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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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To: nickcarraway
My doc works for a not for profit. His compensation and benefits are part of the annual report. He is a gp in family practice. Last I looked his take of the till is right at $600k plus nice benefits in an area where most people are poor as church mice. He can't even get a prescription right without it taking three weeks of interventions by me and the diligent pharmacist to get it filled.

I can't muster any sympathy for them being underpaid and can't give two sh-ts for their feelings in most cases.

21 posted on 07/08/2024 2:30:39 PM PDT by Sequoyah101 (The Government that got us in this mess is not the Government that can get us out of it.)
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To: Harmless Teddy Bear
Yes. And nothing didn't get worse including medical records availability. Look who supported the ACA though. That's right, the AMA.

If the damn government was in charge of the Sahara Desert, in five years or less there would be a shortage of sand. There is nothing they can't screw up. The last thing this cluster fluck of a nation did half right was WWII.

22 posted on 07/08/2024 2:53:02 PM PDT by Sequoyah101 (The Government that got us in this mess is not the Government that can get us out of it.)
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To: nickcarraway

Business management? Doctors? The two never met in most cases. If I had run my business like most clinics are run I would have been bankrupt and run out of town on a rail. As far as most docs go with business management and personal finance is does the money coming in hand have more than the money going out hand? That has been all that is required.


23 posted on 07/08/2024 2:58:01 PM PDT by Sequoyah101 (The Government that got us in this mess is not the Government that can get us out of it.)
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To: utax

One of our local cardiologists has a or had a flying Mig-29. Nearly killed him but he had it. This isn’t a big city.


24 posted on 07/08/2024 3:00:35 PM PDT by Sequoyah101 (The Government that got us in this mess is not the Government that can get us out of it.)
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To: xoxox

Just out of general interest, nothing specific, I have noted over many years now that India, Pakistan, and Nigeria seem to produce “qualified” doctors at a high rate that feature almost daily in the UK Daily Mail for sheer homicidal incompetence and for being sex-pests in the NHS horror-abomination that it has become. A benign idea gone horribly wrong (the NHS).

I’m starting to think this is revenge by the former colonies by medicinal warfare.

Perhaps the overflow is hitting the US now.


25 posted on 07/08/2024 4:02:40 PM PDT by Moltke (Reasoning with a liberal is like watering a rock in the hope to grow a building.)
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To: Jim W N
A lot of it has to do with big medical groups and hospitals, some owned by vulture capitalists, now employing doctors because it's too expensive for individual doctors to open their own practices.

That also means a nearly complete loss of independence in judgment: they have to follow the treatment protocol demanded by the group or hospital, not what they think is actually best for you. The protocol is whatever generates the most revenue.

The American medical system is an amazing mass of fraud, waste and abuse and is directly injuring many of the patients it claims to be helping.

It needs to be razed to the ground and replaced with a system like Germany's, which is also a fee-for-service system not a barracks national health scheme like Britain's. Everyone pays in (those not working or retired have the gov pay), one negotiated fee schedule across the whole country, no malpractice insurance, but comprehensive disability coverage. No "in network" "out of network" or "cash price" bull crap. You can change jobs without worrying about your health insurance. No Medicare, no Medicaid, no Workman's compensation, no VA: the gov can just pay for the same insurance if you are old, poor, or a veteran. I lived there for a while and paid 1/10 of what I paid here for the same coverage.

26 posted on 07/08/2024 4:09:33 PM PDT by pierrem15 ("Massacrez-les, car le seigneur connait les siens" )
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To: pierrem15

I never knew this about Germany’s healthcare system. Thank you for the information


27 posted on 07/08/2024 4:17:02 PM PDT by Freee-dame ( )
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To: nickcarraway

Their actual direct pay may be decreasing - I don’t know but I do know that many doctors are part of practices that run test mills that charge thousands and thousands of dollars for most procedures/test they prescribe.


28 posted on 07/08/2024 4:19:40 PM PDT by Gaffer
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To: pierrem15

So, you want us to be the property of the government, with no say in our health.


29 posted on 07/08/2024 4:53:17 PM PDT by nickcarraway
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To: nickcarraway
You can also buy additional insurance if you want, and you can pick your doctor in Germany: you don't even have to check if the doc is "in-network".

Considering the fact that one of the big issues here in changing jobs is possible loss and the fact that last time I looked a fairly standard BCBS policy for myself and my wife was about $22,000/year, the notion that you have a choice in the US in health care is rather quaint.

30 posted on 07/08/2024 5:44:12 PM PDT by pierrem15 ("Massacrez-les, car le seigneur connait les siens" )
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To: pierrem15

I lived in the U.K. for a while. Our system gives a lot more choice than theirs did.


31 posted on 07/08/2024 6:03:30 PM PDT by nickcarraway
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To: pierrem15

Yes, if you change jobs it can be a problem. But at least you can’t lose everything if you disagree with thew government. I live in CA, where they’ve euthanized people.


32 posted on 07/08/2024 6:05:06 PM PDT by nickcarraway
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To: Moltke

Might be a good research topic.


33 posted on 07/08/2024 6:33:25 PM PDT by xoxox
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To: nickcarraway

After they sold their souls during Covid, IDC about their pay. You would’ve expected the inherently decent ethical ones to emerge from the nightmare and revert to being their good ol’ selves.

It didn’t happen where we are. (I don’t know about other places.) It seems that every visit is adversarial, having to deal with their pissy attitudes and/or “I didn’t give a s#it”.


34 posted on 07/08/2024 6:53:03 PM PDT by MayflowerMadam (Bannon didn't kill himself.)
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To: wintertime

Bravo, for saying it like it is. Same in my profession. Men won’t work so hard so cheap.


35 posted on 07/08/2024 7:13:44 PM PDT by JubJub ( )
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To: nickcarraway
It looks that way to me: the UK looks like an HMO with an army field hospital if your really sick.

Germany's system is almost like ours: you pick the doctor, you have a co-pay, etc.

36 posted on 07/08/2024 7:25:41 PM PDT by pierrem15 ("Massacrez-les, car le seigneur connait les siens" )
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To: nickcarraway

We’re slowly moving in that direction. And you can be sure you’ll be shunted off to hospice if your insurance won’t pay for the expensive cancer treatment.


37 posted on 07/08/2024 7:26:53 PM PDT by pierrem15 ("Massacrez-les, car le seigneur connait les siens" )
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To: Sequoyah101

Apollo program...


38 posted on 07/08/2024 7:31:32 PM PDT by kosciusko51
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To: wintertime

Bkmrk.


39 posted on 07/11/2024 5:57:08 AM PDT by who knows what evil? (Hospitals are the most dangerous place on Earth! Dr. David Williams)
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