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@guest159 The other thing is that Obamacare adds another level of administration fees. It's not going to get cheaper, it's going to get more expensive to run healthcare. And because of the actual medicaid reimbursements being so low, a lot of medicaid/medicare patients aren't able to see doctors now, many only can see a PA. And while their training is often exceptional, they don't have all the training and knowledge of the doctor.
1 year, 12 months ago on The “right” to healthcare does not require a doctor to work for free
@Doc in Training @kidneykim Exactly!
@Works with doctors @Narayanachar Murali If you read this carefully you'd know that Dr. Smith did not quit being a doctor. He quit doing a certain procedure and he quit accepting certain patients. He said that, "the angriest patients I’ve ever encountered were the Medicare patients I subsequently treated with no charge whatsoever. My providing charitable care elicited patient rage like none I’ve encountered since." I can believe it too. I've been in many hospitals waiting for care with my special needs child. And a lot of patients who get Medicaid are very demanding and angry. Why would doctor's want to treat patients who act that way? Especially when getting paid for Medicaid is pennies on the dollar for a doctor. Their practices can't make it with those payments. I had a friend in private practice who went out of business because he couldn't pay his office bills and he wasn't taking a big salary. If I were a doctor, I'd take patients who treated me with respect - and the rest could find someone else to treat them.
@Process2Succeed I agree! People buy life insurance, car insurance, homeowners insurance (or not) and choose to live with the consequences should something happen that they don't save for. They also should expect to purchase health insurance or save up for expenses OR live with the consequences. Is it a doctor's fault that people choose to purchase iphones, ipads, big screen tvs, and on and on, instead of paying for insurance or saving their money for their healthcare OR even taking care of their bodies, by not smoking, not drinking to excess, exercising, and eating healthy? People have a right to pursue their own happiness (even doctors). Everyone has the right to work for whatever he or she wants (not everybody except doctors). When people stop working for things themselves (ie reliance on the government dole) then they forfeit their rights. Rights are things you are free to work for, for yourself.
@DaveKerns @GShelton the other problem is... if it is such a wonderful plan, how come the senate, house, and president are exempt from it? Why do they think they should have "premier service?" If everyone else in the US is required to be in the plan - they should be first ones in!
@jtrombley Doctors do not have tax subsidized education! That is pure fallacy. The only ones who do are those who are in the system to "balance" the minority share of the school. Unfortunately those who don't make it in with their grades, don't always make it through the system. More and more medical students are coming in from overseas (THEY get the cost breaks / or their country of origin pays them to go to US schools). Many of the foreign medical students choose not to go back to their lives in their home countries either.
$47.5 per hour? That's less than $100,000.00 per year! How does a doctor pay off their $200k + interest medical school debt with that?
I'm not a doctor, I do know several though. And just because you can use a computer to type doesn't mean you know anything about health care reform either! Whatever your occupation, let's just say your boss decides that come January 1, 2013 your salary will be cut a minimum of 21%! Will you still be able to pay your bills? "Affordable Health Care" is expected to cut payments to hospital by something like 30-40% on January 1st and additionally cut doctor's salaries by 21%. A lot of people besides doctors work at hospitals. There are going to be layoffs, there will be a decrease in care. It is coming - it's what has been voted for. And it's ignorant to think that someone who spends their life to become a doctor would ever be able to make enough money to pay for the loss of those extra 10 or more years of education, the loss of 10 years of vacations, maybe the sacrifice of family - to call those who sacrifice so much to care for you greedy. Choose your doctor wisely. If you act like he's not worth the money he makes, he'd be justified in telling you to find someone else to treat you. If you think he's not worth the money, go to medical school yourself!
