Doctors are So Overpaid!

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Of course we will.

I also believe that, despite the bluster, none of the Rand-lovers here will ever have the cojones to tell their patients to pony-up cash before they'll treat them. Panda included.

I sometimes question whether you actually understand Rand philosophy at all. You'd have to also assume that I would desire to demand up front cash for emergency procedures. Lastly, Panda is a conservative, not a libertarian, and he would probably disagree with as much Rand philosophy as he would agree with.

Of course, none of this has anything to with the topic at hand, as the cajones of people who embrace aspects of a certain philosophy has very little to do with the long term pay prospects of physicians.
 
You know, I really go back and forth on this issue.

Last year we had a seminar where doctors gave us advice. One ole timey doc, practicing for longer than my dad's been alive I'm sure, stood up and said "If you haven't already, you'll encounter someone objecting to the amount of money you are paid for being a physician." (He was right, 2nd week of first year was the first time). He then launched into an impassioned speech, saying many of the same things said on this thread, like how the same guy will want his favorite team to pay millions of dollars to sign a hot talent ballplayer, but will cry bloody murder about how the physicians who kept him alive after his heart attack make more than he does.

On the other hand, someone quoted to me what a certain Neuro intensive radiologist made last year and it made me want to join the "physicans make too much" camp 🙂
 
Of course we will.

I also believe that, despite the bluster, none of the Rand-lovers here will ever have the cojones to tell their patients to pony-up cash before they'll treat them. Panda included.
I do it every day. First I tell several malingerers a day that despite their desire to board in the hospital for a few days they are going out the door. Second, we have a system where the patients judged to have non-emergent complaints (determined by me) can leave or pay $200 for whatever it is they want.

To add an ortho flaver for you every hand surgeon in Vegas demands $500 cash or proof of insurance to get seen. And none of them will take call at the community hospitals. I'm not bashing them (in this context) but they sure have the cajones to tell the world "Cash up front or YOYOMF."
 
I do it every day. First I tell several malingerers a day that despite their desire to board in the hospital for a few days they are going out the door. Second, we have a system where the patients judged to have non-emergent complaints (determined by me) can leave or pay $200 for whatever it is they want.

To add an ortho flaver for you every hand surgeon in Vegas demands $500 cash or proof of insurance to get seen. And none of them will take call at the community hospitals. I'm not bashing them (in this context) but they sure have the cajones to tell the world "Cash up front or YOYOMF."

HAHA! This is why I thought strongly about EM. I love being able to tell patients what you really think and not giving a **** whether they come back. If they have a real complaint, they'll be back. I am not talking about being an a**hole just to be rude. I am talking about being able to truly express how damaging someone's behavior is to them and your anger about it because--surprise!--you seem to care more about their health than they do. Or tell a patient how much their non-complaint is wasting your time that could be spent helping people with real problems. I worked with an EM doc who yelled at a lady about how alcohol was going to kill her . . . she was comatose her next admission 2 weeks later and has been in the ICU for a month. EM turned out not to be for me . . . I don't like to work at night; I like to sleep at night.
 
To add an ortho flaver for you every hand surgeon in Vegas demands $500 cash or proof of insurance to get seen. And none of them will take call at the community hospitals. I'm not bashing them (in this context) but they sure have the cajones to tell the world "Cash up front or YOYOMF."

Well hell, I know we do it. I was just saying I doubted you guys would. I'm impressed you have that system in place. I've heard Colorado had a similar program, but yours is the first I've been told of first hand.
 
Ya, Plastics and Orthopedics fight NOT to take Hand call. You'll end up operating at 3 am in the morning for 5 hours on some illegal (or legal) construction worker who severed his hand or crushed it and of course... does not have insurance. Hope those $300 from medicare are worth it.
 
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