tag:blogger.com,1999:blog-6399730406480392183.post5271514811866859076..comments2024-03-27T11:18:34.222-03:00Comments on Viable Opposition: The Future of America's Ailing Health Care SystemA Political Junkiehttp://www.blogger.com/profile/03342345936277964422noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-6399730406480392183.post-64400511762002697882013-11-16T00:48:41.465-04:002013-11-16T00:48:41.465-04:00then make the cost to train a PCP cheaper, open fo...then make the cost to train a PCP cheaper, open for all qualified students, if need help with financial, let this person borrow money then after graduating, join the low-cost physician's group for a certain number of years ... PCP is nowadays earning quite high (only one minute to see patient) ... for sure their range is in line with previous comment (at least in California). Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6399730406480392183.post-14158416957222916432013-10-03T10:36:35.948-03:002013-10-03T10:36:35.948-03:00To Anonymous above my comment:
There are some goo...To Anonymous above my comment:<br /><br />There are some good points in your post, but consider: You want to address a doctor shortage by lowering doctors' salaries? Do you really think that will have the desired effect?<br /><br />Doctors go through a long, grueling, and EXPENSIVE path in order to become "attending" doctors and eventually make good salaries. These are smart, motivated people for the most part. If you drop salaries, some of these people are going to choose different careers - you can count on it. It just won't be worth 4yrs undergrad + 4yrs med school + 3 yrs (or more) residency + 2-4yrs (or more) fellowship (for specialty).<br /><br />Most doctors take on huge debt in medical school and have years of residency/fellowship to go before they can even begin to tackle that debt. The opportunity cost of all those years is huge. Also, a big part of the reason that we are short primary care physicians is that primary care does NOT pay the $200k-$350k that you are talking about - you need to be a specialist to earn that.<br /><br />There is too much control and regulation of the "doctor-making process". Residency numbers/options are highly controlled. No innovation is allowed (eg, allow for a longer but less intense residency, other variables). There are no alternative training paths for doctors - we have the rigid system that all must pass through. The costs are huge. If you want to encourage more people to become doctors, perhaps look to address the costs of medical school and innovate on the training.<br /><br />Once in practice, less regulation and bureaucracy would help doctors keep costs lower. ACA is doing the opposite.<br /><br />We also must address the 3rd-party payer problem. The consumer of health care (the patient) is rarely clued in on the costs of anything, and rarely cares; insurance covers most of it and the costs seem obscure and arbitrary anyway. So insurance tries to be the cost control mechanism, which is a backward system and also leads to insured patients paying lower negotiated fees than non-insured patients. Real competition is needed on price, and patients who see and respond to the prices for services. That is a fundamental item that is missing.<br /><br />Good luck to us all; ACA seems like a disaster unfolding before our eyes.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6399730406480392183.post-18897717050019151252013-10-02T06:17:12.972-03:002013-10-02T06:17:12.972-03:00Yes you are absolutely right unless the Medical tr...Yes you are absolutely right unless the Medical treatment is changed in America we have big problems ahead.<br /><br />Doctor Shortage have been created by the Medical Doctors so they enrich their own salaries by hiring Nurses to work under the Medical Doctors guidance and yey charging the same price.<br /><br />I would open up all the Medical jobs as to make it much easier for Doctors, Nurses and Lab Tec. from other English speaking Countries around the world to apply and obtain Green Cards to work in America if they are qualified.<br /><br />We have a closed Medical market in the USA. But, we should look into making our system much more assessable for everyone. We should stop increasing American Medical Wages and look to some of the the other poor countries to see how they handle this problem.<br /><br />The real question is it fair to rig the System so a Medical Doctor can make upward of $200k - $350K / yearly. Then at the same time send all the middle class jobs off-shore to china.<br /><br />All of this can be changed by the Federal Government over night if they wanted too.<br /><br />The American Federal Government is all about increasing the income for the upper 10% of the people and the hell with everyone else.<br /><br />Example: in the philippines: <br /><br />If you want a chest x-rate you walk into a X-ray Lab and pay less than $6 cash and walk out in 15 minutes with your x-ray results in hand.<br /><br />If you want a Urine test you walk int a testing lab and pay 55 cents cash and walk out 60 minutes with your urine test results in hand.<br /><br />Frace has a single payer Mealth System and they treat the the same number of people for half the cost as the American System.<br /><br />I can go on, on.. American Medical Health System sucks big time.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6399730406480392183.post-86511034406065422762013-09-26T14:01:17.409-03:002013-09-26T14:01:17.409-03:00People in 2025 with medicare or ACA equivalent ins...People in 2025 with medicare or ACA equivalent insurance will not likely be able to see a Dr. They will see an NP or PA and refer to them in conversation as their doctor. And some will be too stupid to know the differenceAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6399730406480392183.post-69567592917028378422013-08-20T21:52:51.712-03:002013-08-20T21:52:51.712-03:00Not to mention that there are a lot of doctors tha...Not to mention that there are a lot of doctors that are sick of facing audits all the time and then have to take a hit on the rising deductibles. <br />My brother is a doctor and as of next Jan1st, he is going to a cash practice. He is tired of dealing with the headaches of insurances and medicare. His caseload will drop in half and he is looking at getting a part time job teaching. Anonymousnoreply@blogger.com