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Old 07-02-2009, 04:47 PM
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Quote:
Originally Posted by kananaskis_girl View Post
I think you're getting your residency training hours mixed up with your attending salary.....

no resident makes anywhere near 170k

and no attending works anywhere near 80h/week
I know that Kandy Pants; only an idiot would believe that a resident would earn such a fine sum. Without flicking back over the thread we were talking about compensation. Fully qualified.

Get back in that OR..... and I want my Toblerone ..........
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Old 07-02-2009, 04:50 PM
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Yeah I see the confusion now, the hours. I have, over the years, seen many attendings who were establishing their practice work ~80 a week. Included in that is on call probably.

I know this as I was the one who had to wake 'em up...........
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Old 07-02-2009, 04:53 PM
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Originally Posted by RussianJoo View Post
no where.. but what do you think you'll be making as a government employee? with the national health insurance the reimbursement rates will be equal to those of the current medicaid and medicare plan right now, this will dramatically lower MD's salaries.

And the Chairman doesn't want to put any caps on malpractice lawsuits. So he tells us, physicians, that we need to cut down on cost and order less tests, or less repeat tests, while we do this just to cover our backs in case we get sued. if these extra tests aren't run then when we get sued we'll lose the case, so unless he's willing to protect doctors against lawsuits it's almost impossible to cut down on unnecessary tests.

Also SGU students aren't the only ones who are going to be in debt over $250K after medical school, so if reimbursement and wages drop people will not go into medicine.. no matter how much you want to help people, you won't become a doctor if at the end of 4 years of undergrad and 4 years of med school and at least 3 years of residency you're about $300K in debt and your net salary (after taxes) is $60K to $80K a year. it will take you a really long time to pay that off especially when you have a morgage, and children to put through school.. People shouldn't expect to become rich on a physician salary but physicians shouldn't have to struggle to make ends meat either... So unless the Chairman makes medical education dirt cheap if not free no one will want to go to medical school.

you guys are all in basic science or just applying to medical school, talk to some attendings to see what the real issues are... as students we live in a utopia where everything is amazing and we want to be doctors to save the world, but when you have bills to pay and support a family all that save the world stuff goes right out the window.. why do you guys think the AMA is against the national healthcare and was against Medicaid in the 60's.

you guys are living in a bubble.
Damn good post...even if you were a jerk to me back in first term, when I asked where Tantene was....
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Old 07-02-2009, 05:37 PM
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Quote:
Originally Posted by RussianJoo View Post
why do you guys think the AMA is against the national healthcare and was against Medicaid in the 60's.

you guys are living in a bubble.
Is this the same AMA that apologized for discrimination against black doctors and the same one were against women entering the medical field.

If so...there opinions is nothing but garbage since they have been wrong so many times before.

There is nothing wrong with medicaid or medicare....the only problem we have in this country is the fact that we pay more for medical care than any other western nation but we still have one of the worst infant mortality rates ( lower than cuba) and health care survival rates and care than any other industrialized nation.

What's wrong with living on 80,000 dollars a year....after taxes....this is double the average income of the u.s before taxes.
Honestly, If you could set aside 20,000 grand a year to pay your medical school bills...you are still left with 60,000 which is still a lot....and still have money left over for savings account, retirement, and to start saving for kids college.

Plus, if you have a partner that makes a much money as you...you are so

I mean you don't have to have the big McMansion, the latest car, or the newest tech gadget but you can live comfortable.
There is nothing wrong with driving a Toyota a couple of years old, living in a house 200,000 with a 30 year fixed year loan and shopping at walmart, target, meijer and other low-mid range stores for your daily needs.
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Old 07-02-2009, 06:44 PM
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Oh, let me grab some of this and sit back and enjoy
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Old 07-02-2009, 08:35 PM
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There is to be no nationalization of health care. All that's being proposed is the introduction of a public health insurance plan - one that will compete (yes, the magic word - competition) with all the other private plans out there. This will allow consumers a further choice (magic word no. 2) for their health care plan. It will also allow doctors a choice to sign up with the plan if they feel it will give them better business (i.e. more patients) at a pre-negotiated reimbursement. Last I heard, there was no obligation for either patients or doctors to sign up for this plan if they did not feel it would benefit them.

Also, the recommendation to carry out fewer tests and cut costs is just that - a recommendation based on expert research, which is used to inform doctors to allow them to make the best decision, not to force them. If anything, it is the private insurance companies which tie doctors' hands by refusing to pay for certain procedures. The public health option has promised to be more generous, and also include treatment for pre-existing conditions.

P.S. You are right that most patients will choose the public health option. And why not, since, in your own words, they will receive the same services for a much lower cost.

P.P.S. Your AMA statement is outdated. Latest news - the new AMA president seems more open to the public insurance option, if it is similar to the insurance provided to current members of Congress.
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Old 07-02-2009, 09:36 PM
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Quote:
Originally Posted by grayeyes043 View Post
Is this the same AMA that apologized for discrimination against black doctors and the same one were against women entering the medical field.

If so...there opinions is nothing but garbage since they have been wrong so many times before.

There is nothing wrong with medicaid or medicare....the only problem we have in this country is the fact that we pay more for medical care than any other western nation but we still have one of the worst infant mortality rates ( lower than cuba) and health care survival rates and care than any other industrialized nation.

