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Link Posted: 10/25/2013 6:00:06 AM EDT
[#1]
I thought about using my GI Bill and Texas Hazelwood Act benefits to go through medical school, but I don't want to put up with the communist crap that is the ACA, so I'm starting pre-veterinary classes this spring instead. Hopefully the PETA hippies don't get an animal ACA pushed through in my lifetime... =/


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Link Posted: 10/25/2013 6:02:35 AM EDT
[#2]
The feds will get lots of doctors via immigration reform.  Just like they are doing in the IT industry.  


Link Posted: 10/25/2013 6:16:22 AM EDT
[#3]
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Quoted:



I can pretty much guarantee you that this entirely rational response by the market will be utterly crushed by the government at some point, simply because it will mean a dilution of the power they've acquired.
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quite simply american doctors will work for cash and off the network insurance companies that will basically ignore the obamacare and everyone will simply not buy insurance, pay the extra tax and work underground.
.



I can pretty much guarantee you that this entirely rational response by the market will be utterly crushed by the government at some point, simply because it will mean a dilution of the power they've acquired.



This is exactly what I'm worried about.

Link Posted: 10/25/2013 9:46:55 AM EDT
[#4]


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who gives a fuck?





as long as they keep voting democrat.





look, medical schools will now simply take anyone who can't get into a teaching college, crank em out, training hospitals will becoming primary care and when McDonalds pays better than medicine, we will just import them from the third world like they do in Europe.





we gotta kill the old folk anyway to save social security and the planet.  People are a parasite killing mother earth as it is.





there is a lot of forward thinking behind obamacare.
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Security better be geared up because there are going to be a lot of desperate people out there.






who gives a fuck?





as long as they keep voting democrat.





look, medical schools will now simply take anyone who can't get into a teaching college, crank em out, training hospitals will becoming primary care and when McDonalds pays better than medicine, we will just import them from the third world like they do in Europe.





we gotta kill the old folk anyway to save social security and the planet.  People are a parasite killing mother earth as it is.





there is a lot of forward thinking behind obamacare.






In my area I can't find a damn American gut Dr, the foreigners don't listen to a damn word i tell them so I just left and never went back


I still have the bad problem but fuck it, I will die before I go to another Dr that will not listen to a damn word I tell them



Edited...VA-gunnut





 
Link Posted: 10/25/2013 9:57:53 AM EDT
[#5]
I've met one Cardiac Specialist and two Internist visiting Las Vegas to attend training for cosmetic surgery.
The Cardiac Specialist actually stayed with us and explained he was preparing to move his practice to cosmetic as it does not require government or insurance.  Cash up front where they set their own rates and not nearly the red tape.
The Internists basically told me the same thing.
Link Posted: 10/25/2013 10:01:40 AM EDT
[#6]
FBHO
Link Posted: 10/25/2013 10:16:40 AM EDT
[#7]
Wife is an oncologist.

Only thing I can suggest is to specialize your ass off and get into a hospital system, not a private group. It's the private groups that will be destroyed by this whereas the hospital systems can defer and move costs/loss per procedures around over their entire setup. For example, if family medicine (pre Obamacare) doctors were paid on reimbursement realization rates, they would be poor or have to see 80-100 patients a day. High cost, high profit, required specializations like Oncology make up for this throughout the system.

When we interviewed for her first spot after fellowship we had a mix of hospital and private groups. We could always see that you could make $1M+ after a few years in a private group, but you were always one hospital contract negotiation, one insurance reimbursement negotiation or one medication cost negotiation away from disaster and they usually lapsed every 2-4 years. Too much of a 'what if' for us. These 3 things is how ACA will kill private groups overnight.

For the most part she is going to go untouched as you can't just show up and say you have cancer and want treatment. It's the family medicine/ER clinic folks that are going to feel it (and already have) because with everyone having insurance nothing keeps all the morons that show up because they coughed twice 3 days ago from showing up and bringing their 11 kids along for a check up.

