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More Docs Plan to Retire Early [Doctors are shrugging at Obamacare]
everydayhealth.com ^ | March 22, 2013 | David Pittman

Posted on 03/22/2013 10:25:39 AM PDT by grundle

WASHINGTON — THURSDAY, March 21, 2013 (MedPage Today) — Most physicians have a pessimistic outlook on the future of medicine, citing eroding autonomy and falling income, a survey of more than 600 doctors found.

Six in 10 physicians (62 percent) said it is likely many of their colleagues will retire earlier than planned in the next 1 to 3 years, a survey from Deloitte Center for Health Solutions found. That perception is uniform across age, gender, and specialty, it said.

Another 55 percent of surveyed doctors believe others will scale back hours because of the way medicine is changing, but the survey didn't elaborate greatly on how it was changing. Three-quarters think the best and brightest may not consider a career in medicine, although that is an increase from the 2011 survey result of 69 percent.

"Physicians recognize 'the new normal' will necessitate major changes in the profession that require them to practice in different settings as part of a larger organization that uses technologies and team-based models for consumer (patient) care," the survey's findings stated.

About two-thirds of the survey responders said they believe physicians and hospitals will become more integrated in coming years. In the last 2 years, 31 percent moved into a larger practice, results found. Nearly eight in 10 believe midlevel providers will play a larger role in directing primary care.

Four in 10 doctors reported their take-home pay decreased from 2011 to 2012, and more than half said the pay cut was 10 percent or less, according to Deloitte. Among physicians reporting a pay cut, four in 10 blame the Affordable Care Act (ACA), and 48 percent of all doctors believed their income would drop again in 2012 as a result of the health reform law.

Other findings:

26 percent believe Medicare's sustainable growth rate formula will be repealed in the next 1 to 3 years One in 10 believe medical liability reform will pass Congress in the next 1 to 3 years A quarter of physicians would place new or additional limits on accepting Medicare patients if there were payment changes 55 percent of physicians believe the hospital-doctor relationship will suffer as admitting privileges are put at risk to comply with hospital standards of meaningful use 31 percent gave the U.S. healthcare system a favorable grade of "A or B" compared with 35 percent in 2011

Despite those pessimistic views, seven of 10 said they were satisfied about practicing medicine, although that number was lower for primary care providers and higher for younger age groups, the survey found. Dissatisfaction was attributed toward less time with patients, long hours, and dealing with Medicare, Medicaid, and government regulations.

Speaking of the ACA, fewer physicians (38 percent in 2012) believe the ACA is a step in the wrong direction compared with 44 percent in 2011. The number who think the law is a good place to start remained the same.

Two-thirds of physicians in the Deloitte survey say they use an electronic health record (EHR) that meets meaningful use stage 1 requirements, but that number has been lower in other surveys. Three in 5 respondents were satisfied with their EHR.

Deloitte mailed the survey to more than 20,000 physicians selected from the American Medical Association's master file. Just 613 returned completed surveys, giving a margin of error of 3.9 percent at the 0.95 confidence level.

Source: Survey: More Docs Plan to Retire Early


TOPICS: Miscellaneous
KEYWORDS: bhohealthcare; fallout; obamacare; physicians
I remember in "Atlas Shrugged" there was something about how you'd have to be crazy to go under the knife by a doctor who was being forced to perform the surgery at the point of a government gun. Obamacare never took into account how it would affect doctors. Obama thinks that health care comes from IRS agents, bureaucrats, and lawyers. He doesn't seem at all concerned about actual doctors.
1 posted on 03/22/2013 10:25:39 AM PDT by grundle
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To: grundle

Doctors in the USSR didn’t get paid beans. Their health care was third-world bad.


2 posted on 03/22/2013 10:27:27 AM PDT by henkster (I have one more cow than my neighbor. I am a kulak.)
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To: grundle

I asked my doctor to sign a form for work the other day he pulled out a thermometer and said some a hole has my pen


3 posted on 03/22/2013 10:27:54 AM PDT by al baby (Hi Mom)
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To: grundle
I just found out that My endocrinologist is getting out, closing her practice. I live rural, and the next closest one will be an hour away. FUBOx10

CC

4 posted on 03/22/2013 10:29:25 AM PDT by Celtic Conservative (Hey liberals, what part of "unalienable" don't you understand?)
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To: grundle

I dream of the day when Obama will be sentenced to a lifetime of Obamacare.


5 posted on 03/22/2013 10:33:01 AM PDT by Huskrrrr
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To: Huskrrrr

The Bolsheviks at the DNC knew the numbers didn’t add up.(and never will) Part of the scheme was to bring in third world Doctors with 3rd world credentials to work for Peanuts while forcing out all but the true Cool Aide drinking Doctors and their high salaries.


6 posted on 03/22/2013 10:52:15 AM PDT by DAC21
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To: al baby

“I asked my doctor to sign a form for work the other day he pulled out a thermometer and said some a hole has my pen”

Ba-Dum-Bump


7 posted on 03/22/2013 11:01:29 AM PDT by Brooklyn Attitude (Obama being re-elected is the political equivalent of OJ being found not guilty.)
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To: grundle

What a joke. They take a survey and ask doctors what they think other doctors will do? Why didnt they just ask the doctors themselves what they plan to do?


