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Posted: 10/25/2013 5:01:33 PM EDT
[#1]
Quote HistoryQuoted: 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! Posted Via AR15.Com Mobile Quote HistoryQuoted: Quoted: 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! Posted Via AR15.Com Mobile  |
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Posted: 10/25/2013 5:14:03 PM EDT
[#2]
Quote HistoryQuoted:
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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! Posted Via AR15.Com Mobile
Haha, talk to some old-timers and about how much money they made, those who practiced before 1965, or even prior to 1980. |
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Posted: 10/25/2013 5:32:07 PM EDT
[#3]
Quote HistoryQuoted: Haha, talk to some old-timers and about how much money they made, those who practiced before 1965, or even prior to 1980. |
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Posted: 10/25/2013 6:02:17 PM EDT
[#4]
Speaking as a surgeon who's in the middle of his career....
Obamacare is just one of a multi-factorial reason doctors are leaving medicine. The .gov has decided it's too expensive to pay doctors--and that PA's, nurse practitioners can do just as good a job, cheaper. This is especially true if these "physician extenders" follow predetermined, cost effective algorithms & use an electronic medical record(EMR) which has turned doctors & nurses into data entry clerks, preoccupied with completing .gov-mandated EMR to avoid fines, penalties & negative internet reviews. I just had this conversation with a nurse practioner. Even tho' she doesn't have the 9 years of training a surgeon has--she's on a committee to direct patient care. She feels her 4 yrs of training qualifies her to tell doctors ( minimum of 7 yrs of training) or surgeons ( minimum of 9 yrs of training) how to do their jobs. If she feels a patients needs surgery--a surgeon should operate--even if the surgeon disagrees.makes any sense to you? Me either. And hospital administrators buy into this, through the .gov.....
So now that fewer people want to go into medical school, less bright folks are getting accepted, which affects the "final product" unleashed on the public. Some of these folks fail boards multiple times & are still allowed to practice. What do you call the last person in the medical school class? "Doctor." So before anyone blames Obamacare as the sole reasons doctors leave the profession--bear in mind it's one of several reasons. |
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Posted: 10/25/2013 6:11:27 PM EDT
[#5]
On the other hand there are so many new ones coming in to take advantage of be a provider in Obamacare.
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Posted: 10/25/2013 6:14:26 PM EDT
[#6]
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I just think you're pretty arrogant to presume to know why doctors are in the business, and then assume to know why they'd leave over Obamacare. Quote HistoryQuoted:
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Haha, talk to some old-timers and about how much money they made, those who practiced before 1965, or even prior to 1980. So they're not in the business of taking care of patients? Then why are they there? They're not leaving Obamacare because it's more difficult to practice with a long-term decrease in reimbursement? |
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Posted: 10/25/2013 6:26:51 PM EDT
[#7]
Quote HistoryQuoted: So they're not in the business of taking care of patients? Then why are they there? They're not leaving Obamacare because it's more difficult to practice with a long-term decrease in reimbursement? Quote HistoryQuoted: Quoted: Quoted: Haha, talk to some old-timers and about how much money they made, those who practiced before 1965, or even prior to 1980. So they're not in the business of taking care of patients? Then why are they there? They're not leaving Obamacare because it's more difficult to practice with a long-term decrease in reimbursement? You're assertion was that they became doctors for the money. You eluded to it twice. They'd be leaving because the quality of care would become such that they wouldn't want to practice anymore. Not to mention, the cost of running a practice would be more than what 'obama healthcare' reimburses them. |
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Posted: 10/25/2013 6:35:37 PM EDT
[#8]
Quote HistoryQuoted:
So before anyone blames Obamacare as the sole reasons doctors leave the profession--bear in mind it's one of several reasons. The example you point out, though, it why it's wrong to have a government controlled/reimbursed health care system. The hospital administrators only care about making money and direct every effort to that end. Despite their pleas that "we're doing this for the patients", their decisions are 100% solely to increase revenue, even if that means 'encouraging' certain surgeries over others. It's absolutely disgusting, but we docs lost control in the hospital over the last 30 years and this is the consequence. The government tells the hospitals how to get reimbursed, and the hospital jumps. Then the directives come down to us. |
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Posted: 10/25/2013 6:38:46 PM EDT
[#9]
Our family doctor retired recently and sold the practice to the local hospital.
