Open Side Menu Go to the Top
Register
The Great ObamaCare Debate, Part 237: Back to Court The Great ObamaCare Debate, Part 237: Back to Court

05-16-2017 , 09:10 AM
They want to act like Democrats not always being perfect is the same as Republicans actively trying to kill millions of Americans by taking away their health insurance. They really think we're that stupid.
05-16-2017 , 09:14 AM
Quote:
Originally Posted by hobbes9324
This is a problem that's been coming down the road for a number of years, and really doesn't have a whole lot to do with the ACA.

Basically, our reimbursement schedules make being an office based internist/FP pretty much the equivalent of a burger flipping job - I don't think a single IM resident from the program that works at my hospital is going into office practice - they're either going on for a fellowship or going into hospitalist medicine - a specialty that really has only existed for the past few years but pays a LOT more than an office based practice.

It's not going to change any time soon, either, for financial and lifestyle reasons.

If you're getting your coverage thru work, your HR department might be able to put some pressure on the carrier for you. They want to keep that contract.....

MM MD
What would a new FP doc expect to make every month if they worked at a hospital-affiliated office w a few other docs? If they financed their edu what kind of school loan payments are they making?

Side note, NP seems like a great track. Reimbursement rates are like 30% less than MDs maybe, and qualified to only treat a few things? Maybe PA is better, IDK.

Last edited by DudeImBetter; 05-16-2017 at 09:20 AM.
05-16-2017 , 09:16 AM
Quote:
Originally Posted by adios
Thanks. How great is Twitter anyway? Here's yet more proof that Twitter is the comprehensive source where a complete accounting of events is compiled in an objective and unbiased manner. No propaganda, no bull, just an exhaustive analysis/accounting of events. Thanks for the presentation.
I'm just glad to see that whatever disease you contracted that robbed you of your inability to read a billing statement didn't affect your snark
05-16-2017 , 09:18 AM
Again, right wingers complain about safe spaces all the time, but adios is in ****ing tears because people keep on reminding him of facts he would prefer not to be shared.

adios, you're fundamentally a bad person, why is that our fault?
05-16-2017 , 09:19 AM
Yeah I'm sure adios is gonna come in here and post exactly why that bill is not a problem at all. Except not because Republicanism is worse than religion at this point, it has all the bad points of religion with none of the good. Right now they're playing "attack the gaps" just like creationists like to do with evolution and the fossil record.
05-16-2017 , 09:25 AM
I got a similar bill after my newborn daughter spent a few weeks in the NICU ~9 years ago
05-16-2017 , 11:54 AM
Quote:
Originally Posted by Jbrochu
Can anyone tell me how to find a PCP accepting new patients? Jesus Christ our healthcare system is a disaster and only getting worse.
Well in Canada you could just call HealthLink and they would hook you up with a physician's contact info, or give you a selection based on where you live and what you're looking for. Or you can access the website and chat with a live agent.

Government is really inefficient though.
05-17-2017 , 02:03 AM
"What would a new FP doc expect to make every month if they worked at a hospital-affiliated office w a few other docs? If they financed their edu what kind of school loan payments are they making?"

From what I can tell, there's a pretty wide salary band depending on where you live - somewhere between 150k and 190k is probably about right - add in benefits and retirement and it's decent. But a lot of docs are graduating with 100-200K (or more - if you went to say Northwestern - my alma mater for med school - for both undergrad and med school and didn't get any scholarships or grants, you could easily hit 500k counting living expenses) in educational debts - dunno what the payments are, but mine for 60K were 400 a month back when.

Problem is that pretty much any specialty gets you at least 50% more than that. Sometimes a lot more. So people gravitate away from the primary tracks.

Medicine is a lot more "businesslike" than it was 30 years ago, so it doesn't especially surprise me that $$ drive career choices more than they did. Not saying it's better or worse morally/ethically - but the "greed is good" mentality is out there.

YIKES - just looked and Northwestern now estimates 85K a year for med school. So my numbers were low......

