58 Trillion in Debt

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[aneftp]

We got two issues in this country.

Republicans love military pending. Frankly everyone complains about health care spending and gdp crap.

But I look at the annual budget. Basically 20% of government healthcare like Medicare towards total annual budget. But 20% goes toward defense spending.

But everyone is afraid to cut anything. Cut defense spending by even 5%. People freak out. Economies will collapse. Look what happened to Wash Dc housing market in 1989-1990 after Cold War. House prices tanked in Wash dC proper 10-15% during 1989-1990 with defense cuts. Housing prices barely fell in 2007-2009 in DC even with financial collapse/housing bubble because defense spending wasn't cut.

Dems obviously love entitlement programs. They keep growing.

So I propose higher taxes and reduce military spending and reduced entitlement programs spending. We will have more people unemployed.

I will end up with 0% of votes! Everyone will hate me.

 

[aneftp]

Direct expense management? Crna only groups I know make close to 400k a piece working 60 hours a week with 10 weeks off. Heck they are just as expensive as md only groups.

Remember Medicare pays the same CRNA vs md. The chart you are showing. Only Joe public is stupid enough to believe that.

Crna who do their own billing make $$$ with no middle person stealing money.

The Asa is so stupid not to pounce on this. The cost per room is just Bs.

 

[aneftp]

Asa need to use junior pilot vs advanced pilots.

Junior pilots usually work for regional carriers and make 50-70k.

Advance pilots make 200k and fly major airlines.

Both have similar safety records right?

So why don't junior pilots just fly major airlines and eliminate the more expensive advanced pilots?

 

[BLADEMDA]

So essentially the question becomes is the difference in cost/room worth the avoidance of liability or revenue management issues? The answer to that question will determine the fate of anesthesiologists. It's a shame I'm 30 years too late in getting into anesthesiology. I wonder everyday if I am making a mistake going down this road when my gut is telling me the writing is on the wall. I just have gotten drained by patient interaction and most fields are not financially feasible to pursue. I think Radiology and Pathology have no future and you have to be oblivious and/or insane to go into any type of primary care. I'm not competitive enough for dermatology nor am I interested in it and I just feel like an idiot standing here with 200k+ in medical school loans with no future.

Wait a minute. The AANA propaganda is just that: Propaganda. The reality on the ground is that Anesthesiologists are needed in the O.R. I was posting that stuff to show you the AANA argument. The fact is it isn't true as Anesthesiologists aren't going anywhere. The AANA's push right now is for legal independent practice in all states as well as the "collaborative model" which means the hard cases go to the Anesthesiologists.

Anesthesiology is a better choice than Rads (except Interventional) and Pathology. Forget about Primary Care and decide between IM with subspecialty or Anesthesiology.

 

[BLADEMDA]

Sorry, I thought you were posting an actual PowerPoint slide statistic. Yes, I agree. The ANAA argument is all about cost saving and nothing about quality. They know they aren't on the same level, but that still doesn't stop them from pursuing their agenda. This is something the ASA needs to address and resolve. These people are making a mockery of the profession. I'm still pursuing anesthesiology. Honestly, my big issue with IR is the lifestyle and radiation exposure. I think they are already finding higher incidences of left sided brain tumors in IR specialists. I don't think I could stomach a diagnostic rads residency. I also hate primary care and IM and I think the sub specialities run the risk of midlevel provider enroachment and cut in reimbursements for procedures in the future.

The cuts are a given for all specialties except Primary Care.

 

[aneftp]

The aana video is so misleading.

Crnas are MORE likely to get overtime than MDs. MDs on salary don't get much or any overtime.

 

[IlDestriero]

I would consider getting a place in the South of France and taking a job in the Middle East for big coin, with my family in France, if bundled payments and maobama care destroyed anesthesia in the next 5-10 years. They are opening/expanding several children's hospitals there and offering generous compensation for experienced specialists. I could finish out my career there and retire at 55.

 

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[BLADEMDA]

This was a record year for tax collections.

 

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[epidural man]

..

 

[DrCommonSense]

Wait a minute. The AANA propaganda is just that: Propaganda. The reality on the ground is that Anesthesiologists are needed in the O.R. I was posting that stuff to show you the AANA argument. The fact is it isn't true as Anesthesiologists aren't going anywhere. The AANA's push right now is for legal independent practice in all states as well as the "collaborative model" which means the hard cases go to the Anesthesiologists.

Anesthesiology is a better choice than Rads (except Interventional) and Pathology. Forget about Primary Care and decide between IM with subspecialty or Anesthesiology.

Why is it better than Radiology?

 

[anbuitachi]

Why is it better than Radiology?

My guess is similar down sides (easily replaceable, brings no patients in). However i dont know if anes is better than rads. I think CRNA holds a much bigger threat in the near future to anes than AI to rads

 

[GA8314]

at this point it's just fuc,kig funny money. let's be honest. maybe there will be a global reset. also, i take some very minor "comfort" in the fact that everyone is a f.cked as we are.