Those sky high deductible plans for poor people are a blessing in disguise by the way.
Link Posted: 10/25/2013 10:18:05 AM EDT
[#8]
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Quoted:

If I was thinking about med school, I'd switch to becoming a veterinarian instead.
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Generally, there are more applicants per slot in vet school than in med school.  It's not easy to get in.
Link Posted: 10/25/2013 10:27:11 AM EDT
[#9]
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Quoted:
I agree with everything Sylvan said.
We will switch to concierge medicine/ cash only. Or, I am going to create a hospital/resort in the Bahamas and promote medical tourism.
"Pay cash, Get your care from some of the best doctors in the world, recovery in our lush tropical setting."
Who is John Galt?
View Quote


Let me know when you need a surgeon at your hospital.
Link Posted: 10/25/2013 10:31:18 AM EDT
[#10]
Lost my doc to Obama care.  He was in his early 50's.

He said fuck it, and FO'd
Link Posted: 10/25/2013 10:41:38 AM EDT
[#11]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


It will be like the DMV.

seriously though it will happen where primary care is not done by a doctor. it will be a P.A. or nurse practitioner and a Dr. will be the two up person. Hope everyone enjoys not seeing a real Dr. for most of their needs.
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My wife is currently in med school.  Doctors are getting out of the business at an alarming rate because of Obamacare.

She's very concerned about what the state of medicine will be when she finishes her residency.
 


It will be like the DMV.

seriously though it will happen where primary care is not done by a doctor. it will be a P.A. or nurse practitioner and a Dr. will be the two up person. Hope everyone enjoys not seeing a real Dr. for most of their needs.


You don't need an MD/DO for most of your needs. PA and NP are just fine for that.
Link Posted: 10/25/2013 10:55:59 AM EDT
[#12]
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Not one but two doctors that practiced where my Mother and Fathers doctor practices whom they have been seeing for over 15 years, up and quit practicing medicine dumping their patients on my parents doctor. Because of this instead calling and getting an appointment in 2-3 days it can take them up to 6 weeks to get in and see their doctor, if they can't wait they can see nurse practitioner some what earlier or have been advised to go to one of those emergency care clinics.

I am afraid Obamacare is going to kill a whole lot of elderly in the US simply because they will no longer be able to see their doctors in a timely manner.



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Because of Obamacare

Mine retired early


Not one but two doctors that practiced where my Mother and Fathers doctor practices whom they have been seeing for over 15 years, up and quit practicing medicine dumping their patients on my parents doctor. Because of this instead calling and getting an appointment in 2-3 days it can take them up to 6 weeks to get in and see their doctor, if they can't wait they can see nurse practitioner some what earlier or have been advised to go to one of those emergency care clinics.

I am afraid Obamacare is going to kill a whole lot of elderly in the US simply because they will no longer be able to see their doctors in a timely manner.





Probably by design. Think of all the $$ .gov will save by applying reverse eugenics to all the boomers that are retired/going to retire and then apply for SS/medicare. There would be some outrage but, meh...they will spin that ...

While doctors will still be able to practice, they would not get away with prescribing as that will quickly be deemed illegal. Your off the grid doc could tell you exactly what's wrong with you but you would have to go to mexico to get your meds. (of course that will be made illegal too).
Link Posted: 10/25/2013 10:57:55 AM EDT
[#13]
Mine sold his practice to a young whippersnapper who was willing to treat more patients at less profit.
Link Posted: 10/25/2013 11:03:15 AM EDT
[#14]
I wanted to go to med school and specialize.



It's not about the money, but I don't know if it would be worth it now.. having to live with all the BS from the ACA.



What a mess our government has made.




Link Posted: 10/25/2013 11:12:55 AM EDT
[#15]
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Quoted:


You don't need an MD/DO for most of your needs. PA and NP are just fine for that.
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Quoted:
Quoted:
Quoted:
My wife is currently in med school.  Doctors are getting out of the business at an alarming rate because of Obamacare.

She's very concerned about what the state of medicine will be when she finishes her residency.
 


