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sevoflurane said:
IDK, money can cloud judgement sometimes.

You sound like you are in your 50’s maybe early 60’s.

If you’ve been crushing it the way you say you are then you should be sitting real pretty in investment returns alone- unless you are a big spender.

A 10 million portfolio in VOO at the beginning of 2024= 2.4 million returns this year so far.

A 5 million portfolio in VOO = 1.2 million so far.

Do you really want to work your arse off and loose out on valuable life outside of work above 50+ y/o if you have had a good career? I guess that’s a personal question, but worth bringing up in these threads.

To me, time away from work far exceeds money once you have achieved financial freedom and have traversed through your 40’s.

The time to work hard and put money away is early in your career… not when you are in your last 5-10 years of work. At least that is the way I see it.
For one, your returns are higher the earlier you are in the market. As you get older in your career, resilience is not what it was when you were up all night at 30 y/o crushing the septic ex-laps and middle of the night AAA’s.

Ease your way into retirement… After 20 years of anesthesia, your interest in retirement/brokerage accounts alone should carry you.

You’d catch me in the caribbean. Quick trip to the islands of the bahamas is super easy where you live. My weeks off would be spent adventuring caribbean islands on a regular basis if I reached financial freedom and lived in Florida at 50+ years old and a stable part time job/locums.

Everyone is different- I get that.

Few pictures from a couple of months ago for interest.
Click to expand...
I’m barely 50. Done all that traveling already. Been to Caribbean twice this summer. It’s a quick trip as you know from Florida. I prefer the keys to be honest for boating. I took 5 weeks off in the summer. I’m up 1.3 this year already. Mid 7 figures. I should be 10 by age 56/57

I will be at 10 weeks off end of December.
But money is a moving target. Yeah. Spending is gotten out of hand.

Just hard to turn down some of this money. I was sitting around with no plans for last week. Suppose to be my off week. Than they asked me to work. Daytime 5-6 hrs (with 8 hr guarantee) morphed into a 96 hr call due to the hurricane)

I have half of December empty on purpose. Will head out to New York for a few days with the kids cause it’s Xmas time. Than probably swing to Breckenridge for skiing week after xmas. It’s my friends 2 bedroom ski in/out condo). So I’m not even affected by xmas pricing. So I do a lot of traveling.

But my kids are in school. So I like to work when they are in school.
 
arsene19 said:
Sevo has basically described most anesthesiologists I know. Even in my VHCOL area, 5-10 MM in accounts = part time life. Depending on circumstances - I saved a lot and was fortunate with index funds and hit it at 45.

Everyone’s different, but for the most part the MDs >55 yo and working full time around me are

supporting extended family
second marriage
catastrophic financial event
really like it/don’t have anything outside medicine
Came to Anes late

Have had a couple 80 yo colleagues who retired and couldn’t find anything else to do.

And sadly have had a couple new CA dx and not living the life they planned - of varying ages
Click to expand...

Let me ask you since you are in a very ideal situation at age 45 which i someday can at least strive for but not sure will get there.

I'm assuming you are still PT? Do you continue to really care about savings aside from 401k deductible related things? I figured once peeps reach those numbers and work PT it really is just to not tap in quite yet to the nest egg so it keeps growing for an extra layer of security even though their SWR like 3% could theoretically support their current lifestyle?
 
Barista FIRE anesthesia becomes a hobby.

Some do it for social interaction, others to teach (I pivoted to an academic slot), others to subsidize their hobbies.

One lady with really low expenses left and went to the culinary institute of America to pivot to being a chef in her late 40s. Another DINK just up and left to bike America.

They say happy retirees retire TO something, ideally 4 interests. Might as well, while our bodies permit!

I’m working on dropping anesthesia time to be one of those 4 hobbies when I hit Fat FIRE
 
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To answer your question, no don’t really care about savings.

Stopped retirement savings beyond Roth, HSA, back door Roth since will have too large an RMD.

