient. It isn't and the debt involved is beyond reason. |
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Posted: 8/4/2015 12:39:54 PM EDT
[#27]
Quote HistoryQuoted:
$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. 900 / hr is a lot, but he is doing something worthwhile. The..."gentlemen" in Washington DC probably make similar and all they do is fuck everything up. |
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Posted: 8/4/2015 12:40:13 PM EDT
[#28]
Quote HistoryQuoted:
I know I'm working towards an early retirement, or just working for the VA. FBHO. We lost two doctors from one practice to VA recruiters and another just quit. It's only my doctor left.
The one that quit said she was tired of working her ass off and putting up with the never ending BS .gov requirements. She's going to take a break but if she goes back to work it will be for a hospital, VA, or some such. |
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Posted: 8/4/2015 12:40:58 PM EDT
[#29]
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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. Well despite your efforts all the medical schools in the U.S. once again full with new med students. As far as NPs go, they are the future of primary healthcare. The days of making big bucks as a GP is gone for MDs. They have priced themselves out of the market. This has little to do with Ocare and ever thing to do with cost to benefit to cost ratio. |
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Posted: 8/4/2015 12:46:30 PM EDT
[#30]
Meet your new doctor. 
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Posted: 8/4/2015 12:46:36 PM EDT
[#31]
Quote HistoryQuoted: Well despite your efforts all the medical schools in the U.S. once again full with new med students. As far as NPs go, they are the future of primary healthcare. The days of making big bucks as a GP is gone for MDs. They have priced themselves out of the market. This has little to do with Ocare and ever thing to do with cost to benefit to cost ratio. Quote HistoryQuoted: Quoted: Quoted: 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. Well despite your efforts all the medical schools in the U.S. once again full with new med students. As far as NPs go, they are the future of primary healthcare. The days of making big bucks as a GP is gone for MDs. They have priced themselves out of the market. This has little to do with Ocare and ever thing to do with cost to benefit to cost ratio. Affirmative action for one. Others so fucking stupid, lazy and entitled. One of them (not med student or intern but a resident--hung blood on a patient without checking it. 2 units. ) Another was asked if he had removed a certain tube from the patient's mouth---he didn't get out of chair "yes". Surgeon proceeded---lo and behold he had not removed the tube. Surgeon stapled across it. I usually rant on the rotten nurses but the docs are going downhill fast. |
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Posted: 8/4/2015 12:48:03 PM EDT
[#32]
Quote HistoryQuoted:
I really like my neurosurgeon as well. He fixed a serious back injury for me and I am effectively 100% recovered. He's an older guy though, even without Obamacare I know he'll retire soon. Just hope I don't get messed up in my back again Quote HistoryQuoted:
Quoted:
Lost my regular Dr., he said fuck it and closed up shop. Was calling around for a new one and was rejected by almost every one till I said I had insurance from my job and cash. Then it was a fight over me , I just need to find the best one out of those I called now.
It really sucks that my neurologist quit as well as I liked him and itsa bitch to find one that will take me as a new patient. Its really going to suck in the next few years when more and more are dropped by their drs I really like my neurosurgeon as well. He fixed a serious back injury for me and I am effectively 100% recovered. He's an older guy though, even without Obamacare I know he'll retire soon. Just hope I don't get messed up in my back again There are 3,500 Neurosurgeons currently practicing, 1 for about every 82,000 people. |
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Posted: 8/4/2015 12:51:55 PM EDT
[#33]
Quote HistoryQuoted: Leftists are exceedingly good at creating problems then offering "solutions" that are anything but. Quote HistoryQuoted: Quoted: 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. |
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Posted: 8/4/2015 12:54:43 PM EDT
[#34]
Quote HistoryQuoted: You do know in India, unlike here, doctors obtain a 4 year degree. Checkmate! HA! Quote HistoryQuoted: Quoted: Quoted: 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. Here docs go and (typically) get a four year degree in any major (as long as they have the pre reqs, which are rigorous) then go to med school for 4 years. More eclectic and a higher quality education. |
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Posted: 8/4/2015 12:54:54 PM EDT
[#35]
Quote HistoryQuoted: 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 1:06:16 PM EDT
[#36]
Quote HistoryQuoted:
I've been in training long enough cupcake. CRNAs are the best of the group but there is a fundamental difference in training. Dr Jane Fitch has said so explicitly and she has skin in the game more so than I do. I work with NP's and PAs daily and while they have their place and are perfectly capable people, the training of mid levels as a whole is vastly limited and produces a provider without the skills, knowledge, and experience to provide comprehensive care. This is no different with CRNAs, although I think the field as a whole is more competitive. Quote HistoryQuoted:
Quoted:
Quoted:
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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. Doctors had little interest in anesthesia as full time practice until WW2 Don't lump CRNAs in with other nurse practitioners. Our history is vastly different And yes. FBHO Knew you'd be here, came to post this. Still in training and not sure who provides the majority of anesthetics in the country. I've been in training long enough cupcake. CRNAs are the best of the group but there is a fundamental difference in training. Dr Jane Fitch has said so explicitly and she has skin in the game more so than I do. I work with NP's and PAs daily and while they have their place and are perfectly capable people, the training of mid levels as a whole is vastly limited and produces a provider without the skills, knowledge, and experience to provide comprehensive care. This is no different with CRNAs, although I think the field as a whole is more competitive. PA's have the opportunity to do post-grad residency programs to up the value of their skills and improve the training gaps that you have seen. While these residencies are short by MD standards (12 to 16 months), they still produce a much improved Mid-level provider. Residency is still optional for PA's, but in the future, I see it moving to be less an option, and more of a requirement to be hired in specialty fields. I have been seeing a huge shift in that direction, especially in Ortho. Independent Docs are still willing to take on new grads and train them, but large hospital based groups and HMO's.... not so much. They want a competent provider from day one. Not someone to train. |
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Posted: 8/4/2015 1:06:49 PM EDT
[#37]
Quote HistoryQuoted: They go to med school right out of highschool. 6 years. Pretty much Tech School. Here docs go and (typically) get a four year degree in any major (as long as they have the pre reqs, which are rigorous) then go to med school for 4 years. More eclectic and a higher quality education. Quote HistoryQuoted: Quoted: Quoted: Quoted: 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. Here docs go and (typically) get a four year degree in any major (as long as they have the pre reqs, which are rigorous) then go to med school for 4 years. More eclectic and a higher quality education. Minimum in US is 8 years for a GP. |
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Posted: 8/4/2015 1:10:11 PM EDT
[#38]
Quote HistoryQuoted:
YEAH, and they're awesome.
Affirmative action for one. Others so fucking stupid, lazy and entitled. One of them (not med student or intern but a resident--hung blood on a patient without checking it. 2 units. ) Another was asked if he had removed a certain tube from the patient's mouth---he didn't get out of chair "yes". Surgeon proceeded---lo and behold he had not removed the tube. Surgeon stapled across it.
I usually rant on the rotten nurses but the docs are going downhill fast. Quote HistoryQuoted:
Quoted:
Quoted:
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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. Well despite your efforts all the medical schools in the U.S. once again full with new med students. As far as NPs go, they are the future of primary healthcare. The days of making big bucks as a GP is gone for MDs. They have priced themselves out of the market. This has little to do with Ocare and ever thing to do with cost to benefit to cost ratio.
Affirmative action for one. Others so fucking stupid, lazy and entitled. One of them (not med student or intern but a resident--hung blood on a patient without checking it. 2 units. ) Another was asked if he had removed a certain tube from the patient's mouth---he didn't get out of chair "yes". Surgeon proceeded---lo and behold he had not removed the tube. Surgeon stapled across it.
I usually rant on the rotten nurses but the docs are going downhill fast. Well I'm pretty fond of my wife the NP. Her patients are also pretty fond of her work also. I can talk medical fuck ups all day that MDs do also. Like the time a surgeon refused to do a sponge count at the end of a surgery. Yup you guessed it, emergency surgery a day later to I've the lost sponge.
Or the time my wife refused to allow a surgery start until the all the staff was present and quite for the time out. This is when everyone in the surgery suite discusses what the procedure is and how it will go. The surgeon was pissed that this nurse, she was a nurse at the time, had the nerve to make him participate in this. I fucking know what I'm doing he screamed and he stopped around the room throwing shit and generally acting like a spoiled child. You guessed it he was prepping to remove the wrong kidney.
Or one of the sixteen billion times she called a code, only to have a intern or doctors respond with "What would you do ?" "Well just do that, that sounds good. "
Or the thre times last week where a ER doc gave on of her patients a medication that reacts negatively with other meda that the patient is already on.