He was pretty close to retiring anyway but the government aggravation just moved things up. |
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Posted: 10/25/2013 6:56:33 PM EDT
[#10]
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You're assertion was that they became doctors for the money. You eluded to it twice. They'd be leaving because the quality of care would become such that they wouldn't want to practice anymore. Not to mention, the cost of running a practice would be more than what 'obama healthcare' reimburses them. Quote HistoryQuoted:
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Haha, talk to some old-timers and about how much money they made, those who practiced before 1965, or even prior to 1980. So they're not in the business of taking care of patients? Then why are they there? They're not leaving Obamacare because it's more difficult to practice with a long-term decrease in reimbursement? You're assertion was that they became doctors for the money. You eluded to it twice. They'd be leaving because the quality of care would become such that they wouldn't want to practice anymore. Not to mention, the cost of running a practice would be more than what 'obama healthcare' reimburses them. First, the percentage of doctors leaving Medicare each year is miniscule, and, as I already wrote, is smaller than the number of new doctors accepting Medicare. In a new briefing issued this week by the U.S. Department of Health and Human Services, the federal government said the percentage of all “office-based physicians” accepting Medicare patients hasn’t changed significantly between 2005 and 2012. Second, the quality of care only suffers if they decide they want to make the same amount of money and therefore have to see more patients in the same amount of time if they continue to accept Medicare. What other conclusion could someone come to other than the doctor is not willing to work the same for less money? Third, the percentage of these doctors is still small enough (< 25% don't accept Medicare currently and only 1 to 2% stop accepting Medicare each year) that it doesn't affect a patient's ability to find a doctor (What will have an impact on that is Obamacare made no provisions to increase the number of doctors/PA's/APRN's to accommodate the 30+ million new American patients and the 12 million new Mexican-Americans). However, if enough doctors jump ship then the government will make sure that every doctor has to see every patient. |
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Posted: 10/25/2013 6:57:21 PM EDT
[#11]
My wife is office manager for the only ENT left in the are,the others (3) sold their practices to the local hospitals and 2 of them have now left the area,the Dr my wife works for is has been talking with one of the hospitals but nothing has come of it yet and he has also talked about a cash only business.
we have also lost the only urologist/proctologists in the area |
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Posted: 10/25/2013 6:59:06 PM EDT
[#12]
Democrats would prefer that we have foreign born medical providers.
Why not outsource the entire country; they'll work cheaper. |
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Posted: 10/25/2013 7:00:54 PM EDT
[#13]
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you register with fake information to find out the true costs. only an idiot would register with true information. Quote HistoryQuoted:
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ZeroCare is not about health care. It's about taxation & control. Anyone who registers on the websitet had better buy insurance because (s)he is on the target list for a penalty if (s)he doesn't. you register with fake information to find out the true costs. only an idiot would register with true information. Or you don't bother visiting the site, ever, because you don't give a fuck what it costs; not going to buy it. |
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Posted: 10/25/2013 7:01:30 PM EDT
[#14]
I was told that these stories were nothing but Tea Party propaganda.
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Posted: 10/25/2013 7:03:56 PM EDT
[#15]
Quote HistoryQuoted: snip Jesus dude.... If the feds decide next week to fuck over your profession, and you have to leave for a number of reasons, I hope others are more compassionate. "Doctors make too much money, FUCK THEM!!!" It's a sad day. |
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Posted: 10/25/2013 7:28:55 PM EDT
[#16]
I had to switch doctors in August because my regular doctor pulled the plug on his practice and went cash only...He is only 45. Couldn't take the bullshit from the Government on top of all the other challenges that come with running a solo Family Practice.
I have the introductory visit with my new doctor and tell him only to find out he is considering the same thing and then says hundreds of thousands of doctors are going to quit in the next three years. 
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Posted: 10/25/2013 8:12:19 PM EDT
[#17]
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I have the introductory visit with my new doctor and tell him only to find out he is considering the same thing and then says hundreds of thousands of doctors are going to quit in the next three years.
Watch the Feds try and ORDER them to go back to work under threat of losing their licenses and then watch the exodus to the Caribbean. Hmm. Maybe us Somalians will have to go back to the mother country to get operations.