8 posted on 03/22/2013 11:04:23 AM PDT by Brooklyn Attitude (Obama being re-elected is the political equivalent of OJ being found not guilty.)
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To: Brooklyn Attitude

Retiring early OR, switching to the concierge model of practice, thereby making quality healthcare available ONLY to those who can pay cash for it. That’s what I’m seeing out there.

Primary care will be handled by mid-levels.


9 posted on 03/22/2013 11:06:37 AM PDT by LibsRJerks
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To: Brooklyn Attitude
What a joke. They take a survey and ask doctors what they think other doctors will do? Why didnt they just ask the doctors themselves what they plan to do?

I asked my doctor and he said he planned to retire much earlier than originally planned. Said that obamacare and retirement was just about the only subjects to come up when he talks to his colleagues.

10 posted on 03/22/2013 11:09:11 AM PDT by AmusedBystander (The philosophy of the school room in one generation will be the philosophy of government in the next)
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To: Brooklyn Attitude

They don’t have to ask them if they’re going to retire early. They are already doing it. You’re going to be shocked a year or two from now when the numbers start coming out.


11 posted on 03/22/2013 11:14:57 AM PDT by ladyjane (For the first time in my life I am not proud of my country.)
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To: grundle

In my quarterly appointment earlier this month, my internist got sidetracked into a rant regarding all the changing regulations with the insurance companies and pharmaceutial companies. He said it was enough to make him consider early retirement.

Most of the Obamacare regs don’t really hit until next year. That is when we may see chaos in the medical profession — health facilities closing, physicians dropping out, patients getting reduced care, etc.


12 posted on 03/22/2013 11:15:31 AM PDT by TomGuy
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To: AmusedBystander

“I asked my doctor and he said he planned to retire much earlier than originally planned. Said that obamacare and retirement was just about the only subjects to come up when he talks to his colleagues.”

I used to think doctors had it pretty sweet but mine told me with the regulations and having to input evertyhing on computers he works 12-14 hours every day and he makes about what I do. He is probably in his early 60’s and has had enough so he is getting ready to retire.


13 posted on 03/22/2013 11:19:27 AM PDT by Brooklyn Attitude (Obama being re-elected is the political equivalent of OJ being found not guilty.)
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To: Huskrrrr
I dream of the day when Obama will be sentenced to a lifetime of Obamacare.

Yeah, sure...he's rich and he's exempt.

14 posted on 03/22/2013 11:26:20 AM PDT by hattend (Firearms and ammunition...the only growing industries under the Obama regime.)
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To: AmusedBystander
I asked my doctor and he said he planned to retire much earlier than originally planned. Said that obamacare and retirement was just about the only subjects to come up when he talks to his colleagues.

Dittos from my doctor friend. He is a neo-natal surgeon. He's getting out early as well.

15 posted on 03/22/2013 11:28:07 AM PDT by hattend (Firearms and ammunition...the only growing industries under the Obama regime.)
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To: AmusedBystander

I should have added - this survey sent questionnaires to the AMA master file. I assume that includes AMA members and former members.

Any where from 22% to 29% of physicians belong to AMA. Plus, 77% of physicians say AMA does not represent their views. The survey is meaningless.

What will be meaningful is the number of physicians who cut back and retire starting this year.


16 posted on 03/22/2013 11:29:45 AM PDT by ladyjane (For the first time in my life I am not proud of my country.)
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To: grundle
Part of the plan to replace them with first-class affirmative-action doctors.

They are just as good as the real thing. Honest.

17 posted on 03/22/2013 11:38:54 AM PDT by E. Pluribus Unum ("Somebody has to be courageous enough to stand up to the bullies." --Dr. Ben Carson)
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To: grundle

The original plan was to destroy the current system of healthcare and replace it with a government run system.


18 posted on 03/22/2013 11:39:38 AM PDT by I want the USA back (Pi$$ed off yet?)
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To: grundle

We are going to end up with foreign born and educated doctors prevalent in the system.


19 posted on 03/22/2013 11:46:15 AM PDT by SWAMPSNIPER (The Second Amendment, a Matter of Fact, Not a Matter of Opinion)
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To: DAC21

Sounds like a plan.......from Hell.


20 posted on 03/22/2013 11:56:10 AM PDT by Huskrrrr
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To: SWAMPSNIPER; E. Pluribus Unum

There won’t even be enough foreign born/educated doctors to fill the gap. What you will end up with has already begun - clinics staffed by Physician’s Assistants who open up their computer, enter your name, all the symptom information you provide and out pops treatment guidelines and a list of meds you are allowed to have.

The information you provided is then downloaded into a massive data base of information in Washington which bean counters use to establish allowable levels of care based on your sex, age, race and diagnosis.