Anything extra goes into tax efficient after tax investing or DAF
 
aneftp said:
It’s 4 docs splitting it for 2 million a year. Whatever way you want to split it. It’s 2 docs splitting the first 2 weeks.

The other 2 docs splitting the next two weeks. So not on call every day in GA.

light work load though. Only 300 deliveries a year and usual done early in OR early. (So we are talking about the GA job (4 docs/2 million) not every day coverage.

The Florida gig I can get the same deal probably. But I want another 500k to split. For 2.5 million. It’s supplemental pay for me. It’s not intended to be primary source of income

That’s why I have zero interest in even doing it for 7 days a month. Maybe 3 days a month. A like to split these jobs cause it’s bfe. It’s one thing to be at the beach and on beeper. At least I can hang out outside the hospital. It’s another to be in real bfe with nothing to do in a hotel.
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Hotel living across multiple states, good for you for being willing to put up with that. I did locums for 2 yrs, now you couldn’t pay me enough to spend time away from my wife and kids. That’s the great thing about anesthesia right now, you can mold your career into whatever you want.
 
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Volatile said:
Hotel living across multiple states, good for you for being willing to put up with that. I did locums for 2 yrs, now you couldn’t pay me enough to spend time away from my wife and kids. That’s the great thing about anesthesia right now, you can mold your career into whatever you want.
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I don’t travel out of state. Usually no more than 45-50 min from home. 2 hrs is max I will drive.

Place in south wanted me to cover week after holiday 7-3 Dec 16-20 for $400/hr

I said $800/hr.
They responded with $450/hr

Just all games not worth my time to travel out of state to do 40 hrs unless I’m getting uber surge pricing. And $450/hr isn’t going to cut it
 
Man these threads make me feel so underpaid with my measly 450k and 9 weeks off
 
ERRES2288 said:
Man these threads make me feel so underpaid with my measly 450k and 9 weeks off
Click to expand...
That works if u can get (4) 10 days no calls no weekends for 450/9 weeks off.

Everyone has been sold lies working (or available) 7 days a week including nights and weekends as w2 with first 5 weeks off (2000-2007) during my time and than 6 weeks off and than 7/8. Now 9/10 weeks off is standard these days.
 
The irony with increasing compensation (total salary plus benefits and vacation) is that these things are also contributing to the anesthesia shortage.
Obviously with increased vacation comes more spots to fill in the calendar.
As salaries increase more people feel comfortable working less than 1 fte. This again creates more holes to fill.
These things have been a not insignificant perpetuator of the anesthesia staff shortage. As more facilities compete for a limited resource and increase benefits this cycle will continue.
 
cowbydoc said:
The irony with increasing compensation (total salary plus benefits and vacation) is that these things are also contributing to the anesthesia shortage.
Obviously with increased vacation comes more spots to fill in the calendar.
As salaries increase more people feel comfortable working less than 1 fte. This again creates more holes to fill.
These things have been a not insignificant perpetuator of the anesthesia staff shortage. As more facilities compete for a limited resource and increase benefits this cycle will continue.
Click to expand...


Nobody at my hospital works a full FTE. Everybody is job sharing now. That’s a big change from 5 years ago.
 
nimbus said:
Nobody at my hospital works a full FTE. Everybody is job sharing now. That’s a big change from 5 years ago.
Click to expand...
That’s what I keep stressing to everyone.

The alternative schedule or something. The days of the daily grind are over.

Don’t be a sucker to be available 7 days a week for 450-500k with 8-10 weeks off.

You are also fighting for vacation time especially if u have kids. Spring breaks summer time, winter holidays.
 
cowbydoc said:
The irony with increasing compensation (total salary plus benefits and vacation) is that these things are also contributing to the anesthesia shortage.
Obviously with increased vacation comes more spots to fill in the calendar.
As salaries increase more people feel comfortable working less than 1 fte. This again creates more holes to fill.
These things have been a not insignificant perpetuator of the anesthesia staff shortage. As more facilities compete for a limited resource and increase benefits this cycle will continue.
Click to expand...