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Posted: 10/25/2013 8:13:54 PM EDT
[#18]
One of the local Medical Examiners told me he is thinking about switching to cash only practice.
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Posted: 10/25/2013 9:01:31 PM EDT
[#19]
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Jesus dude.... If the feds decide next week to fuck over your profession, and you have to leave for a number of reasons, I hope others are more compassionate. "Doctors make too much money, FUCK THEM!!!" It's a sad day. Quote HistoryQuoted:
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snip Jesus dude.... If the feds decide next week to fuck over your profession, and you have to leave for a number of reasons, I hope others are more compassionate. "Doctors make too much money, FUCK THEM!!!" It's a sad day. Not at all. I'm describing it from the perspective of the doctor who's leaving: "I'm not going to make as much money so I'm going to take my ball and go home because making less money for the same amount of work is a more important factor than taking care of patients." We're talking about 1 to 2% of doctors doing this per year. In communist countries doctors, teachers, cops, etc all make the same amount of money. So why are there still doctors? Because the vast majority of people don't go to medical school because of money. You just don't get it: We doctors are being paid with dollars borrowed from your children and grandchildren. We can either make cuts now or we can watch all savings become worthless. No I most certainly do not have any compassion for the 1 to 2% of doctors that leave. Posted Via AR15.Com Mobile |
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Posted: 10/25/2013 10:20:51 PM EDT
[#20]
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I provide IT support for area small businesses. And I can't tell you how many medical clients are gone because of ACA. Any of the small practices that haven't been gobbled up by the conglomerates with providers aged 50 or slightly over just simply packed up and retired early. Just in our family, we've lost 3 doctors that simply said "Im out." They were already teetering with reduced payments from medicare/medicaid and increasing malpractice insurance premiums. ACA, EHR, etc just pushed them over the edge. Normally Im one of those "meh, survive or die in the marketplace" type of guys but these were good doctors that just simply had enough of the BS. And finding a good doc that you trust, etc. isn't an easy thing to find. Look for this to happen on a larger scale with regional hospital providers. Locally a regional provider projected a possible future where they closed due to the ACA. They figure it will be 50/50 on whether they will remain a stand alone system or be consumed by one of the larger entities like JHU or UPENN. |
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Posted: 10/25/2013 10:31:45 PM EDT
[#21]
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Until they aren't. Quote HistoryQuoted:
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You don't need an MD/DO for most of your needs. PA and NP are just fine for that. Until they aren't. I was misdiagnosed on a torn ligament for months by the PA. I finally insisted on seeig the doctor and I was correctly diagnosed within 5 minutes. Never trust the PA to get it right. They aren't doctors and shouldn't be employed as such. |
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Posted: 10/25/2013 10:54:47 PM EDT
[#22]
BHO - destroying America from the inside since 2009.
Hmmm, wasn't that a plan made by some place once? Like a damn plague. |
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Posted: 10/25/2013 11:12:12 PM EDT
[#23]
Thanks... I'm finishing my 2nd year of medical school, this is the second bad news I read about today...
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Posted: 10/26/2013 4:44:32 AM EDT
[#24]
Quote HistoryQuoted:
Not at all. I'm describing it from the perspective of the doctor who's leaving: "I'm not going to make as much money so I'm going to take my ball and go home because making less money for the same amount of work is a more important factor than taking care of patients." We're talking about 1 to 2% of doctors doing this per year. In communist countries doctors, teachers, cops, etc all make the same amount of money. So why are there still doctors? Because the vast majority of people don't go to medical school because of money. You just don't get it: We doctors are being paid with dollars borrowed from your children and grandchildren. We can either make cuts now or we can watch all savings become worthless. No I most certainly do not have any compassion for the 1 to 2% of doctors that leave. Posted Via AR15.Com Mobile C4 you're a doc? Primary care? |
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Posted: 10/26/2013 4:57:32 AM EDT
[#25]
I'll be happy to pick up the slack by offering complimentary breast exams and light, recreational gynecology to any attractive women.
Line forms to the right, ladies.... 