Docs are like every profession. Some are awesome and some are just cashing a check. You should do a little Google research before you start talking shit about NPs. Their outcomes are statistically better than MDs and the cost is significantly less. But let's not let medical studies and facts get in the way of our little hate feat here. |
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Posted: 8/4/2015 1:13:19 PM EDT
[#39]
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What good is going into research if there are no doctors smart enough to implement the research findings? Quote HistoryQuoted:
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our facility here has had a HUGE doc turn over the last few years. older docs retiring instead of staying practice and many younger ones looking to go more and more into research vs patient care. What good is going into research if there are no doctors smart enough to implement the research findings? gov grants
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Posted: 8/4/2015 1:21:20 PM EDT
[#40]
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There seems to be a correlation in the military health system as well. A few years before 0bamacare was introduced, the interns I saw rotating through their internship were pretty sharp and I had alot of respect for them. Now, A few years after it has taken effect, the last couple of classes of interns seem to be a little more retarded and clueless. Maybe they can't afford to fail dumber ones and everyone gets a passing grade.
Even though my grandfather had been healthy up into his late 80's and my father is looking at his 70's soon, but I have had a couple of issues that required surgical intervention. So, odds are I will probably be boned later if those issues came up again. Yay! Well since most of the military interns come from civilian medical schools... You're blaming the wrong people. |
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Posted: 8/4/2015 1:25:08 PM EDT
[#41]
. <--------- my shocked facePosted Via AR15.Com Mobile |
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Posted: 8/4/2015 1:37:39 PM EDT
[#42]
Quote HistoryQuoted:
Well since most of the military interns come from civilian medical schools... You're blaming the wrong people. Quote HistoryQuoted:
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There seems to be a correlation in the military health system as well. A few years before 0bamacare was introduced, the interns I saw rotating through their internship were pretty sharp and I had alot of respect for them. Now, A few years after it has taken effect, the last couple of classes of interns seem to be a little more retarded and clueless. Maybe they can't afford to fail dumber ones and everyone gets a passing grade.
Even though my grandfather had been healthy up into his late 80's and my father is looking at his 70's soon, but I have had a couple of issues that required surgical intervention. So, odds are I will probably be boned later if those issues came up again. Yay! Well since most of the military interns come from civilian medical schools... You're blaming the wrong people. Yes the military officer and civilian interns come from the civilian schools. I am talking about the military health system. The officer and civilian interns are not being let go like they were in the past. They are keeping more "doctors" practicing that should be let go. |
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Posted: 8/4/2015 1:41:46 PM EDT
[#43]
Time to look to Central American hospitals/doctors to get the proceedures you can't get here.
Medical tourism. TC |
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Posted: 8/4/2015 1:53:35 PM EDT
[#44]
I already knew this, but I definitely missed the golden years for the practice of medicine. I'll probably be a slave to the single payer system by the time I get out of med school and finish residency.
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Posted: 8/4/2015 2:04:47 PM EDT
[#45]
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Healthcare is going to be rationed. It is always about seizing additional control. The subject of the matter is irrelevant. |
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Posted: 8/4/2015 2:10:09 PM EDT
[#46]
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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.
When you make your move to the Caribbean, please post it here. I'd like to apply with your new practice. Honestly, I am looking forward to cruise ships converting to floating hospitals, and elective surgery centers. Posted Via AR15.Com Mobile |
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Posted: 8/4/2015 2:39:05 PM EDT
[#47]
My doctor just retired. I'm in the wind
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Posted: 8/4/2015 2:42:13 PM EDT
[#48]
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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. Quote HistoryQuoted:
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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. Thanks I hadn't heard that....... I wont be sleeping again for awhile. I can only keep 1 month on hand. |
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Posted: 8/4/2015 2:42:43 PM EDT
[#49]
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900 / hr is a lot, but he is doing something worthwhile. The..."gentlemen" in Washington DC probably make similar and all they do is fuck everything up. 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. 900 / hr is a lot, but he is doing something worthwhile. The..."gentlemen" in Washington DC probably make similar and all they do is fuck everything up. That's a little shy of 2M/yr on a 40 hr work week. Short of cleaning assholes with my tongue, I'm having a hard time thinking of something I wouldn't do for that kind of money. Posted Via AR15.Com Mobile |
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Posted: 8/4/2015 2:57:53 PM EDT
[#50]
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Catastrophic Injury Insurance Policy: http://i.imgur.com/AzG1Lhbl.jpg America wanted 3rd world health care, they voted for it twice. Obama made his intentions clear in 2007 but the masses couldn't be bothered to spend 5 minutes actually researching the man. That would have been racist. You have to have faith. |
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