Let’s not forget the main driver of the increasing demand: the profitability of the surgical/ procedural services for the hospital due to the outrageous facility fees they collect.

The hospital always wants to accommodate more surgeons, more 7a starts, more endoscopy sites, more ambulatory sites, more cath lab, etc etc.

They don’t care about room efficiency and utilization—it’s all about more volume. Better to have anesthesiologists/CRNAs frequently standing around so that the surgeons are never kept waiting.

What percentage of OR/NORA sites actually fill a 7-3 schedule without significant gaps? Maybe 60%?
 
arsene19 said:
Long live the ASC
Click to expand...
Are most ASC profitable for most anesthesia practices anymore ?

Most ASC cannot utilized even 80% 1:4 anymore from 7-3pm. That’s where the real profits are as crnas wages climb

Than you start having weird 1:2 (50%) after 12pm some days that doesn’t make much sense

Some ASC have also chosen to tighten to Monday -Thursday only.

It all adds up to having to guarantee anesthesia certain subsidies.
 
aneftp said:
Are most ASC profitable for most anesthesia practices anymore ?

Most ASC cannot utilized even 80% 1:4 anymore from 7-3pm. That’s where the real profits are as crnas wages climb

Than you start having weird 1:2 (50%) after 12pm some days that doesn’t make much sense

Some ASC have also chosen to tighten to Monday -Thursday only.

It all adds up to having to guarantee anesthesia certain subsidies.
Click to expand...
ASCs in my area having trouble recruiting. Bigtime workloads with pay that amounts to 300/hr. Typically owned by the surgery groups so they pay like crap because their fees are all going to themselves instead of the anesthesia staff. Idk who is willing to do it, I know a few that are hanging by a thread
 
ASCs in my VHCOL area have really changed the game for anesthesiologists - flexible work hours and (with the shortage) $300+/hr min with 8 hr guarantee. If you have regional skills.

Who knows if they’re profitable for the ASC owner?

Gone are days where anesthesia groups fought over an ASC because the high volume surgeon moved their patients.

Now you just contract for minimums and overtime. Anesthesia shortage = 1099 MDs get workhours guarantee and OT rate. So who cares if they need 1.3 FTE tmro - they're paying for 2 FTE.

It has hurt the hospital anesthesia groups, because who now wants to take call/deal with the high risk patients back at the hive? But it was drifting that way through the past decade anyhow - anyone efficient/could do regional/play nice with others went to ASCs. The slower ones stayed in the hospital, where there was lots of backup, slower paced, and all you needed was intubation and/or neuraxial skills. But nowadays with the shortage, even that cohort can go to a $200/hr eye ball, GYN-only or urology ASC.
 
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arsene19 said:
ASCs in my VHCOL area are great for anesthesiologists - flexible work hours and $300+/hr min with 8 hr guarantee. If you have regional skills.

Who knows if they’re profitable for them?

Gone are days where anesthesia groups fought over an ASC because the high volume surgeon moved their patients .


Now you just contract for minimums and overtime. Anesthesia shortage = solo MDs get minimum work and OT guarantee. So who cares if they need 1.3 FTE tmro.

It has hurt the hospitals, because who now wants to take call/deal with the high risk patients? Usually anesthesiologists who cannot keep ASC pace or do regional. But even they could go to an eye ball, GYN or urology ASC I think.
Click to expand...
I am getting handed a private asc from
My ortho friend (because AMC is pulling out) and I told him no way im doing the billing. I went over the utilization of the muti speciality ASC. They run to 3pm only which is nice. But it’s not gonna to be profitable. I told him and the 51% shadow company owner (who’s ceo is the highest paid in the USA for healthcare company) needs to pony up the money. Surgeons own 49%.
 
aneftp said:
That’s what I keep stressing to everyone.