It will be like the DMV.

seriously though it will happen where primary care is not done by a doctor. it will be a P.A. or nurse practitioner and a Dr. will be the two up person. Hope everyone enjoys not seeing a real Dr. for most of their needs.


You don't need an MD/DO for most of your needs. PA and NP are just fine for that.


Until they aren't.
Link Posted: 10/25/2013 11:15:10 AM EDT
[#16]
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Quoted:

If I was thinking about med school, I'd switch to becoming a veterinarian instead.
View Quote



My wife said it's harder to get accepted into vet medicine programs than people medicine.

ETA: Beat.
Link Posted: 10/25/2013 11:21:52 AM EDT
[#17]
I suppose my long term goal of becoming a Physical Therapist needs some work?
Link Posted: 10/25/2013 11:30:50 AM EDT
[#18]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I agree with everything Sylvan said.
We will switch to concierge medicine/ cash only. Or, I am going to create a hospital/resort in the Bahamas and promote medical tourism.
"Pay cash, Get your care from some of the best doctors in the world, recovery in our lush tropical setting."
Who is John Galt?
View Quote


One issue with that plan is how will they pay?  If the fed.gov is serious about curtailing said medical tourism, they will make it difficult to pay via electronic means.  And taking more than what, $5000 out of the country at a time is already a crime, right?

If you can't pay because the fed.gov has made it too difficult to pay said offshore medical facilities, you're just as screwed.

Link Posted: 10/25/2013 11:31:28 AM EDT
[#19]
Here's what I see as a problem...

It costs the individual a tremendous amount of money in student loans to go through medical school, residency and fellowship.  Plus, it takes about 10 years if you do all three, and you likely have bachelor's degree debt before that...a very long period of time for which you are precisely making no money.  If the financial incentive isn't there (large pay at the end of the education/specialization process) how are these positions going to be filled?  They're not, and so the bar for care (i.e., who is providing it) will be set lower.  In other words, instead of seeing a doctor, you will see a glorified nurse (sorry, even those super-duper nurses that get to prescribe meds know about 1/10th of what the docs do.  I know all nurses think they know more and are smarter than doctors...they don't.  My wife was one of those "all knowing" nurses before she became a doctor and laughs about what she thought she knew).

For those situations where now you'd get a Nurse or PA, in the near future you're going to get a social worker.  "Managed decline" is not just something they want to do to the nation, it's what they see as the new template going forward for medical care (in my opinion).

Also, the "unfair" angle is, for all those who have gone through the expense of the path above with the understanding that there was a business rationale that would justify the return on the investment into their educations, they are fucked now.  Not only will they not make the large salaries (a doc's working life is considerably shorter, given that they don't start getting a pay check until their mid 30's) they will actually be in the hole paying off $200-$300k in debt.  Oh yeah, you can't get education debt discharged...so it really is a fucking millstone around the necks of those who are just entering or entered the profession within the past 10 years.

Think about that before you chime in with the usual fuck those rich doctors comments (if that's how you're inclined).  They aren't as "rich" as you think and the prospects for their futures right now are starkly bleak.
Link Posted: 10/25/2013 11:32:40 AM EDT
[#20]
Mine retired 5/31/13 with 30 days notice. He treated me for 30 years.

30 years ago he and 3 others opened a practice.

That practice grew to 8 in two different parts of the county.

When my Doc left, only 1 of the original 4 is left and they would not accept his patient load as the entire practice is down to 3 docs.

I did find a new Doc who informed me to start looking now as he is leaving (not retiring) the medical field in 3 years.


In todays paper a local  OB/GYN who is only 45 yo  is closing her practice.
Link Posted: 10/25/2013 11:37:17 AM EDT
[#21]
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Here's what I see as a problem...

It costs the individual a tremendous amount of money in student loans to go through medical school, residency and fellowship.  Plus, it takes about 10 years if you do all three, and you likely have bachelor's degree debt before that...a very long period of time for which you are precisely making no money.  If the financial incentive isn't there (large pay at the end of the education/specialization process) how are these positions going to be filled?  They're not, and so the bar for care (i.e., who is providing it) will be set lower.  In other words, instead of seeing a doctor, you will see a glorified nurse (sorry, even those super-duper nurses that get to prescribe meds know about 1/10th of what the docs do.  I know all nurses think they know more and are smarter than doctors...they don't.  My wife was one of those "all knowing" nurses before she became a doctor and laughs about what she thought she knew).

