Nurses Making More than FPs

[JackADeli]

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...The stuff about non-compliance and lifestyle-related disease, however, is a different subject altogether. I really don't care what diseases a person has, as long as they keep their appointments and pay their bills. As for non-compliance, I'll tolerate it up to a point. ...I have no difficulty making them somebody else's problem.

I agree. I mention the issues because of additional perspective it provides. I treat the disease no matter how they arrived at their illness. But, I expect to be compensated. They make their choices in life. Well, healthcare is a choice. If they choose me for their service, they accept the costs.

But, it becomes far too incongruent on the life balance sheet to look at my young child and say "dady/mommy won't be at your recital because I have to go and spend time with the obese tobacco abuser... and by the way, sorry but we can't buy the new ballet slippers cause the unhealthy people don't want to pay and daddy/mommy does not really have a job, I am just a community volunteer. Don't be sad, it builds character"....

...I again say, I will choose to who, when, and where I provide charity...

 

[VA Hopeful Dr]

I suppose if your ok with a system that allows wealthy people to attain healthcare while leaving the poor to their own devices, then telling medicare and medicaid to f-off is a reasonable way to exert leverage and advocate for yourself.

I think we are all on the same page in that we agree we are undercompensated. The reason many of us have difficulty taking a hardened stance is not because we are pushovers but because there are some major social implications to self-advocacy that involves denying care to people who need it.

Call it a sob story from a bleeding heart if you like but what is the answer to this.... cash for service only and to hell with the rest? Government is going to need to be involved in some form and we will need to work with the government to attain higher salaries in the long run.

I'll jump on this too. Compensate doctors better and I think you'd see more people doing charity care. Even better, make charity care in your own office tax deductible.

 

[JackADeli]

...Compensate doctors better and I think you'd see more people doing charity care...

Isn't it surprising how economic principles that work in other industry DO work in medicine too!

Think about it, over the last 50-100 yrs:
1. you lower taxes, tax revenues/collections increase, more people employed, more dollars available, more spending, more charity, etc, etc....
2. raise taxes, tax revenues/collections plummet, less employment, less dollars, less spending, less charity, etc, etc...

This isn't my opinion... this is black and white, documented historical data.

Also, Ted Turner didn't decide to make dramatic charitable contributions until he was significantly wealthy.
Pop singer Jewel did not decide to make massive charitable contributions until she was on easy street.
The list goes on and on.... it seems those pushing for institutionalized "charity" through tax and legislative process are either impoverished government dependents or wealthy*... not the working middle class working towards the goal of wealth, which [the goal] would dissapear with communism/socialism.


*you can throw in the unions that are really pushing because they have been running a ponzi/pyramid benefits scheme and are hoping to have government healthcare just wipe this liability off their books.

I found this to be a somewhat intereing read as we discuss healthcare, payment, individual value of one's labor..... Some interesting points/perspectives. Not necessarily representative of my views, points, or perspectives.... but interesting read none the less.

American Capitalism Gone With (only) A Whimper(by Stanislav Mishin - April 2009)

http://www.norcalblogs.com/post_scripts/2009/09/american-capitalism-gone.html