The alternative schedule or something. The days of the daily grind are over.

Don’t be a sucker to be available 7 days a week for 450-500k with 8-10 weeks off.

You are also fighting for vacation time especially if u have kids. Spring breaks summer time, winter holidays.
Click to expand...
Agree 200%

I think the hardest thing about taking the red pill is figuring what you want, and asking for it. Salary, time autonomy, call back requirement.

I am not nostalgic for ye olde Vacation Lottery, where you got to see what major holidays you were working, or if you were one of the chosen few who got the kids' Spring Break, or the 2 (gasp) contiguous weeks of summer vacation. Never again.
 
arsene19 said:
Agree 200%

I think the hardest thing about taking the red pill is figuring what you want, and asking for it. Salary, time autonomy, call back requirement.

I am not nostalgic for ye olde Vacation Lottery, where you got to see what major holidays you were working, or if you were one of the chosen few who got the kids' Spring Break, or the 2 (gasp) contiguous weeks of summer vacation. Never again.
Click to expand...
God don’t give me ptsd. Residency i worked Christmas week 4 years in a row. Never again. Ever.
 
PainInTheAnes said:
God don’t give me ptsd. Residency i worked Christmas week 4 years in a row. Never again. Ever.
Click to expand...
I love working Xmas and thanksgiving. I’d did it 3 years in residency. Super light calls.

Xmas eve and New Year’s Eve more important to me to be off.
 
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It’s the CONTROL over your time.
After $$$, choice over when you work/don’t work (and type of work) is the next determinant of satisfaction.

Alternative in PP? None. You’re stuck with whatever system your AMC/voting partners decide. Make your stash and get out?

Lifestyle practices that value the special time, hire locums for $$$ on holidays/spring break/summer vacations. Or they incentivize heavily the empty nesters or DINKs if they have them. But there’s always a money-motivated cohort against the expenditure (though they never volunteer for the shift).

Most others do the vaca lottery, and you get what you get
 
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arsene19 said:
It’s the CONTROL over your time.
After $$$, choice over when you work/don’t work (and type of work) is the next determinant of satisfaction.

Alternative in PP? None. You’re stuck with whatever system your AMC/voting partners decide. Make your stash and get out?

Lifestyle practices that value the special time, hire locums for $$$ on holidays/spring break/summer vacations. Or they incentivize heavily the empty nesters or DINKs if they have them. But there’s always a money-motivated cohort against the expenditure (though they never volunteer for the shift).

Most others do the vaca lottery, and you get what you get
Click to expand...
That’s the only way to make it viable now. Private practice vacation offerings are generally terrible with minimal flexibility.

Only way I’d consider it again is if locums were paid double to cover peak vacation times. It’s worth the money from the practice/hospital to make a PP job better than locums to get people to actually stay
 
aneftp said:
I love working Xmas and thanksgiving. I’d did it 3 years in residency. Super light calls.

Xmas eve and New Year’s Eve more important to me to be off.
Click to expand...

Yeah, agreed. People get so wrapped up about holidays. They're just ink on a calendar.

Many times over the years I've worked Christmas. When I had little kids, you know what we did? We just celebrated on the 23rd.

Working Thanksgiving? Celebrate on Friday instead. You don't have to be at Walmart for the doors to open that day.

I get that sometimes there is a desire to be off on specific days because family is visiting, or you're going to them. Or some people have religious reasons for wanting specific days off.

Spring break? Don't get why people want it off. Crowds and peak prices if you go somewhere. Take a different week off and pull your kids out of school. They'll be fine if they miss a week of 8th grade social studies. If the school whines about missed days, tell them to **** off and remind them that your kid is the one keeping their test metrics in the green.


Like you, I feel as if holiday weeks are desirable ones to be working. Case load is typically lighter. Early outs are more likely.