For those situations where now you'd get a Nurse or PA, in the near future you're going to get a social worker.  "Managed decline" is not just something they want to do to the nation, it's what they see as the new template going forward for medical care (in my opinion).

Also, the "unfair" angle is, for all those who have gone through the expense of the path above with the understanding that there was a business rationale that would justify the return on the investment into their educations, they are fucked now.  Not only will they not make the large salaries (a doc's working life is considerably shorter, given that they don't start getting a pay check until their mid 30's) they will actually be in the hole paying off $200-$300k in debt.  Oh yeah, you can't get education debt discharged...so it really is a fucking millstone around the necks of those who are just entering or entered the profession within the past 10 years.

Think about that before you chime in with the usual fuck those rich doctors comments (if that's how you're inclined).  They aren't as "rich" as you think and the prospects for their futures right now are starkly bleak.

ETA: The counter argument justifying the above is that it keeps costs low.  A better way to keep costs low is tort reform, which is a non-starter for our progressive overlords.
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Link Posted: 10/25/2013 11:42:14 AM EDT
[#22]
Same situation here - was planning on going to medical school. Went for PhD in cognitive science & HF engineering instead. Pay is about the same more or less (or better), you can go to work in your underwear, and you get to work in pretty much any domain, from medical to military.
Link Posted: 10/25/2013 11:44:21 AM EDT
[#23]
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Quoted:
I thought about using my GI Bill and Texas Hazelwood Act benefits to go through medical school, but I don't want to put up with the communist crap that is the ACA, so I'm starting pre-veterinary classes this spring instead. Hopefully the PETA hippies don't get an animal ACA pushed through in my lifetime... =/


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Animals are more grateful than people six ways to Sunday.

They won't sue you after you save their lives.
Link Posted: 10/25/2013 11:44:49 AM EDT
[#24]
Seen mine yesterday He said he will try to ride it out as long as he can.
He  sees a slow bleed of his profits.
Link Posted: 10/25/2013 11:46:20 AM EDT
[#25]
Indiana's two largest hospital networks just canned about 1,800 employees to try and make ends meet. The kicker is the other employees have to pick up the slack in some cases doing double duty but no extra pay involved.
Link Posted: 10/25/2013 11:46:40 AM EDT
[#26]
My wife is an RN at an area hospital. She hasn't heard of any doctors hanging it up yet.
Link Posted: 10/25/2013 11:47:19 AM EDT
[#27]
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Quoted:


You don't need an MD/DO for most of your needs. PA and NP are just fine for that.
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Quoted:


It will be like the DMV.

seriously though it will happen where primary care is not done by a doctor. it will be a P.A. or nurse practitioner and a Dr. will be the two up person. Hope everyone enjoys not seeing a real Dr. for most of their needs.


You don't need an MD/DO for most of your needs. PA and NP are just fine for that.


I prefered the PAs when I lived in Kodiak.

Military trained and no bullshit get you back on the boat fast kind of guys.
Link Posted: 10/25/2013 11:53:00 AM EDT
[#28]
My doctor moved
second doctor started vip practice 1600. a year per patient plus insurance
His second took me on and then she quit.

i dont know what to do but I will make it.

Link Posted: 10/25/2013 11:54:44 AM EDT
[#29]
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Quoted:


I prefered the PAs when I lived in Kodiak.

Military trained and no bullshit get you back on the boat fast kind of guys.

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Quoted:
Quoted:
Quoted:


It will be like the DMV.

seriously though it will happen where primary care is not done by a doctor. it will be a P.A. or nurse practitioner and a Dr. will be the two up person. Hope everyone enjoys not seeing a real Dr. for most of their needs.


