Quoted: I go to work and shit hits the fan when I come back online!

Dr:

AFARR, you are telling me nothing I don't already know. Shame you had to type all of that!

I figured you, ARDOC, ClayP, E.A.Sr and some others would realize it--just typing for the people who don't understand how it works.

Around here (as I am learning as a resident) reimbursement sucks--UPMC, BC/BS, Medicare, and Medicaid (in multiple disguises as HMO, "insurance", etc). don't pay much at all....the prices I listed (aside from the OR time and CXR/EKG were pretty close to what is billed/reimbursed).

AFARR

Quoted: Dr: AFARR, you are telling me nothing I don't already know. Shame you had to type all of that! I figured you, ARDOC, ClayP, E.A.Sr and some others would realize it--just typing for the people who don't understand how it works. Around here (as I am learning as a resident) reimbursement sucks--UPMC, BC/BS, Medicare, and Medicaid (in multiple disguises as HMO, "insurance", etc). don't pay much at all....the prices I listed (aside from the OR time and CXR/EKG were pretty close to what is billed/reimbursed). AFARR

Yeah, it wasn't worth it to me anymore. Your average person thinks we see nice normal people with nice families who are truly sick or injured. 50% had some form of mental or emotional illness, most were on some sort of gov't program. Just not worth it. I would gladly accept $40 per visit if I could see decent patients and not deal with all the gov't bullshit.

IMO it is going to get much worse before it gets better.

much worse before it gets better

Without a doubt!!

It will take Doctors leaving in droves, massive declines in Med School Enrollment, and probably some Senator's or Representative's Child/Grandchild dying before there is some major overhaul of the system.

Hopefully Malpractice reform comes at the same time.

AFARR