My group incentives all weekend/holiday/night work with cash. As an empty nester with a retired wife no day is really different than another day. I'd be happy working every weekend and every holiday, if it came with an equal amount of weekday days off. But because our weekends are paid so well, people tend to want the ones they get.
 
pgg said:
Yeah, agreed. People get so wrapped up about holidays. They're just ink on a calendar.

Many times over the years I've worked Christmas. When I had little kids, you know what we did? We just celebrated on the 23rd.

Working Thanksgiving? Celebrate on Friday instead. You don't have to be at Walmart for the doors to open that day.

I get that sometimes there is a desire to be off on specific days because family is visiting, or you're going to them. Or some people have religious reasons for wanting specific days off.

Spring break? Don't get why people want it off. Crowds and peak prices if you go somewhere. Take a different week off and pull your kids out of school. They'll be fine if they miss a week of 8th grade social studies. If the school whines about missed days, tell them to **** off and remind them that your kid is the one keeping their test metrics in the green.


Like you, I feel as if holiday weeks are desirable ones to be working. Case load is typically lighter. Early outs are more likely.

My group incentives all weekend/holiday/night work with cash. As an empty nester with a retired wife no day is really different than another day. I'd be happy working every weekend and every holiday, if it came with an equal amount of weekday days off. But because our weekends are paid so well, people tend to want the ones they get.
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Sort of disagree on the major holidays. Most people’s family members, parents, or siblings only have thanksgiving/Christmas weeks off so planning around seeing family is fairly important there.

Spring break I agree is overrated but again spouses will often only get that time off whereas we have “some” flexibility generally.

All is moot if properly compensated. Full time work at any job should be preferable enough that the locums beg to be full time. I’ve seen that at 1 or 2 out of dozens of practices I know of.
 
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PainInTheAnes said:
Sort of disagree on the major holidays. Most people’s family members, parents, or siblings only have thanksgiving/Christmas weeks off so planning around seeing family is fairly important there.

Spring break I agree is overrated but again spouses will often only get that time off whereas we have “some” flexibility generally.

All is moot if properly compensated. Full time work at any job should be preferable enough that the locums beg to be full time. I’ve seen that at 1 or 2 out of dozens of practices I know of.
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Everyone values different holidays. I’m doing hybrid w2 job with 30 weeks off. And the new male doc (wife is bitching) about why he’s on thanksgiving and Xmas weeks.

I told him I would do his Xmas week. No biggie. But the wife is still bitching about thanksgiving week. Like give me a break. Cause she wanted to get out of town to see grandkids

And I’m on the one with school age kids.
 
pgg said:
I'd guess most of our main ORs that start at 7 go past 3. They're not a huge utilization problem, mostly.

It's the NORA stuff that's the killer.
Click to expand...

The Nora stuff is morally apprehensible. Does everything really need to be done with anesthesia? “No thx” should be a reasonable response ;(
 
secretasianman said:
The Nora stuff is morally apprehensible. Does everything really need to be done with anesthesia? “No thx” should be a reasonable response ;(
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90% of bs Gi inpatient cases (which are completely unrelated to hospital admission) should be done as outpatient after the patient is discharged.

Had guy come in with broken arm suicide attempt.
So two primary diagnosis
1. Mental health
2. Ortho repair

Day 4 of discharge. Gi doc wants to do Gi scope cause he complain of reflux. (Complete unrelated to hospital admissions). Young guy. Not alcoholic. Labs normal. Chances of finding anything are slim to none.

It’s this bs procedures to capture more revenue.
 
aneftp said:
90% of bs Gi inpatient cases (which are completely unrelated to hospital admission) should be done as outpatient after the patient is discharged.

Had guy come in with broken arm suicide attempt.
So two primary diagnosis
1. Mental health
2. Ortho repair

Day 4 of discharge. Gi doc wants to do Gi scope cause he complain of reflux. (Complete unrelated to hospital admissions). Young guy. Not alcoholic. Labs normal. Chances of finding anything are slim to none.

It’s this bs procedures to capture more revenue.
Click to expand...