@RAL I agree. And would you expect to get good care if a doctor were truly practicing 24 hours a day, 365 days a year? Even doctors need to sleep and hopefully have some family life. One 6 hour surgery a day would be pretty draining - they aren't allowed to scrub out during surgery! No eating, no drinking, no toilet breaks. Would you want to be the second patient of the day after a 6 hour surgery? Not all doctors are surgeons either. The funny thing is... the medical bill doesn't all go to the doctor! Hospitals have to pay a large staff to run a facility: nurses, ER technicians, secretaries, receptionists, maintenance staff, laundry services, paper products, drugs, computers,etc. Doesn't anyone work for a business and understand how the sale of a product pays for electricity, heating, phone service, etc. I don't think the nurses, techs, or any of the other hospital staff will work for free either! As a matter of fact, I don't think the bagger or cashier at the grocery store, the farmer who brings in the produce, the trucker who drives food to the store or anyone else at whatever job they do will continue to do it for free. All basic needs are not basic rights. Everyone still expect to pay for groceries, gas, clothing, homes? These are basic needs, but aren't free - nor should they be. The cost of gas is increasing the cost of all these things. Bad policies in Washington, are increasing the cost of living. Regardless, doctor's don't get free education to become doctors - so why are they being vilified for expecting to be paid at a rate commensurate with their education. Politicians and lawyers should have their salaries unilaterally slashed first - that would decrease the cost of business by much more than medicine. And I'm not even a doctor although i have studied economics.
The majority of doctors do not line their pockets... they pay huge taxes and try to pay off $150k to $200k medical school debt. Do you have a home mortgage? Do you know how interest works? How long would it take you to pay off that debt (which is like having a really nice second house)? 30 years? Why shouldn't doctor's be paid enough to afford to have a family, a home, and pay off their debt, without being vilified? Are there doctors who live like kings? Sure. Are there basketball players, movie stars, singers, football players, CEOs, lawyers and politicians, etc. who live disgustingly extravagant lives (way more than most doctors!) Most doctors I know don't live like kings with multiple castles and servants. Most doctors live in middle class homes, driving middle class cars. Look around with your eyes open! But no one screams about how ridiculously expensive it is to go to a Superbowl game or playoff game of any sport. Even those who are supposedly dirt poor, still afford big screen tvs and iphones? But they scream about having to pay a doctor?
By the way, I'm not a doctor. Lots of people live in nice houses and drive lexus cars. I happen to know a lot of doctors - and a large percentage of them live in average sized homes and drive normal or old cars. Many of them don't take fancy vacations, and a lot of them give free medical care/advice to family, friends and neighbors. A great number of doctors actually donate their time to Medical "Missions" in third world countries and many do surgery for free for special cases. I don't know any doctors who went into medicine to get rich. I do know many doctors who work call shifts of 24 hour days for a week at a time. 12-13 weeks a year. What job in the United States will require that brutal of a schedule and not pay for it? To expect doctors to work for free (free medical care is going to cost someone! If not the patient - certainly not the government - then it WILL cost the doctor). There is a large population of people who make too much on welfare to even think working at all is a viable option. If they won't work for minimium wage? Why should doctors work for free? I also know a doctor who has been laid off, because he is the younger doctor in a hospital who can no longer afford to staff 3 surgeons. The two older docs are almost retirement age and won't be able to keep up with the load, but the increase in cost to the medical center (due to "Affordable Health Care Act" aka Obamacare - means they have to cut services.)
@ettehugh You're barking up the wrong tree. How much are you willing to pay the plumber or electrician who come to your home to fix problems? How much money and time have they invested in their education to learn their trade? Do you realize that much of the cost of medical care is the cost of "Malpractice Insurance"? Why are lawyers and politicians allowed to "earn" money for their work, but not doctors? Why should any doctor who willingly goes to school and usually has invested time, energy, and hundreds of thousands in medical school debt, not be allowed to benefit from the added blessing of their education - and be expected to work for free? Medicine is not wholly based on a doctor's salary. Hospitals need to make a profit to stay in business. They need to be able to pay for lighting, heating, laundry services, food service employees, nurses, lab technicians, orderlies, clerical people (especially since regulations have tremendously increased the paperwork involved in caring for anyone). The cost associated with one service at the hospital generally covers a multitude of "invisible services." Bandages, blood supplies, equipment (computers are donated free to them either), MRI, CT and X-ray machines cost millions of dollars - they require upgrading almost annually. Who pays for those things? No one? They are all part of the cost of an emergency room visit!
Prior to "Universal Health Care" we all had the right to seek medical care from the best physicians in the world, having the benefit of the best research and medications in the world. That will be going away, if research stops being funded and pharmaceutical companies won't be compensated to do their own research and young people won't go to medical school to be paid less than a walmart worker. They are smarter than that. If you want the best of anything. You need to pay for it. You don't go to the grocery store and pay for hamburger and expect to filet mignon.
2 years ago on The “right” to healthcare does not require a doctor to work for free