You don't need an MD/DO for most of your needs. PA and NP are just fine for that.


I prefered the PAs when I lived in Kodiak.

Military trained and no bullshit get you back on the boat fast kind of guys.



Good points by both of the above in red.  Remember, that's a great option to go if you're otherwise healthy.  

It's a course of last resort if you're not, but it's going to be the rule rather than the exception going forward once the ACA begins to have its predictable consequences.
Link Posted: 10/25/2013 11:54:51 AM EDT
[#30]
Another consequence is that larger corporate hospitals are buying out private practices and hospitals all over the place. Doctors who formerly owned their practice and now find themselves making less money are also finding themselves being forced to follow corporate rules and regs and the dreaded HR when they start screaming at people.
Link Posted: 10/25/2013 12:03:27 PM EDT
[#31]
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Another consequence is that larger corporate hospitals are buying out private practices and hospitals all over the place. Doctors who formerly owned their practice and now find themselves making less money are also finding themselves being forced to follow corporate rules and regs and the dreaded HR when they start screaming at people.
View Quote



A lot of the reason they're screaming at people is because people are stupid, but the doctor is the one who is going to get sued if they don't "catch" it.  Plus, while you can't make a resident or intern work over 8 hours a day now (or whatever it is) many if not most "attending physicians" (the top dogs) are rounding at 5am, seeing office patient and/or taking consults until 9PM...unless they're on call, where they're not getting home until 1AM...or sleeping in the hospital.  If you are in a specialty practice that is "hard" and is one with a low doc population, you are getting murdered schedule wise...if you are practicing in a non-tort reform state, you're also under the pressure of defensive medicine and unnecessary consults to spread the liability around.
Link Posted: 10/25/2013 12:04:10 PM EDT
[#32]
Mrs. Smith is a nurse.  She's a good nurse too.

She's going to be somewhat out of her element performing surgery though, so I hope you all will cut her some slack.  
Link Posted: 10/25/2013 12:55:51 PM EDT
[#33]

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Quoted:



Oh yeah, you can't get education debt discharged...so it really is a fucking millstone around the necks of those who are just entering or entered the profession within the past 10 years.

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Federal loans are discharged after 20-25 years of on-time payments. Congress voted to give the option to limit monthly payments to 10-15% of income.



Alternatively, you can also have it all forgiven after 120 monthly payments working full-time in the public sector, and then you're free.



Though, I think you're right about the future monetary rewards being bleak unfortunately.
 
Link Posted: 10/25/2013 1:04:24 PM EDT
[#34]
We're going to have doctors who trained cheaply and easily in some shit hole country come over here, pass some easy test, and practice medicine.  And they'll be happy as hell because they'll be making tons more than they would in said shit hole
Link Posted: 10/25/2013 1:13:48 PM EDT
[#35]
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Quoted:



A lot of the reason they're screaming at people is because people are stupid, but the doctor is the one who is going to get sued if they don't "catch" it.  Plus, while you can't make a resident or intern work over 8 hours a day now (or whatever it is) many if not most "attending physicians" (the top dogs) are rounding at 5am, seeing office patient and/or taking consults until 9PM...unless they're on call, where they're not getting home until 1AM...or sleeping in the hospital.  If you are in a specialty practice that is "hard" and is one with a low doc population, you are getting murdered schedule wise...if you are practicing in a non-tort reform state, you're also under the pressure of defensive medicine and unnecessary consults to spread the liability around.
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Quoted:
Quoted:
Another consequence is that larger corporate hospitals are buying out private practices and hospitals all over the place. Doctors who formerly owned their practice and now find themselves making less money are also finding themselves being forced to follow corporate rules and regs and the dreaded HR when they start screaming at people.



A lot of the reason they're screaming at people is because people are stupid, but the doctor is the one who is going to get sued if they don't "catch" it.  Plus, while you can't make a resident or intern work over 8 hours a day now (or whatever it is) many if not most "attending physicians" (the top dogs) are rounding at 5am, seeing office patient and/or taking consults until 9PM...unless they're on call, where they're not getting home until 1AM...or sleeping in the hospital.  If you are in a specialty practice that is "hard" and is one with a low doc population, you are getting murdered schedule wise...if you are practicing in a non-tort reform state, you're also under the pressure of defensive medicine and unnecessary consults to spread the liability around.

