What's the point of sponsering an army of MDs? So we can get low quality docs who get paid low wages?
You know I had another "doctor expierence" just today. I decided to stretch my back a little and spent a night on the carpet, and someone turned off the heat during the night. More, I was stupid enough to suggest that the floor is made of the same crap as everything else in the building, i.e. compressed wood or something, but no-- it was concrete. So I got T 101.3-102.5 for 2 days, than on a third day I have 99.8 and feel great but go to do the "doctor thing" anyways, to calm down my wife's worries about kid's safety and check for a strep.
So the thing happens in the middle of USA, probably 50-60 miles from my area.
So we drive for 30-40 mins , and entering some big metal box, which supposed to mean clinic's building, I guessed. So, it took 1 hour driving (to and fro ) an hour waite "at the gate" , then an hour waite "in the room"
and $147 (one hundred and forty-seven dollars ) to see
a...
medical assistant, for a good 5 or 7 minutes. Gosh she says, I am sorry but we are so busy today. And yeah, the funniest thing, she was making herself look like she was listening my lungs through my shirt
AND a thick sweater ( I am just terrified to think that it was
the way she was taught ) About the actual doctor-- I did see a big old guy melancholically walking the coridors sometimes, through the holes in the door, I guess it qualifies as "seeing a doctor" here in states. But guess what-- my relative took my scepticism personally. Really, as a personal offence. Apparently this assistent is her major doctor for whatever
problems she ever got. And she does have multiple health problems (no wonder ). She said that she
even
"heard" as she (P.S) was discussing her case with "THE
Doctor". Once. Sometime ago.
So yes- there is a need of an army of MDs. And yes-- I will take a "low-quality doctor" before I take an "assistent" just any day. And a low-quality doctor will not last long in the medicine anyway, even in socialized system.
Do you think a doc who earns 50k a year will care as much as a doc earning 200k a year? You raise the stakes and the care goes up with it...
Well a doc who is a real doc , i.e. was honest on his medschool interviews for not less than 30%... will do his job honestly no matter what. I can be wrong but its just my opinion..
Hence the malpractice as well.. an added stake... though you want to jump from one extreme of full lawsuits to the other extreme of 100% no lawsuits by abolishing malpractice insurance....
And what is exactly malpractice insurance if not bribing an unlucky patient/relatives with his own money? If a doc did something really, really bad... there are plenty of jails available any day. If not -- there are a plethora of possible minor punishments whether with his practice , salary fines, or whatever else, or nothing at all.
Are the costs what concerns you? because MD salaries are a small fraction of healthcare costs...
When you come to get a hernia repaired.. you are supposed to pay $15k and the surgeon gets only around 400 for it and the anesthesiologist gets another 400....
$15K..
and you kick patient out within a day? So what other $14200 go for, electricity and gloves? And surgeon's $400- after a malpractice fees and taxes, he has what-- $200? Really?
Here is a little picture how it would be done in the country #1 ..
--Oh..Mister N.. you need a hernia repair. Today is what? 17/12? We'll put you for surgery for 10th-15th of January, no sooner. (Hospitalization and surgery are free, of course.)
So mister N gows/calls his cousin/third uncle/highschool friend who is in the field, and the friend says that Dr. Such&Such is an excelent surgeon .
--Oh.. Mister N.. you want your surgery performed by Dr Such&Such only? Ok.. But you know, he is fully booked, so I can put your surgery on for .. 17th of September.
So mister N., himself or most likely through his friend, meets Dr. Such&Such personally.
-Doctor.. My surgery is on for 17th of September, but you know, I'd really appreciate if we could do it sooner...
-Hmm.. Well, ok I am sure we can figure something out . Drop by my office tomorrow.
Something like that.
So it would take probably $100-300 cash , and the surgeon will share some of it with whomever he needs to, to have it done with a very good surgeon at the moment you want it to be done. Finally.. his salary is probably $150-350 net monthly, meantime average salary in the area is also $150-350. His second "salary" is probably anywhere between $1000 and $3000, net, meantime you can have a very comfortable living with $800-1000. He still does a whole bunch of surgeries even without "ëxtras", for no more than his salary,as any other surgeon. And , yes, recent grads will do it on the salary alone for kinda a very long time.