Originally posted by Freeeedom!
Who cares what doctors do in the Philippines?
Lloyd, if you believe that story, I have some land for you to buy in Florida...its swamp land, but I really bet you can farm it. NP's practice medicine? I suppose they practice dentistry too...How are you saving almost a million dollars? My friend, I simply don't understand your math...nor do I understand your statement of autonomy? What state? Most of the time the NP/PA makes money for the physician (ie cheap labor) much like residents. Your stories are so twisted I have to wonder if you actually just "making them up". I have seen probably about 10 happy nurses in the past 6 years of medical training...so your stories are a rarity indeed.
Owlmyste...I have been off this subject board for a year, but I used to be a frequent flyer here. And now I see a new face/name. You have HATRED for doctors...nice. Sounds like you need a bit of therapy. There is a NP that I know that makes a million dollars, practices dentistry, vetrinary medicine, and psychiatry. Went to school for 6 months, works 20 minutes a week and all of her children love the lord and never get into trouble. Perhaps you could see her. If the story sounds too good to be true, it likely is.
Wanna buy some stocks?
Believe what story?? What the f*ck are you talking about???
Here's the math for your simple mind to comprehend...
Family practice doctor... 60,000 undergrad loans. $160,000 med school loans. That's $220K to pay back. Then there's residency for 3 years at $30K/yr. So, since I've lived on the 30K/yr during residency, the $220K is now $250K with interest, and on a repayment plan will cost much more with interest.
Family Nurse Practitioner: government pays for all school because of the word 'nurse'. I start making $150,000/yr after 5.5 years of school. So, I have 5.5 years of earning while you're still in school. That's already a total of $825,000 of lost income while you're becoming a doctor. Add in the $300,000 you'll be paying back in loans (that's if you pay it back quickly) and already you're behind $1,125,000 when you finish residency. Since the average family practice doctor makes about $130K/yr because of rising malpractice costs, medicaid/medicare cuts etc, you'll never catch me. Sure there's docs making much more, but you can have the headache and the working your arse off 100 hours/week.
Don't understand still? I can't explain it any simpler. Don't believe I'll make that much as a NP? Here's that math simply laid out for you... $50/patient x 30 patients per day at 100% reimbursement (cash only) = $345,000 per year gross with 6 weeks vacation per year. I take 50%... $172,500. I work 40 hours a week and pay $1000 a year in malpractice insurance. You work 100 hours a week and pay upwards of $40K a year in malpractice insurance.
Now you see why I would do such a thing (maybe you still don't see... I don't know).
And since you have no clue what NPs do, you need to research it if you're still stumped. You don't think we practice medicine? We examine, diagnose, order and interpret lab/xray/ancillary services, and prescribe medicine. What is practicing medicine if we don't do it? Yes, the law attaches us to a license of a doctor, but that is so vaguely described in the law, that it can mean attached at the hip or fax a chart to a docs office once a week and that's it. And, yes, we practice medicine on the simpler side (cough/sneeze/snotty nose) but that's the gravy train. You can have the CHF/COPD/NIDDM patient that's sh*tting all over themselves that the government pays a flat meager rate for no matter how much care they get.
If you don't understand still, just close your eyes and continue on your path because you're just another sheep headed toward the sheering.