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Eyes Bloodshot, Doctors Vent Their Discontent
NY Times ^ | June 17, 2008 | SANDEEP JAUHAR, M.D.

Posted on 06/16/2008 11:20:42 PM PDT by neverdem

“I love being a doctor but I hate practicing medicine,” a friend, Saeed Siddiqui, told me recently. We were sitting in his office amid his many framed medical certificates and a poster of an illuminated lighthouse that read: “Success doesn’t come to you. You go to it.”

A doctor in his late 30s, he has been in practice for six years, mostly as a solo practitioner. But he told me he recently had decided to go into partnership with another cardiologist; his days, he said, will be “totally busy.”

“Your days aren’t busy enough already?” I asked.

The waiting room was packed. He had a full schedule of appointments, and after he was done with his office patients, he was going to round at two hospitals.

He smiled wanly. “Just look at my eyes.”

They were bloodshot.

“This whole week I haven’t slept more than about six hours a night.”

I asked when his work usually got done.

“It is never done,” he replied, shaking his head. “See this pile?”

He pointed to five large manila packages on a shelf above his desk. “These are reports I still have to finish.”

As a physician, I could empathize. I too often feel overwhelmed with paperwork. But my friend’s discontent seemed to run much deeper than that. Unfortunately, he is not alone. I have been hearing physician colleagues voice a level of dissatisfaction with medical practice that is alarming.

In a survey last year of nearly 2,400 physicians conducted by a physician recruiting firm, locumtenens.com, 3 percent said they were not frustrated by nonclinical aspects of medicine. The level of frustration has increased with nearly every survey.

“It will take real structural change in the work environment for physician satisfaction to improve,” Dr. Mark Linzer, an internist at the University of Wisconsin...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; News/Current Events
KEYWORDS: dissatisfaction; physicians; satisfaction
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1 posted on 06/16/2008 11:26:11 PM PDT by neverdem
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To: neverdem
The article is a little light on giving the reasons why the doctors are unhappy with their jobs. But it sounds like it is mostly related to the means of payment, insurance and Medicare, and the restrictions and hassles that come from those.
2 posted on 06/16/2008 11:44:54 PM PDT by FreePoster
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To: neverdem

That’s what happens when you get government between patient and doctor...


3 posted on 06/16/2008 11:45:44 PM PDT by DB
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To: neverdem

“The waiting room was packed. He had a full schedule of appointments, and after he was done with his office patients, he was going to round at two hospitals.

“This whole week I haven’t slept more than about six hours a night.”

I asked when his work usually got done.

“It is never done,” he replied, shaking his head. “See this pile?”

He pointed to five large manila packages on a shelf above his desk. “These are reports I still have to finish.””


All too familiar. In retirement, the only thing I miss is helping my patients.


4 posted on 06/16/2008 11:53:04 PM PDT by Rudder
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To: FreePoster
But it sounds like it is mostly related to the means of payment, insurance and Medicare, and the restrictions and hassles that come from those.

Without income your office can't stay open--it takes 50% or more of gross. Without hefty malpractice insurance you get no privileges at the hospital.

5 posted on 06/16/2008 11:59:03 PM PDT by Rudder
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To: neverdem

We already have socialized medcine in the US, thanks to medicaid/medicare/forced treatement of indigents. Insurance cos and scumbag ambulance chasing lawyers add to it.

What a mess. But our politicos aka the Ruling Class get the best (e.g. Sen. Kennedy’s treatment). They breaking point is close, and God help the scum who brought us here, because me and mine and most of like mind (e.g., freepers and lizards) won’t.


6 posted on 06/17/2008 12:35:15 AM PDT by piytar
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To: FreePoster

It is, but it boils down to one thing...physicians spending higher and higher proportions of their time filling in paperwork that PROVES they are doing a good job, as opposed to actually DOING a good job by healing patients.


7 posted on 06/17/2008 12:43:32 AM PDT by Vanders9
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To: piytar
"We already have socialized medcine in the US, thanks to medicaid/medicare/forced treatement of indigents">

A 10.6 percent cut in Medicare payments to physicians is scheduled to take effect on July 1. Further cuts are planned in coming years. Many doctors have told lawmakers that if the cuts go through, they will stop seeing Medicare patients.

But one of the reasons liberals are looking to socialize medicine. Make doctors employees of the state, and then you control their salaries. You can keep driving reimbursements down, you can continue to make them see more patients, and you can continue to make yourself sleep well at night knowing you're giving (substandard) healthcare to all. Including the 40% of our ininsured who are illegal immigrants.

I've talked to quite a few doctors who are considering going to cash only clinics. We'll see if that continues to be the trend.
8 posted on 06/17/2008 12:48:50 AM PDT by CaspersGh0sts
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To: neverdem

It is indeed tough. The other day I was walking into a liquor store, and saw my GP standing outside the door, panhandling for loose change.


9 posted on 06/17/2008 1:10:25 AM PDT by Mr Ramsbotham (Barack Obama--the first black Jimmy Carter.)
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To: Mr Ramsbotham

Don’t be surprised.


