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- Jul 27, 2005
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BackTalk said:Yes, unfortunately we have a reputation of being highest defaulters on student loans when it comes to doctors. Chiropractic is a tough market, you have lousy insurance reimbursement for the most part, and you are pretty much on your own when you graduate. You will have to open your own clinic or work for a DC who will pay you enough to make your student loan payment and that's about it. Oh yeah not only do you have to deal with that you also have to deal with the know-it-all medics trash talking your profession. If MD's in private practice didn't have the hospitals and the insurance companies funneling them new patients they would defaulting on their loans. I think people here would better serve Jesse by telling him to avoid healthcare all together. Insurance is going down the tubes and people will not pay out of pocket for what the insurance pays. You think a patient will pay $200-$300 a visit for PT or an ortho consult out of pocket? They won't even want to pay the family doc for a $70 office visit. One thing about chiropractic is many people already pay cash, they're use to it, and they've been conditioned like Dental patients. Medical doctors on the other hand rely on insurance and when it disappears they'll be workin for all the chiropractors.
Yes, we have some quacks just like they do, we have doctors who dupe patients just like they do. What's your point? Since your profession is larger than ours, you probably have more quacks and scammers than any healthcare profession.
While much of what you said here is nonsense (such as MDs working for chiros one day), you made some valid points. Medicine, and health care in general, is not what it used to be. I'm only 35 and haven't been a doctor that long, but I'm already on my way out. After residency, I went to law school, while working full-time, and am now practicing law part-time and hopefully soon, will join with a health care law firm full-time.
Managed health care, at least in the US, has forever tainted the health care professions. To be honest, from what I've seen, the only profession that continues to do well is dentistry. Jesse, if you're reading this, have you have ever thought about dentistry? It's four years after college and once you graduate, there is no residency. It's a great income and a great lifestyle. Dentists do very well no matter where they live in the US. Also, many areas of specialization. Managed health care hasn't mucked up dentistry like it has medicine, chiro, PT, podiatry, psychology, optometry, etc.
Another factor to consider is the proliferation of mid-level practitioners in the US. Here, MDs and DOs in primary care are being replaced by foreign medical grads (mostly from India, Asia, and Mid East) and PAs (Physician Assistants) and NPs (Nurse Practitioners). I know there are many FMGs in Canada as well, but the PA-NP trend hasn't caught on over there. It will. Once it does, MDs and DOs in primary care will make even less. Soon, you'll have DNP degreed NPs popping up and moving over into former MD territory. Medicine is a mess. PhD/PsyD psychologists are getting presriptive authority in many US states. ODs also have prescriptive authority and are enhancing their scopes of practice. DPTs are cropping up everywhere and will want more autonomy and authority. Audiologists are now clinical doctorates (AuD) and becoming more like optometrists. Pharmacists have doctorates too and are increasing their clinical roles.
One day, in fifty years, you'll have opometrists and NPs performing surgeries, more PA specialists, more NP specialists, pharmacists performing physical exams (already being done in many states with CPPs (clinical pharmacist practitioners), psychologists doing testing and writing scripts/admitting into hospitals/ordering labs, and PTs ordering imaging, etc. Meh, health care is a nightmare.
So, Jesse, if you're out there, don't take the plunge into unknown and potentially dangeours waters. Do some soul-searching and give it some serious thought. What else would you like to do? There are many options. Don't just go with chiro or PT.