What's wrong with living on 80,000 dollars a year....after taxes....this is double the average income of the u.s before taxes.
Honestly, If you could set aside 20,000 grand a year to pay your medical school bills...you are still left with 60,000 which is still a lot....and still have money left over for savings account, retirement, and to start saving for kids college.

Plus, if you have a partner that makes a much money as you...you are so

I mean you don't have to have the big McMansion, the latest car, or the newest tech gadget but you can live comfortable.
There is nothing wrong with driving a Toyota a couple of years old, living in a house 200,000 with a 30 year fixed year loan and shopping at walmart, target, meijer and other low-mid range stores for your daily needs.
wow I don't even know where to start.. i guess at the top is a good place..

Yes it's the same AMA.. and guess what the AMA represents over 250,000 US physicians, and has decent lobbying power.. so even though you might not agree with them, many physicians do, and lobbying is how things get done in the US government system..

now to have some fun with English.. these are comments about the words in red.

There... Where??

20,000 grand? what is that 20,000 thousand? that's 20 million, how do you expect to save that if your salary is 80,000 a year?

you are so.... who wants to complete this sentence??? anyone?

I take it you're not from NY/NJ/Conn area or even from california or many other states where you can't even buy a condo for $200,000, and where an average house in an upper middle class costs at least $400,000. Why stop at drying a used Toyota.. public transportation is cheap and reliable. What's going to happen when you're on call and have to see a patient and your toyota won't start, or when it snows outside and since your toyota doesn't have 4 wheel drive you simply can't get to the hospital?

lastly I know I presonally didn't work my butt off for over 8 years to live in a low middle class neighborhood where my kids are scared to go outside to play cause some punk will steal their bike, where they get poor education because the public school system doesn't have enough money. But I guess if you move to Oklahoma or North Dekota where you can buy 500 acres for $20,000 and where the population of cows out numbers the population of people 2 to 1, then yes you can live comfortably on $80K a year. But you won't find those prices in NJ, NY, Conn, nor California. when you have a $400,000 morgage, $300,000 in school loans, and 1 or 2 children ( i am not even talking about a car payment cause you can take the bus).. good luck making ends meat.. $80K a year might seem like a lot of money to you know that you're living on loans and are a poor med student.. but do you really want to live like a poor med student your whole life? do you want to eat Ramennoodles everyday like you did in college?

ohh and i almost forgot.. don't forget the fact that you'll have patients that will try to sue you just because everyone knows that doctors are rich.. so why not sue them and get some money out of it... The lawyers don't get paid unless you do.. so heck just sue your doctor, i am sure he/she screwed up somewhere.. like maybe prescribing you antibiotics for that viral cold that you had because you demanded them to give you antibiotics.. or maybe because they didn't prescribe you antibiotics for that viral cold but you felt deep down inside that it was a bacterial cold and you needed antibiotics...
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Last edited by RussianJoo; 07-02-2009 at 09:41 PM.
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Old 07-02-2009, 09:44 PM
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Originally Posted by ecela7 View Post
Damn good post...even if you were a jerk to me back in first term, when I asked where Tantene was....
sarcasm? it's hard to tell on the internet.. if it isn't thank you glad you see my view point. if it is.. i don't really care.. and sorry i have no clue what Tantene is... and yes i can be a jerk sometime.. i'll be the first to admit it.
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  #29 (permalink)  
Old 07-02-2009, 09:55 PM
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Originally Posted by shadyhtown View Post
There is to be no nationalization of health care. All that's being proposed is the introduction of a public health insurance plan - one that will compete (yes, the magic word - competition) with all the other private plans out there. This will allow consumers a further choice (magic word no. 2) for their health care plan. It will also allow doctors a choice to sign up with the plan if they feel it will give them better business (i.e. more patients) at a pre-negotiated reimbursement. Last I heard, there was no obligation for either patients or doctors to sign up for this plan if they did not feel it would benefit them.

Also, the recommendation to carry out fewer tests and cut costs is just that - a recommendation based on expert research, which is used to inform doctors to allow them to make the best decision, not to force them. If anything, it is the private insurance companies which tie doctors' hands by refusing to pay for certain procedures. The public health option has promised to be more generous, and also include treatment for pre-existing conditions.

P.S. You are right that most patients will choose the public health option. And why not, since, in your own words, they will receive the same services for a much lower cost.

P.P.S. Your AMA statement is outdated. Latest news - the new AMA president seems more open to the public insurance option, if it is similar to the insurance provided to current members of Congress.

ok sure the government plan will compete with the private plans but how much competition can there be if the government plan is 50% or more cheaper than the private plan, and you're already being taxed for it even if you don't use the government plan.. sounds like most if not everyone will switch to the national plan.. so much for competition. it's like Micheal Phelps competing in the special Olympics..

If these things are only recommendations then why is the Chairman using them as solid examples to cut health care costs? No one will follow these recommendations cause doctors don't like to get sued and lose their hard earned money.

No word on reimbursement from has been mentioned about the public health care.. but experts (on the news) are guessing it will be similar to that of medicaid and medicare reimbursement rates.. the Chairman hasn't denied this nor acknowledged this statement.
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  #30 (permalink)  
Old 07-02-2009, 10:39 PM
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good to see you back rj......thank you for the grammar correction on that post, one of my biggest pet peeves keep the comments coming!
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