10 posted on 06/17/2008 1:13:00 AM PDT by neverdem (I'm praying for a Divine Intervention.)
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To: CaspersGh0sts

Yup. As far as this statement goes: “I’ve talked to quite a few doctors who are considering going to cash only clinics. We’ll see if that continues to be the trend.” Of course it will, that is until the libs ban that type of practice. The political elites will still get the best treatment, but us private citizens will get squat. The irony is that such a system will degrade the entire health care industry to the point that there won’t be the skill set taught to provide even the political elites with top notch care, but we will be screwed well before they feel the pain. That is, unless we reverse the trend. I believe that such will take a minor revolution akin to what happened in the US post Pealr Harbor. However, that is exactly what is coming. An Obama win will speed it by making things even worse sooner, but it is looking inevitable in any case.

(What, haven’t heard about the post Pearl Harbor situation that I am referencing? No surprise there. The libscum dominated “education” system has buried the facts of what happened. Talk to someone who went through it as a kid if you can find them. The Geatest Generation rejected libdolts wholesale - including by shunning and even lynching them - and that is why we became the power that we are.)


11 posted on 06/17/2008 1:14:41 AM PDT by piytar
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To: DB
"That’s what happens when you get government and lawyers between patient and doctor...
12 posted on 06/17/2008 1:27:37 AM PDT by Lancey Howard
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To: FreePoster
Anyone who creates, repairs, designs, produces, or does any kind of constructive work today has to acknowledge the reality that their effort must be sufficient to support at least another hundred dingbats who can't be bothered to get educated and become productive.

Eventually, Atlas will shrug, either from self defense or from exhaustion.

13 posted on 06/17/2008 1:27:38 AM PDT by meadsjn (Socialists promote neighbors selling out neighbors; Free Traitors promote just the opposite.)
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To: Lancey Howard

The laws are written by lawyers for lawyers...


14 posted on 06/17/2008 1:29:09 AM PDT by DB
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To: Vanders9

I smell government in there somewhere.


15 posted on 06/17/2008 1:49:39 AM PDT by FreePoster (Political correctness will not die of its own sickness. It has to be killed by the ideas of freedom.)
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To: piytar
As far as this statement goes: “I’ve talked to quite a few doctors who are considering going to cash only clinics. We’ll see if that continues to be the trend.” Of course it will, that is until the libs ban that type of practice

I am one of those cash paying patients. that type of practice is essentially banned already. It takes a lot of work to find a doctor that will take on a cash patient. Most won't touch you because it violates some contract between them and the insurance company. Physicians in private practice may see you, but if they are in partnership(s), most won't.

And this all plays into the lib system. I think I wrote here back in Feb. about fearing I was having the early warning signs of a heart attack. Went to my 'private practice' doctor to get checked out. Was properly diagnosed as nothing nearly that serious, paid cash, followed doctors orders and have been fine.

Except for one thing...one of the girls tried to submit a claim to an old insurance of record. Of course I received a copy of denial of the claim, which should have never been filed, I paid cash at time of service. There was nothing due when I walked out of the office. When I inquired as to why they would try to file a claim...they "had to report it" to someone for their insurance record! Even though I walked in, paid cash, and am self-insured my visit to the doctor was still not private.

16 posted on 06/17/2008 2:31:21 AM PDT by EBH ( ... the riotousness of the crowd is always very close to madness. --Alculin c.735-804)
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To: FreePoster

I smell politics generally. Health, like Education, is now a political football. Everyone is desperate to prove that these essential services are safe in their hands, and so there is enormous pressure to perform. Now, it is much easier to produce statistics than results. Much easier to “adjust” passrates than teach students well, yet to casual observation it looks just as good.

Form over substance my friend, form over substance. That is the mantra of the modern world.


17 posted on 06/17/2008 3:04:18 AM PDT by Vanders9
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To: DB

Exactly.


18 posted on 06/17/2008 3:12:27 AM PDT by freekitty (Give me back my conservative vote.)
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To: Rudder
Without hefty malpractice insurance you get no privileges at the hospital.

This infuriates me.

Doctors help people. Directly. They have reduced suffering to me and those I love when we were ill.

The fact that lawyers suck at the trough so they can live in a McMansion and buy a Hummer every 2 years is an outrage.

19 posted on 06/17/2008 3:18:05 AM PDT by SkyPilot ("I wasn't in church during the time when the statements were made.")
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To: piytar
What, haven’t heard about the post Pearl Harbor situation that I am referencing? No surprise there. The libscum dominated “education” system has buried the facts of what happened. Talk to someone who went through it as a kid if you can find them. The Geatest Generation rejected libdolts wholesale - including by shunning and even lynching them - and that is why we became the power that we are.

Count me among those that have never heard. Unfortunately, I'm short on people who went through it as kids. Can you point me to a resource or reference?

20 posted on 06/17/2008 4:52:22 AM PDT by Terabitten (Virginia Tech Corps of Cadets - E-Frat '94. Unity and Pride!)
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