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Posted: 10/26/2013 5:07:40 AM EDT
[#26]
Quote HistoryQuoted:
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! Posted Via AR15.Com Mobile Quote HistoryQuoted:
Quoted:
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! Posted Via AR15.Com Mobile The pay is what separates the best from the mediocre. |
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Posted: 10/26/2013 8:21:45 AM EDT
[#27]
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C4 you're a doc? Primary care? Quote HistoryQuoted:
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Not at all. I'm describing it from the perspective of the doctor who's leaving: "I'm not going to make as much money so I'm going to take my ball and go home because making less money for the same amount of work is a more important factor than taking care of patients." We're talking about 1 to 2% of doctors doing this per year. In communist countries doctors, teachers, cops, etc all make the same amount of money. So why are there still doctors? Because the vast majority of people don't go to medical school because of money. You just don't get it: We doctors are being paid with dollars borrowed from your children and grandchildren. We can either make cuts now or we can watch all savings become worthless. No I most certainly do not have any compassion for the 1 to 2% of doctors that leave. Posted Via AR15.Com Mobile C4 you're a doc? Primary care? Yes. No, specialist. Adult primary care became awesome (ETA: from a lifestyle standpoint) though in the last 5 years. One of the very difficult aspects of primary care was having to take call. Now that the country has moved to a hospitalist system where all in-patients are taken care of by hospitalists who don't see outpatients. The internists had a drop in income as a result, but it's been somewhat offset by weekend same-day appointments, and less interruptions during the weekday so they can be more efficient seeing patients. I'm still doing call which has its advantages. |
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Posted: 10/26/2013 8:36:15 AM EDT
[#28]
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The pay is what separates the best from the mediocre. Quote HistoryQuoted:
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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! Posted Via AR15.Com Mobile The pay is what separates the best from the mediocre. That's currently not true, but it is what the government wants to incorporate into reimbursement ie. patient satisfaction. In an ideal world, there would be no insurance except for catastrophic events, and mediocre doctors would make less money because less people would see them and they would get less referrals from other doctors if they were a specialist. Then there would be an incentive to change the way they practice. |
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Posted: 10/26/2013 9:35:44 AM EDT
[#29]
I like his jacket. |
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Posted: 10/26/2013 9:35:45 AM EDT
[#30]
Quote HistoryQuoted:
Watch the Feds try and ORDER them to go back to work under threat of losing their licenses and then watch the exodus to the Caribbean. Hmm. Maybe us Somalians will have to go back to the mother country to get operations.
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I have the introductory visit with my new doctor and tell him only to find out he is considering the same thing and then says hundreds of thousands of doctors are going to quit in the next three years.
Watch the Feds try and ORDER them to go back to work under threat of losing their licenses and then watch the exodus to the Caribbean. Hmm. Maybe us Somalians will have to go back to the mother country to get operations.
How could the Feds do that when DR's are licensed by the state? |
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Posted: 10/26/2013 9:38:23 AM EDT
[#31]
Quote HistoryQuoted:
I was misdiagnosed on a torn ligament for months by the PA. I finally insisted on seeig the doctor and I was correctly diagnosed within 5 minutes. Never trust the PA to get it right. They aren't doctors and shouldn't be employed as such. Quote HistoryQuoted:
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You don't need an MD/DO for most of your needs. PA and NP are just fine for that. Until they aren't. I was misdiagnosed on a torn ligament for months by the PA. I finally insisted on seeig the doctor and I was correctly diagnosed within 5 minutes. Never trust the PA to get it right. They aren't doctors and shouldn't be employed as such. And thats why we still need Doctors. |
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Posted: 10/26/2013 9:51:01 AM EDT
[#32]
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She wants to do emergency med. It's what she's always wanted to do. She was a teacher (high school physics and biology) for a few years, so she's not sure she wants to go down that road again. Quote HistoryQuoted:
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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. She should be. Is it too late to switch majors or go into research or something else? She starts her rotations this coming July, so there's no changing things now. At least I'll have a good doctor?