So the gi doc makes what 200-300 these days for the scope. I looked at the medicare CPT payrates and its basically 200 range for facility fee limiting charge vs 400 ish non facility limiting charge. How much does the hospital get including facility fees. 2k plus?
If thats true this system is heading into a blackhole.
 
finalpsychyear said:
So the gi doc makes what 200-300 these days for the scope. How much does the hospital get including facility fees. 2k plus?
If thats true this system is heading into a blackhole.
Click to expand...
Thus the problem with the us system.

Many of these gi docs are w2 hospitals employed so there is pressure on them to make money for the hospital.
 
aneftp said:
Thus the problem with the us system.

Many of these gi docs are w2 hospitals employed so there is pressure on them to make money for the hospital.
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Yup, the percentage of GI consults that get scoped while inpatient for “iron deficiency anemia” or “nausea” has to be close to 100%. Pure graft and corruption to the core
 
My hospital seems to scope every inpatient, sometimes multiple times. It's a 10 minute easy anesthetic usually but yes when its on a weekend or late in the afternoon it's obnoxious
 
I would love to find out the ballpark numbers for the facility fees for these cases— use it as leverage against the hospital.

This is the first result I came across:
www.newchoicehealth.com

What is the cost of an endoscopy? Compare your price to the U.S. average

Are you getting a fair price for your endoscopy? The cost of an endoscopy is determined by many factors, including where you live. Learn more with NCH.
www.newchoicehealth.com www.newchoicehealth.com

Suggests ~$2,000 to the hospital for endoscopy.
 
teacher2md said:
I would love to find out the ballpark numbers for the facility fees for these cases— use it as leverage against the hospital.

This is the first result I came across:
www.newchoicehealth.com

What is the cost of an endoscopy? Compare your price to the U.S. average

Are you getting a fair price for your endoscopy? The cost of an endoscopy is determined by many factors, including where you live. Learn more with NCH.
www.newchoicehealth.com www.newchoicehealth.com

Suggests ~$2,000 to the hospital for endoscopy.
Click to expand...


There’s a lot of gaming in terms of procedures and facility fees. Some procedures (endoscopy) pay higher facility fees to hospitals while other procedures (vascular) pay higher fees to outpatient facilities.

From the article:

“Inpatient vs. outpatient facility cost differences​

The cost of an endoscopy will vary greatly between inpatient and outpatient facilities. The national average cost of an endoscopy at inpatient facilities is $4,350, while the same procedure at outpatient facilities averaged $2,550.”
 
nimbus said:
There’s a lot of gaming in terms of procedures and facility fees. Some procedures (endoscopy) pay higher facility fees to hospitals while other procedures (vascular) pay higher fees to outpatient facilities.

From the article:

“Inpatient vs. outpatient facility cost differences​

The cost of an endoscopy will vary greatly between inpatient and outpatient facilities. The national average cost of an endoscopy at inpatient facilities is $4,350, while the same procedure at outpatient facilities averaged $2,550.”
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It’s always about the money.

Notice when true state hospitals (with state employee docs) or federal Va docs/military hospitals are involved. Production goes down. Way down.
 
aneftp said:
It’s always about the money.

Notice when true state hospitals (with state employee docs) or federal Va docs/military hospitals are involved. Production goes down. Way down.
Click to expand...

Without a single payer system like every other country we r going to go bankrupt. Private facility and places can still be a thing if u want to pay extra $$. Too much 3rd party money now so theyll block any move for for single payer but eventually its game over. Netherlands i hear has a great system may be the place to be in future.
 
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finalpsychyear said:
Without a single payer system like every other country we r going to go bankrupt. Private facility and places can still be a thing if u want to pay extra $$. Too much [emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]rd party money now so theyll block any move for for single payer but eventually its game over. Netherlands i hear has a great system may be the place to be in future.
Click to expand...

Can you elaborate? Genuinely curious, as every single payer system that I’ve seen isn’t exactly thriving either.
 