I was referring to one Dr in particular that my wife works with who makes inappropriate remarks and is a prime candidate for a hostile work environment complaint. He's not an owner anymore and is on the verge of being treated like a number me thinks.
Link Posted: 10/25/2013 1:15:56 PM EDT
[#36]

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Quoted:



If you are practicing in a non-tort reform state, you're also under the pressure of defensive medicine and unnecessary consults to spread the liability around.
View Quote


I would expect docs to practice "defensive" medicine. Why wouldn't they do so if the laws stay the way they are.



People make mistakes; it's human nature, and docs are people too.



Ultimately, the problem revolves around being part of a special class. You're expected to be 100% at your game with every single patient every single time or else you are technically liable. If the courts want to play that game, then the docs should play theirs.



Then there are the complete fuck-ups -- the ones who leave medical instruments sewn up into patients or perform surgeries (or other procedures) while doped up on something. I've had a doc or two tell me to my face that they know dozens of others who practice this way and get away with it.
 
Link Posted: 10/25/2013 1:16:47 PM EDT
[#37]
Yep. Saw this coming.



6 hour wait in Canada in the ER, coming here.



I'll be paying cash for medical care.
Link Posted: 10/25/2013 1:26:49 PM EDT
[#38]
Primary care Dr's should be like veterinarians.  They have a truck stocked with most of what they need, they come to your house and do their thing and then on to the next.
Link Posted: 10/25/2013 1:30:19 PM EDT
[#39]
Offshore "medical resorts", and maybe even cruise liners converted to "medical ships" may be the way of the future.

Link Posted: 10/25/2013 1:31:21 PM EDT
[#40]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


One issue with that plan is how will they pay?  If the fed.gov is serious about curtailing said medical tourism, they will make it difficult to pay via electronic means.  And taking more than what, $5000 $10,000 without declaring it out of the country at a time is already a crime, right?

If you can't pay because the fed.gov has made it too difficult to pay said offshore medical facilities, you're just as screwed.

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Quoted:
Quoted:
I agree with everything Sylvan said.
We will switch to concierge medicine/ cash only. Or, I am going to create a hospital/resort in the Bahamas and promote medical tourism.
"Pay cash, Get your care from some of the best doctors in the world, recovery in our lush tropical setting."
Who is John Galt?


One issue with that plan is how will they pay?  If the fed.gov is serious about curtailing said medical tourism, they will make it difficult to pay via electronic means.  And taking more than what, $5000 $10,000 without declaring it out of the country at a time is already a crime, right?

If you can't pay because the fed.gov has made it too difficult to pay said offshore medical facilities, you're just as screwed.


Link Posted: 10/25/2013 2:15:45 PM EDT
[#41]
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Quoted:
Offshore "medical resorts", and maybe even cruise liners converted to "medical ships" may be the way of the future.

View Quote



Captain Piccolo at the wheel for the win.


Mrs Smith and Mrs Jones are complaining about each other and want me to settle it.

"This is the captain speaking. It is come to my attention that we have a couple of women here that don't get along very well. We are going to settle it on the area next to the pool. Catfight time! I got fifty bucks on the bleached blonde with the big tits. That is all."
Link Posted: 10/25/2013 2:18:12 PM EDT
[#42]
Quoted:
Because of Obamacare

Mine retired early
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Whodathunkit?
Link Posted: 10/25/2013 2:58:00 PM EDT
[#43]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

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Quoted:
Quoted:
Quoted:
I agree with everything Sylvan said.
We will switch to concierge medicine/ cash only. Or, I am going to create a hospital/resort in the Bahamas and promote medical tourism.
"Pay cash, Get your care from some of the best doctors in the world, recovery in our lush tropical setting."
Who is John Galt?