Specialize, specialize, specialize. Hopefully she goes into something that has very little encroachment from mid-level providers. Fellowship always helps, but doesn't always pay off financially depending in what it is. Does she have Any interest in academics? There tends to be a bit more stability there, but the pay can suck ass too. She wants to do emergency med. It's what she's always wanted to do. She was a teacher (high school physics and biology) for a few years, so she's not sure she wants to go down that road again. Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"
She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... |
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Posted: 10/26/2013 10:02:36 AM EDT
[#33]
While I do not like the way health care is going the truth of the matter is the fact that these doctors can retire is part of the problem. The doctors I represent who are retiring are not taking other jobs, they are just retiring. And that means they have been made so much in 10 or 20 years of practice that they can stop working. This is in fact a part of the problem.
If the doctors were retiring to go sell real estate than we would have a different problem, but the current problem is a sign of one of the many things wrong with health care. |
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Posted: 10/26/2013 10:22:06 AM EDT
[#34]
Quote HistoryQuoted:
While I do not like the way health care is going the truth of the matter is the fact that these doctors can retire is part of the problem. The doctors I represent who are retiring are not taking other jobs, they are just retiring. And that means they have been made so much in 10 or 20 years of practice that they can stop working. This is in fact a part of the problem. If the doctors were retiring to go sell real estate than we would have a different problem, but the current problem is a sign of one of the many things wrong with health care. Yes, comrade... Let's force them to work for less so they can NEVER retire! |
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Posted: 10/26/2013 10:28:19 AM EDT
[#35]
Quote HistoryQuoted: She's very concerned about what the state of medicine will be when she finishes her residency. Quote HistoryQuoted: 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. Avg medical student has 250K or so these days. Her debt is/will be 4 years. She's in the Health Professions Scholarship Program (available to all branches, she's in the USAF). The Air Force is paying for her med school and paying her a monthly stipend while she's in med school. When she finishes her residency she'll owe 4 years. She's currently a 2LT and when she completes med school she'll get recommissioned as a CPT. It's an amazing deal. |
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Posted: 10/26/2013 10:32:58 AM EDT
[#36]
Quote HistoryOriginally Posted By TheGrayMan Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... Quote HistoryOriginally Posted By TheGrayMan She wants to do emergency med. It's what she's always wanted to do. She was a teacher (high school physics and biology) for a few years, so she's not sure she wants to go down that road again. Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... I'll see if she wants to reply to this. |
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Posted: 10/26/2013 10:34:49 AM EDT
[#37]
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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. poor people will still get shit medical care and the lower middle class will go from good health care to the same shitty stuff the poor have. upper middle class will pay extra and still get good medical care. your wife should prepare to do general practice for cash and have a referral network to cash specialists for those who can afford it and a kiosk in her office where those who can't afford good care sign up for obamacare platinum for one year to hopefully get treated before they die. I have in laws in the UK, they tell me they pretty much do this- pay cash for a dr outside of the NHS |
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Posted: 10/26/2013 10:36:19 AM EDT
[#38]
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My chiropractor closed her doors Monday. Quote Historywe were talking about Doctors...
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Posted: 10/26/2013 10:39:18 AM EDT
[#39]
What everyone said/thought would happen with Obamacare is happening. It's unfortunate but didn't take a whole lot of intelligence to know it was going to have these effects.
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Posted: 10/26/2013 10:55:16 AM EDT
[#40]
Quote HistoryQuoted:
While I do not like the way health care is going the truth of the matter is the fact that these doctors can retire is part of the problem. The doctors I represent who are retiring are not taking other jobs, they are just retiring. And that means they have been made so much in 10 or 20 years of practice that they can stop working. This is in fact a part of the problem. If the doctors were retiring to go sell real estate than we would have a different problem, but the current problem is a sign of one of the many things wrong with health care. 10 years is fantasy. 20 years? Maybe if they were a high-powered neurosurgeon or cardio-thoracic surgeon, they don't have children, the wife still works and can carry insurance for them, and they live modestly, then sure. |
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Posted: 10/26/2013 11:01:35 AM EDT
[#41]
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The feds will get lots of doctors via immigration reform. Just like they are doing in the IT industry. http://news.bbcimg.co.uk/media/images/59562000/jpg/_59562670_img_1431copy.jpg That's nothing new. For some years my gynie and internist were a wife (gynie) and husband team from India that had their own practice. They had been here for maybe 30 years. English very understandable. Now, I go to a group practice that's attached to one of the urgent care centers run by a local hospital. I'm seen by one doctor who is a younger woman and I have no issues. She's a GP, which is what I prefer. |
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Posted: 10/26/2013 11:04:52 AM EDT
[#42]
Quote HistoryQuoted:
Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"
She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... My sister is a dermatologist. She bathes in money. She has an armored truck back up to her clinic at the end of the day and she shovels money into the back of it! My dad actually made fun of her when she chose to do that. She has ZERO call and an endless amount of patients. She also does a public service by removing tattoos. 
