India becomes the biggest source country for doctors in the US
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.
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.
India becomes the biggest source country for doctors in the US
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".
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)
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.
A plastic surgeon complaining about pay!
Notice how he doesn’t actually cite their current pay levels.
Why dropping? Less qualified as DEI hires and 3rd world education. They are also now employees rather than independent professionals.
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.
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.
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.
Halt insurance rate hikes. But since the jab 60% can go becomes PAs or less fir all I care!-
“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.
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.
Dr visits sure hasn’t gone down in price.
I can't muster any sympathy for them being underpaid and can't give two sh-ts for their feelings in most cases.
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.
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.
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”.