21 posted on 03/22/2013 12:28:39 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
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To: grundle

In all the debate over Obamacare (which I loathe), nobody seems to point out that doctors don’t exactly have clean hands. They are partially responsible for bringing this monstrosity on all of us.

Why? Widespread acceptance of insurance. They could charge more if someone other than the patient was paying. Well, they charged more.

So now we’re at the point where my friend, who just spent three weeks in Cedars-Sinai Hospital here in Los Angeles for a burst appendix, has a bill for $400,000.

Isn’t anyone else just a little mad at that? At the doctors? At the hospitals? At our current system?

The medical insurance system was, as the lefties love to say, simply not sustainable. So now they get government intervention. What on earth did the AMA expect? What else did any of us expect?


22 posted on 03/22/2013 12:34:10 PM PDT by Blue Ink
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To: grundle

“Two-thirds of physicians in the Deloitte survey say they use an electronic health record (EHR) that meets meaningful use stage 1 requirements, but that number has been lower in other surveys. Three in 5 respondents were satisfied with their EHR. “

What a laugh, this “scientific” poll is a load of cr@p!This survey says 2/3’s of respondents were satisfied with their EHR but The New England Journal of Medicine Feb 2013 says 88% of ALL docs have not attained Meaningful Use Stage 1 requirements, the earliest and EASIEST level to be attained.

And other estimates say that the Meaningful Use Stage 2 and 3 MAY NEVER BE ATTAINED BY 75% of that same group of Stage 1 attainers if the requirements for those stages remain as currently presented.


23 posted on 03/22/2013 12:39:23 PM PDT by Cyman
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To: Grams A
There won’t even be enough foreign born/educated doctors to fill the gap.

It would be racist to replace them with qualified doctors anyway.

The health care system is now a make-work program for Eric Holder's people, just like the public "education" system and the United States Postal System before it.

Reparations!

24 posted on 03/22/2013 12:40:12 PM PDT by E. Pluribus Unum ("Somebody has to be courageous enough to stand up to the bullies." --Dr. Ben Carson)
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To: hattend
I dream of the day when Obama will be sentenced to a lifetime of Obamacare.

Yeah, sure...he's rich and he's exempt.
M

I heard on the news yesterday that one congressman (Ted Cruz maybe) was putting an amendment into the budget to include 0bama, Bite-me, congress and all the WH staff to be covered under 0bamacare. Either Rush of Hannity mentioned it yesterday.

25 posted on 03/22/2013 12:42:16 PM PDT by YankeeReb
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To: grundle

The union beaurocrat social workers that simply determine eligibility can make more in wages and benefits than Doctors. And they didn’t have to get all the education and take risk along with hard work for a practice. But when something needs to be cut, the public employee unions keep theirs and get the Doc and patients cut.


26 posted on 03/22/2013 12:51:31 PM PDT by Rusty0604
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To: DAC21

That’s what UK did and I believe it was there that they found some purposeful malpractice.


27 posted on 03/22/2013 12:52:58 PM PDT by Rusty0604
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To: grundle

Obamacare did so take doctors into account. Remember how the president said it’d stop them hacking off feet for a quick buck? Doctors, like all other independent, potentially self-supporting professionals are the enemy. They’re only whining because they won’t be able to bulk you as easily./s


28 posted on 03/22/2013 1:20:52 PM PDT by Tublecane
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To: grundle

Since last Fall 4 of my doctors have retired.


29 posted on 03/22/2013 1:46:50 PM PDT by Vinnie
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To: hattend

muzzies are exempt too so it wouldn’t make any difference.
How convenient.


30 posted on 03/22/2013 2:06:22 PM PDT by LFOD (Formerly - Iraq, Afgahnistan - back home in Dixie.)
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To: grundle

Why would any American physican choose to become incompetent and poor (turd world) for crazy politicans?

Older American doctors are geared towards improving and saving human life; not killing and neglecting in liberalism’s zero sum “collective.” Most have watched what has happened in the West’s socialized medicine places and thanked their lucky stars they are Americans even though the HMO scheme was a pain.

I know five who have already retired earlier than they would have. I know more who are waiting to see. It is going to be bad. There is a shortage of docs. bringing up the rear to replace this generation of doctors. I can’t imagine any of our really good doctors allowing a hospital to murder death panel targeted patients via no food and water while they moan in their beds. And tolerating the Union rush to the bottom like happened in education? Holy moley.


31 posted on 03/22/2013 2:48:11 PM PDT by SaraJohnson
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To: brundle

I understand that hospital patients get charged 5 times cost to cover the hospitals losses for their required treatment of nonpaying patients; similar to the banks being required to loan to sub-sub-prime applicants; similar to colleges and employers being required to accept unqualified applicants, etc. Blaming doctors, hospitals, bankers, colleges, employers, etc, for problems caused by their obeying socialist laws is leftist logic; also reference communist double speak, critical theory, and useful idiots.


32 posted on 03/22/2013 3:22:48 PM PDT by RHS Jr (Pity the banksters when Jesus comes)
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To: Tublecane

Great point by you in post 28.


33 posted on 03/22/2013 4:17:51 PM PDT by grundle
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