Right now, you'd be hard-pressed to find something better in terms of lifestyle and low stress than adult primary care. Work 4 to 4 1/2 days a week. No call. Every weekend off. You can build long-term relationships with patients. They're also going to be in very high demand with the influx of patients and illegal-to-legal immigrants. |
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Posted: 10/26/2013 11:28:43 AM EDT
[#43]
Guys not a doctor.
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Posted: 10/26/2013 11:28:52 AM EDT
[#44]
Quote HistoryQuoted:
My sister is a dermatologist. She bathes in money. She has an armored truck back up to her clinic at the end of the day and she shovels money into the back of it! My dad actually made fun of her when she chose to do that. She has ZERO call and an endless amount of patients. She also does a public service by removing tattoos.
Right now, you'd be hard-pressed to find something better in terms of lifestyle and low stress than adult primary care. Work 4 to 4 1/2 days a week. No call. Every weekend off. You can build long-term relationships with patients. They're also going to be in very high demand with the influx of patients and illegal-to-legal immigrants. Quote HistoryQuoted:
Quoted:
Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"
She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... My sister is a dermatologist. She bathes in money. She has an armored truck back up to her clinic at the end of the day and she shovels money into the back of it! My dad actually made fun of her when she chose to do that. She has ZERO call and an endless amount of patients. She also does a public service by removing tattoos.
Right now, you'd be hard-pressed to find something better in terms of lifestyle and low stress than adult primary care. Work 4 to 4 1/2 days a week. No call. Every weekend off. You can build long-term relationships with patients. They're also going to be in very high demand with the influx of patients and illegal-to-legal immigrants. Dang. Apparently, I chose... Poorly. ETA: but you couldn't pay me enough to go into primary care. That's a slow death that takes 20 years go complete... plus you're absolutely at the mercy of insurance companies. If they cut you out of their network (because you "over-utilize" or "over-refer,") you could actually go out of business, and have to uproot your family and move. Of course, now you have an empty office you'll have to sell or rent... and you're responsible for all those medical records for the next 20 years, so you have to pay to store them... and pay somebody to answer the phone when patients call for the records... and pay to copy/mail the hard-copies... and pay for tail malpractice coverage from your old carrier, while you simultaneously pay for NEW coverage from the next place you move to work. |
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Posted: 10/26/2013 11:49:28 AM EDT
[#45]
Quote HistoryQuoted:
Dang. Apparently, I chose... Poorly. Quote HistoryQuoted:
Quoted:
Quoted:
Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"
She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... My sister is a dermatologist. She bathes in money. She has an armored truck back up to her clinic at the end of the day and she shovels money into the back of it! My dad actually made fun of her when she chose to do that. She has ZERO call and an endless amount of patients. She also does a public service by removing tattoos.
Right now, you'd be hard-pressed to find something better in terms of lifestyle and low stress than adult primary care. Work 4 to 4 1/2 days a week. No call. Every weekend off. You can build long-term relationships with patients. They're also going to be in very high demand with the influx of patients and illegal-to-legal immigrants. Dang. Apparently, I chose... Poorly. I got a buddy that I ride bicycles with. He sells artificial hips and such. He makes 5-8X what the guys installing them makes. All with a four year degree from a state school. If money's what your after there are better paying non hands on jobs in the medical field. |
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Posted: 10/26/2013 11:56:24 AM EDT
[#46]
I know quite a few doctors. None are quitting.