MM MD

Last edited by hobbes9324; 05-17-2017 at 02:16 AM.
05-17-2017 , 02:09 AM
Something else to toss out there - for the last 15 years or so, we've seen a change in the younger docs joining our group - and talking to other groups around the country, it's pretty consistent.

I started out working 18 or so 10 hours shifts a month - when I made partner I dropped down to 16, then a few years later to 15, etc. Now I work 12 or 13 - and the shifts are 8 hours. Part of it is because we're so busy, but part of it was a lifestyle change we chose to make to be able to hire new docs. They're happy to work less, make less (but still a good living) and spend time with kids/travel/etc.

But that also means my group now has 60 docs covering what 40 docs would have 20 years ago - we're able to hire because we practice in a nice area, etc. etc. But there's a big shortage of ER docs, and some of it is because of the mindset of the new docs coming out. IF I was willing to travel, I could sign up with a locum group and make big $$, but it's a pain in the ass. Hiring ER docs in some parts of the country/some types of practice is VERY tough - just too many options you can choose from. I assume it's the same in other specialties.

MM MD
05-18-2017 , 02:21 PM
Why don't they just make medical school free? Probably wouldn't cost more than a few billion a year and would have enormous benefits?
05-18-2017 , 02:38 PM


Health insurance across state lines! Republicans will surely be all for this!
05-18-2017 , 02:57 PM
Um how does that work? What provider network would they have?
05-18-2017 , 03:35 PM
So we should let the one guy most responsible for ACA turmoil to run the FBI I guess
05-18-2017 , 04:57 PM
LOL GOP! They _might_ have to revote on the AHCA in the house, due to arcane Senate reconciliation rules. Problem was caused because it was a rush job without CBO scoring! Who could have guessed?



https://twitter.com/KevinWhitelaw1/s...04709288132608

oh, please let this bite Ryan and co. in the ass. Odds are probably low, but who knows?
05-18-2017 , 05:02 PM
The Senate was never going to vote on that version of the bill anyway.
05-18-2017 , 05:11 PM
Quote:
Originally Posted by iron81
The Senate was never going to vote on that version of the bill anyway.
agreed but i don't think the vulnerable republicans who they had to drag by their ears to get to yes are interested in casting that particular vote again with CBO numbers that are sure to be ugly. Just gives more ammunition in 2018 to the Ds. Maybe with the current news cycle fatigue, it would get through anyway.
05-24-2017 , 11:07 AM
It's going to look pretty bad on Paul Ryan and the House GOP when they wait for the scoring to make it obvious how awful it is and then send it over to the Senate. Democrats can slam them with, "You waited to see the CBO scoring, it's awful, and NOW you're sending it over to the Senate??? Fix it first!"

That's the best case for the GOP on the issue at the moment. But those tax cuts sure will be sweet for the Kochs and their friends.
05-24-2017 , 04:10 PM
CBO score up in 20 min
05-24-2017 , 04:18 PM
How many thousands will die in the streets under our plan? We'll reveal the answer after these messages.
05-24-2017 , 04:33 PM
23 million lose insurance by 2026
05-24-2017 , 05:03 PM

https://twitter.com/mattyglesias/sta...85517969068032


https://twitter.com/mattyglesias/sta...86101665185794
05-24-2017 , 05:11 PM
That bill looks like Republicans are trying to commit seppuku
05-24-2017 , 05:54 PM
Take a trillion dollars from poor sick people, give it to rich healthy people, and call the thing a healthcare reform bill.

These people should be summarily executed.
05-24-2017 , 05:54 PM
And to think these ****ers were gloating at the Whitehouse as if this was some kind of win. What a bunch of ****ers. Yeah, they won alright, at the expense of nearly every American, and then flaunted it directly in our faces. **** them all
05-24-2017 , 05:57 PM
It's like ****in' clockwork with this Graham guy I swear.


https://twitter.com/LindseyGrahamSC/...92894948696064

      
m