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Why Is Doctor Pay Decreasing and What Can We Do About It?
MEDPAGE TODAY ^ | July 1, 2024 | Jordan Frey, MD

Posted on 07/08/2024 12:05:57 PM PDT by nickcarraway

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1 posted on 07/08/2024 12:05:57 PM PDT by nickcarraway
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To: nickcarraway

When the ACA went into effect, three of the four doctors in the practice retired, and the admin staff went from 3 people (one part-time), to 12, with the remaining doctor selling his practice to a company that he then worked for.


2 posted on 07/08/2024 12:11:21 PM PDT by lepton ("It is useless to attempt to reason a man out of a thing he was never reasoned into"--Jonathan Swift)
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To: nickcarraway

Privatize healthcare like it used to be on the free market in America, the best healthcare system in the world.

Voluntary cooperation directly between doctors and patients with no gov’t in the middle with their hand out for more and more money and sledgehammer out for coercion and force.


3 posted on 07/08/2024 12:13:03 PM PDT by Jim W N (MAGA by restoring the Gospel of the Grace of Christ (Jude 3) and our Free Constitutional Republic!)
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To: nickcarraway
This is a no-brainer:

India becomes the biggest source country for doctors in the US


4 posted on 07/08/2024 12:13:40 PM PDT by xoxox
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To: nickcarraway
Simple. The conversion to corporate medicine has been in full swing for decades.

The nanny state has too many regulations and paperwork which has to be filled out rigorously, or it is felony time for a physician.

So half or more of health care costs go to "administrators".

5 posted on 07/08/2024 12:14:38 PM PDT by marktwain (The Republic is at risk. Resistance to the Democratic Party is Resistance to Tyranny. )
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To: nickcarraway

What to do about it?

One answer: Admit fewer women to medical school. As the number of women increases in a profession, its prestige ( and salaries) decrease.

Ok...I will now read the article and, (maybe), make a few more comments.

Dr. Wintertime ( a woman)


6 posted on 07/08/2024 12:15:22 PM PDT by wintertime ( Behind every government school teacher stand armed police.( Real bullets in those guns on the hip!))
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To: nickcarraway
Get rid of LBJ's add on to FDR's Unconstitutional Ponzi scheme AKA Medicare, and let market forces work.

I defy anyone to show me an example of a centrally planned, government managed program that made things better, cheaper, and easier to access, without destructive side effects which ultimately destroy the very services they regulated while bankrupting the government that instituted it.

NHS, I am looking at you.

7 posted on 07/08/2024 12:18:33 PM PDT by SecondAmendment (The history of the present Federal Government is a history of repeated injuries and usurpations ...)
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To: nickcarraway

A plastic surgeon complaining about pay!

Notice how he doesn’t actually cite their current pay levels.


8 posted on 07/08/2024 12:19:36 PM PDT by 9YearLurker
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To: nickcarraway

Why dropping? Less qualified as DEI hires and 3rd world education. They are also now employees rather than independent professionals.


9 posted on 07/08/2024 12:19:53 PM PDT by Reno89519 (I'll go out on a limb: Trump & Gabbard 2024 or Trump & Sanders 2024)
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To: nickcarraway

HIPPA followed by Obamacare massively increased the administrative costs with massive increases in medical care documentation.

My nephews wife is the Infectious Disease head at a major metro NYC hospital. She used to be an employee and then they made her job. and her, very much like a consultant.

She can be on her computer from the time she gets home to when dinner is ready, and return to her computer many times after dinner and somtimes till bedtime - completing all her notes on all her work at the hoispital that day.

My cardiologists sits talking to his cumputer - more than me - during our visits, using software that turns his speaking into text, to help him document his required notes for the day.

All part of the exploded administrative overhead across all health care. Why? HIPPA and Obamacare together added to what Medicare demands and the insureance companies doubled up on that to be sure coverages would fist get acceped by Medicare.


10 posted on 07/08/2024 12:20:29 PM PDT by Wuli
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To: nickcarraway

Re: Business Education

The professional schools should stick to the education of the profession. It is what they know well. Business education is better acquired from people with experience in diverse types of successful businesses.

Before opening my office, I spoke with other established professionals in my field. One question of several I asked was, “ If you could start over, what would you **not** do?” I made certain to **never** do what had caused my fellow professional so much regret.


11 posted on 07/08/2024 12:34:38 PM PDT by wintertime ( Behind every government school teacher stand armed police.( Real bullets in those guns on the hip!))
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To: nickcarraway

Any time a profession is over-weighted with women salaries go down. It’s been true of every profession women have taken over since the early nineteen hundreds.


12 posted on 07/08/2024 12:37:02 PM PDT by GOPJ
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To: lepton
Yep.

Most doctors are owned by a hospital that is a part of a multi-state conglomerate. There are almost no private practices any more.

The amount of paperwork has tripled and ACA put the insurance companies firmly in the drivers seat. Do you have a medical condition that you have been getting treated for your whole life? Every couple of years now the insurance company has the power to force your doctor to justify continuing to treat you.

13 posted on 07/08/2024 12:43:46 PM PDT by Harmless Teddy Bear ( Roses are red, Violets are blue, I love being on the government watch list, along with all of you.)
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To: nickcarraway

Halt insurance rate hikes. But since the jab 60% can go becomes PAs or less fir all I care!-


14 posted on 07/08/2024 1:01:46 PM PDT by Harpotoo (Being a socialist is a lot easier than having to WORK like the rest of US:-))
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To: 9YearLurker

“A plastic surgeon complaining about pay!

Notice how he doesn’t actually cite their current pay levels.”

And the brain surgeon who bought two dogs at $150,000 per.


15 posted on 07/08/2024 1:18:55 PM PDT by utax
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“Realistically, however, there’s no quick or easy solution to the issue of compensation at a systems level.”

Hire more foreign medical grads (FMGs), which is what corporations are doing.

Pretty soon all your “providers” are minorities, FMGs, nurse practitioners and PAs. Good luck with that.

Med malpractice lawyers is a growth business.


16 posted on 07/08/2024 1:46:44 PM PDT by bkopto
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To: nickcarraway
WRVUs and productivity oh my!

The perfect storm for the medical professional. Pressures of reduced reimbursement for services coupled with ever increasing patient load brought on by being employed by hospitals.

17 posted on 07/08/2024 1:48:54 PM PDT by buckalfa (Gut feelings are your guardian angels)
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To: utax

Ha—that, too!


18 posted on 07/08/2024 1:52:38 PM PDT by 9YearLurker
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To: nickcarraway
LOL. All I can say is "get in line, bub". I was here first.

19 posted on 07/08/2024 2:18:21 PM PDT by Governor Dinwiddie (LORD, grant thy people grace to withstand the temptations of the world, the flesh, and the devil.)
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To: nickcarraway

Dr visits sure hasn’t gone down in price.


20 posted on 07/08/2024 2:19:17 PM PDT by roving (Deplorable Erectionists Listless Vessel )
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