Their systems won’t work for us. They have a healthier patient population with better habits. We need to find some way to hold patients more accountable for their life choices…. Lifestyle disease is our #1 killer. No exercise, poor diet choices - Hell even the Doritos and McDonald’s over there are healthier than they are here….
 
amyl said:
Their systems won’t work for us. They have a healthier patient population with better habits. We need to find some way to hold patients more accountable for their life choices…. Lifestyle disease is our #1 killer. No exercise, poor diet choices - Hell even the Doritos and McDonald’s over there are healthier than they are here….
Click to expand...
The closest (Hispanic, Europeans, Africans? Asians) demographics (and population size) to the USA is Brazil (200 plus million heterogeneous population)

The Northern European countries are more homogeneous and have less immigration and less diverse population. Tend to be have less lower class population
 
amyl said:
Their systems won’t work for us. They have a healthier patient population with better habits. We need to find some way to hold patients more accountable for their life choices…. Lifestyle disease is our #1 killer. No exercise, poor diet choices - Hell even the Doritos and McDonald’s over there are healthier than they are here….
Click to expand...

Short of forcing people to require a number of steps per day or be able to stay at a certain weight with reduced insurance premiums, the country will only get fatter and sicker with all the crap in the processed food which people are also addicted to and probably designed that way by teh powers to be as keeping people sick is good business not so much for a healthy population. Most of all that's allowed here is banned in europe.

There is no real solution here until your getting a penalty and its effecting your bottom line either way but thats not palatable for most to accept.
I feel bad seeing friends gaining weight and pre diabetic in late 30s while im here feeling like im 20 eating the best foods and exercising 90 min a day. Then you can't really say anything to your friends or they'll get offended and they think having a six pack in your late 30s is genetics when it requires a ton of effort in and out of the kitchen.
 
finalpsychyear said:
Short of forcing people to require a number of steps per day or be able to stay at a certain weight with reduced insurance premiums, the country will only get fatter and sicker with all the crap in the processed food which people are also addicted to and probably designed that way by teh powers to be as keeping people sick is good business not so much for a healthy population. Most of all that's allowed here is banned in europe.

There is no real solution here until your getting a penalty and its effecting your bottom line either way but thats not palatable for most to accept.
I feel bad seeing friends gaining weight and pre diabetic in late 30s while im here feeling like im 20 eating the best foods and exercising 90 min a day. Then you can't really say anything to your friends or they'll get offended and they think having a six pack in your late 30s is genetics when it requires a ton of effort in and out of the kitchen.
Click to expand...

lol I don’t even think tying BMI to insurance premium rates will move the needle. People literally addicted to high calorie foods. Look at how many physicians can’t even stay in shape.
 
emilys_92 said:
i actually didn't realize MGMA was so outdated (newbie over here 😳) i saw a post on /whitecoatinvestor talking about salary data... some doc created a website wiht self-reported salaries. def not as "robust" as MGMA but thought it was helpful because they list schedule/hrs per week, PTO, benefites etc along with each salary. linking here for anyone curious
Click to expand...


nice ad. very not obvious new member and all
 
emilys_92 said:
i actually didn't realize MGMA was so outdated (newbie over here 😳) i saw a post on /whitecoatinvestor talking about salary data... some doc created a website wiht self-reported salaries. def not as "robust" as MGMA but thought it was helpful because they list schedule/hrs per week, PTO, benefites etc along with each salary. linking here for anyone curious
Click to expand...


lol they also want your email and NPI number
 
Too many variables with workload and compensation

Most of the data on that site that was link is correct or within 10% because people are pretty honest what they make and how much they work. But it’s way too much information because no options to choose w2 plus 1099 and I can’t tag a location since I have like different jobs in different cities.

But it’s a good real time start on current salaries.

The main weakness of w2 jobs is to fight for vacation time. Besides the money.

Vacation time is important
 
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