One issue with that plan is how will they pay?  If the fed.gov is serious about curtailing said medical tourism, they will make it difficult to pay via electronic means.  And taking more than what, $5000 $10,000 without declaring it out of the country at a time is already a crime, right?

If you can't pay because the fed.gov has made it too difficult to pay said offshore medical facilities, you're just as screwed.




Thank you for correcting me.  $10k isn't going to go far I bet...
Link Posted: 10/25/2013 3:05:13 PM EDT
[#44]
Well bye
Link Posted: 10/25/2013 3:05:43 PM EDT
[#45]

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Quoted:


My wife is currently in med school.  Doctors are getting out of the business at an alarming rate because of Obamacare.


View Quote

She's very concerned about what the state of medicine will be when she finishes her residency.
 
How much debt?

 



Avg medical student has 250K or so these days.









Link Posted: 10/25/2013 3:10:37 PM EDT
[#46]
Having doctors take cash for walkins will be illegal in a few years. Mark my words. It'll be done in the name of "pill mills", the "War on Drugs," and stopping "Dr. Feelgood".

Link Posted: 10/25/2013 4:07:12 PM EDT
[#47]
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Having doctors take cash for walkins will be illegal in a few years. Mark my words. It'll be done in the name of "pill mills", the "War on Drugs," and stopping "Dr. Feelgood".
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That's a given.  I posted the article in a different thread but basically while there are doctors every year who stop accepting Medicare and/or Medicaid patients, there are an even greater number of domestic and foreign doctors who do take these patients.  The vast majority of hospitals and consequently their hospital-affiliated doctors take Medicare and Medicaid.  Since most new and many older doctors are deciding to join large hospital groups, it means that there are and likely will be an ample supply of doctors to see Medicare and Medicaid patients.  But as you point out, as soon as there is a shortage of doctors to see Medicare/Medicaid/Obamacare patients, the government will step in and require that doctors accept all forms of insurance.

Doctors that crow about how they only accept cash payment and do not take Medicare/Medicaid can only do so because there are chumps like me who do see them.  They are also the first ones to rush grandma to the hospital to be seen by the ER doc and specialists when they won't see those same patients themselves.

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Link Posted: 10/25/2013 4:22:35 PM EDT
[#48]
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Well bye
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To a great extent, you're right.  My father went to medical school in communist Hungary.  His classmates who stayed there never made much money and their standard of living remained low.  Getting into medical school and medical training is hard because being a doctor is hard.  If you're doing it solely to make money then you will be unhappy.  If Obamacare scares a doctor into early retirement then good riddance!

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Link Posted: 10/25/2013 4:33:44 PM EDT
[#49]
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To a great extent, you're right.  My father went to medical school in communist Hungary.  His classmates who stayed there never made much money and their standard of living remained low.  Getting into medical school and medical training is hard because being a doctor is hard.  If you're doing it solely to make money then you will be unhappy.  If Obamacare scares a doctor into early retirement then good riddance!

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Well bye


To a great extent, you're right.  My father went to medical school in communist Hungary.  His classmates who stayed there never made much money and their standard of living remained low.  Getting into medical school and medical training is hard because being a doctor is hard.  If you're doing it solely to make money then you will be unhappy.  If Obamacare scares a doctor into early retirement then good riddance!

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You should be paid well.  You're providing the service that this giant tumor of a healthcare system rests upon.  There's at least a dozen useless fucks with nice cars paid for by what YOU can do with the human body. They can't do shit.
Link Posted: 10/25/2013 5:00:57 PM EDT
[#50]
My wife is a nurse practitioner and works in her own practice.  Everyday, she is fixing screw ups by doctors.  She spends more time with the patient and gets their full medical history including family.  I have no problems with an NP in their own practice, its the ones in dr offices that aren't great as they have to rush like a dr would.  I have been trying to get her to do a membership only practice.  She has a friend that does that, $40 a month per person and they get treatment.  That person pulls in $120,000 a year seeing on average 9 patients a week.  Anything at this point is better than BO care.  PS you can get better deals by going straight to a health insurance company.
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