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Posted: 10/26/2013 11:57:04 AM EDT
[#47]
Quote HistoryQuoted: It already is. Cuba has outstanding cash only medical care for foreigners. Thats where canadians go if they can't afford US doctors. Europeans, too. Of course, native cubans have no access, but fuck them. Quote HistoryQuoted: 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? Whats old is new again. Under Batista, Cuba had a booming medical tourism trade. Med care every bit as good as the USA at a fraction of the price. Abortion on demand was popular there for those "in trouble" and with the cash. If they wanted to, Cuba could become a world class medical destination again in less than a generation. Free market and money has a way of filling any void. It already is. Cuba has outstanding cash only medical care for foreigners. Thats where canadians go if they can't afford US doctors. Europeans, too. Of course, native cubans have no access, but fuck them. |
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Posted: 10/26/2013 12:08:08 PM EDT
[#48]
Quote HistoryQuoted:
Dang. Apparently, I chose... Poorly. Quote HistoryQuoted:
Quoted:
Quoted:
Great Googly Moogly... she wants that? The soon-to-be "worst job in American medicine?"
She wants to become the Doc-of-choice for the FSA? The one physician who can't say no? The one physician who is required by federal law to work for free for any Tom, Dick, or Harry that walks in the door, no matter how loud/obnoxious/drunk/threatening they are? And she wants to do all of that with hospital administrators and ER group directors on her back with bullwhip-and-spurs, forcing her to do it faster and faster and faster? All while CMS and "ACOs" are telling her what tests she can and can't order, and all while hordes of litigious patients and ambulance-chasing med-mal attorneys are waiting for the tiniest slip-up? Does she know that despite the fact that so many other entities are making decisions, that she carries the primary liability for bad outcomes? Talk her into Dermatology or Radiology... something.... My sister is a dermatologist. She bathes in money. She has an armored truck back up to her clinic at the end of the day and she shovels money into the back of it! My dad actually made fun of her when she chose to do that. She has ZERO call and an endless amount of patients. She also does a public service by removing tattoos.
Right now, you'd be hard-pressed to find something better in terms of lifestyle and low stress than adult primary care. Work 4 to 4 1/2 days a week. No call. Every weekend off. You can build long-term relationships with patients. They're also going to be in very high demand with the influx of patients and illegal-to-legal immigrants. Dang. Apparently, I chose... Poorly. We both chose poorly. Remember that they are doing procedures all day of one sort or another. Yes, they do sometimes have to spend 30 minutes going over various acne therapies with a patient, but most of what they do is cutting something off and sending it to pathology. Some actually do a derm path fellowship and read their own slides. There are a myriad of cosmetic stuff you can get into like Botox (I do Botox but only for spasticity, blepharospasm/hemifacial spasm, etc). |
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Posted: 10/26/2013 12:13:11 PM EDT
[#49]
Quote HistoryQuoted:
ETA: but you couldn't pay me enough to go into primary care. That's a slow death that takes 20 years go complete... plus you're absolutely at the mercy of insurance companies. If they cut you out of their network (because you "over-utilize" or "over-refer,") you could actually go out of business, and have to uproot your family and move. Of course, now you have an empty office you'll have to sell or rent... and you're responsible for all those medical records for the next 20 years, so you have to pay to store them... and pay somebody to answer the phone when patients call for the records... and pay to copy/mail the hard-copies... and pay for tail malpractice coverage from your old carrier, while you simultaneously pay for NEW coverage from the next place you move to work. That's all going to change now. With Obamacare, the "system" needs to have doctors practicing so jobs will be more secure. There is a lot of flux now with docs trying this or that type of practice, but in a few short years when the music stops playing, there will only be one Obamacare chair left to sit in. This isn't all bad. With the advent of hospitalists, the lifestyle of adult primary care has made a 180 degree turn. |
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Posted: 10/26/2013 12:21:17 PM EDT
[#50]
Quote HistoryQuoted:
We both chose poorly. Remember that they are doing procedures all day of one sort or another. Yes, they do sometimes have to spend 30 minutes going over various acne therapies with a patient, but most of what they do is cutting something off and sending it to pathology. Some actually do a derm path fellowship and read their own slides. There are a myriad of cosmetic stuff you can get into like Botox (I do Botox but only for spasticity, blepharospasm/hemifacial spasm, etc). Not if you believe all that stuff about medicine being a calling and not an occupation. 
Personally I think emergency medicine is a supremely useful skillset to have. But I can imagine that would be of little comfort if work sucks every day. |
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