Posted on 04/01/2014 3:06:08 PM PDT by Oldeconomybuyer
Janis Finer, 57, a popular primary care physician in Tulsa, Okla., gave up her busy practice two years ago to care full time for hospitalized patients. The lure? Regular shifts, every other week off and a 10 percent increase in pay.
Just as millions of Americans are obtaining insurance coverage through the federal health law, doctors like Finer are voting with their feet. Tired of working longer and harder because of discounted insurance payments and frustrated by stagnating pay and increasing oversight, many are going to work for large groups or hospitals, curtailing their practices and in some cases, abandoning primary care or retiring early.
The timing couldn't be worse. "The lack of an adequate primary care infrastructure in the U.S. is a huge obstacle to creating a high-performing health care system," said David Blumenthal, president of The Commonwealth Fund, a health care research foundation.
(Excerpt) Read more at kaiserhealthnews.org ...
It’s going to keep getting worse as they increase costs and cut payments to independent physicians, but hey that’s what bammy and his buds want, restrict supply and you get increased demand for government to care for people.
......they won’t have to pay those exorbitant malpractice premiums.
That's a big part of it too, but there are a number of older Doctors that are just fed up with all the carp and closing shop, period.
There will not be new ones to fill the void.
My son was accepted to medical school the year that SCOTUS issued its decision on Obamacare. He decided that the time and expense was not worth it and declined his acceptance.
And Obama says it’s over......the nightmare is just beginning.
centralization, scarcity... ALWAYS the result of communist ideas. ALWAYS.
Just like AQ being “decimated”, “on-the-run” and “nearly defeated”.
If Zero says the sun will come up in the east tomorrow, you’d better double-check.
The debate is not over, has barely begun, and ZeroCare will be given the heave-ho by this time next year.
HF
My current PCM uses a scribe and I HATE it. Over the last year, I’ve found that I can’t discuss the most personal (and serious) problems with her with that man in the room. I feel like I have no confidentiality, privacy, or dignity with a stranger (who’s name I don’t even know) sitting beside her. I’ve had a female issue for a full year that I’m just coping with because it’s too personal. Once I tentatively brought up having a ‘private’ conversation and I was waived off. “Oh, just ignore him. He’s just there to take notes.” In her defense, she did offer to bring a nurse into the room. (Great. MORE people. That’s what I want.)
In addition, I find that I no longer trust my PCM. There is no sacred ‘doctor-patient confidentiality’ and I don’t know what is between us and what she’s going to blab in my records, a hundred people at my insurance company, or to anyone else in the office.
So issues don’t get addressed.
I can sympathize with these doctors, but let’s be honest here: any time you work in a one-on-one patient care arrangement where the patient doesn’t pay the bills directly, you’re bound to run into all kinds of complications in your business practice that wouldn’t be the case if you were, say, an accountant or a lawyer doing “normal” fee-for-service work.
Depends, it depends a lot on the person. My Father in Law was a CPA and one of the nicest guys around, he always bought the sad story people gave him, or just had a really big heart. After he passed, 90 % of the good loyal customers he cared so much about royally screwed my Mother in Law. But taking your point that is also why a number of Doctors are becoming concierge Doctors or cash only practices.
I don’t know what is between us and what she’s going to blab in my records,...”
Most docs now have a PA who come in and ask all the questions and enter all the answers in the medical records. Then the doctor comes in and asks the same questions again - if you feel you can expand on the answers because they are an M.D., think again. Everything is from your lips to their electronic records. It’s no longer about the patient, it’s about filling in all the data.
Oh, no worries, insurers now know which body parts are the most expensive to insure. So OUT goes your uterus, and is billed as ‘birth control’, no matter what age you are.
"Electronic medical records" are quasi-public documents. Who knows who is going to see them. They can be sent to insurance companies, state government, federal government, or auditors with a keystroke. Not to mention that they are going to be hacked and stolen. I no longer would tell anything to a doctor that I were not willing to see in the newspaper.
If you’re on Medicare, your electronic medical records are going straight to the Center for Medicare and Medicaid Services (part of HHS) in Rockville, Maryland. By law.
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