Poor docs, rich trial layers

[GMEN]

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So with all the talk of the beneficence of the obama admin- giving healthcare to the poor and the weak, it appears that its business as usual. Nancy Peloci and the dem machine will reward trial lawyers, by not only refusing to adopt tort reforming measures, but by bullying states that have medmal caps to get with the program..

read below-

http://www.cnn.com/2009/OPINION/11/09/frum.trial.lawyers.victory/index.html

 

[GMEN]

sorry was typing fast- its lawyer.. lol😀

 

[powermd]

So with all the talk of the beneficence of the obama admin- giving healthcare to the poor and the weak, it appears that its business as usual. Nancy Peloci and the dem machine will reward trial lawyers, by not only refusing to adopt tort reforming measures, but by bullying states that have medmal caps to get with the program..

read below-

http://www.cnn.com/2009/OPINION/11/09/frum.trial.lawyers.victory/index.html

Sickening.

Campaign finance reform first. Everything else later.


Fine. How about we shift medmal cases out of the general courts all together and into special arbitration? Or create special medical courts. Adopt a no fault system where the doctor admits the mistake, and the patient gets compensated based on what a panel of experts think is reasonable. No harebrained juries. No limit to attorney fees, no cap on damages. Perfect.

 

[powermd]

I spoke too soon, maybe Obama's goals are loftier than malpractice caps. It would truly be a quantum leap forward if we moved to a no fault system.

http://www.slate.com/id/2235027/pagenum/all/#p1

 

[PMR 4 MSK]

I spoke too soon, maybe Obama's goals are loftier than malpractice caps. It would truly be a quantum leap forward if we moved to a no fault system.

http://www.slate.com/id/2235027/pagenum/all/#p1

Will never happen. Lawyers have too much political influence.

We doctors are concerned with improving our patients lives.

Lawyers are concerned with fees.

The fundemental flaw is the assumption, near universal outside of the medical field, that a poor outcome or a misdiagnosis is almost always malpractice, malice and/or malfeasance.

Doctors do not any longer have the respect our forefathers did, nor anyone who has the foresight to invision what effect these changes will have on the providers of medical care. The assumption is we want to be doctors, so we will be willing to work for whatever small amount of money the government will toss our way. And like good little lap dogs, we continue to do itevery day.

 

[drusso]

"The second model, essentially the same way Americans now deal with vaccine-related injuries, involves "no-fault" tribunals. More than 30 years ago, for example, New Zealand replaced its tort-based system with a government-funded program called the Accident Compensation Corp., which handles about 2,000 medical injury claims from a population of 4 million people a year and pays compensation to patients in roughly half of them. Today, the program's overhead costs are less than 10 percent. On the back end, these claims can also lead to broad-based, systematic changes to prevent future errors."

Hmmm...

More than 1/2 of all costs in a a Med-Mal suit go to lawyer fees not victims, but I don't see the public outrage. I don't see "evidence-based" guidelines for lawyers on how to prosecute Med-Mal cases. I don't see Med-Mal "pre-auths," "recovery audits," etc.

I say that if Doctors are forced to lived with socialized health care delivery, then Trial Lawyers should be forced to live with socialized Med-Mal.

 

[PMR 4 MSK]

I say that if Doctors are forced to lived with socialized health care delivery, then Trial Lawyers should be forced to live with socialized Med-Mal.

Yeah, good luck with that idealism. The lawyers and government (same thing) will not be happy until medicine is buried under miles of paperwork to justify everything, and until we all practice as zombies with no thought about the individual - only treat populations based on flawed EBM.

They will get their cake and have a good time eating it too.

 

[Jcm800]

well said. My supposition is that the caliber of applicant into medicine will drop, and the desire of someone to dedicate themsleves to 13+ years of post-high school education, 80-100 hours a week of hell, nights in a ****ty hospital away from family, all but go away, if they do not expect to be compensated higher than some middle level 4 year degree sales person...

i love what i do, but i wouldnt have put up with what i did, incurr the loans and loss of my golden twenties, to work 60 hours a weeks, take crap from everyone, including patients, to make less money then an effing drug rep, or an ambulance chaser...

i fear that when i am older, and i have heart troubles and i see a doctor he will be angry because he couldnt get into dental school and is stuck putting in stents into my heart...

Will never happen. Lawyers have too much political influence.

We doctors are concerned with improving our patients lives.

Lawyers are concerned with fees.

The fundemental flaw is the assumption, near universal outside of the medical field, that a poor outcome or a misdiagnosis is almost always malpractice, malice and/or malfeasance.

Doctors do not any longer have the respect our forefathers did, nor anyone who has the foresight to invision what effect these changes will have on the providers of medical care. The assumption is we want to be doctors, so we will be willing to work for whatever small amount of money the government will toss our way. And like good little lap dogs, we continue to do itevery day.

 

[Tenesma]

i have a few friends who became engineers --- they make about 120-150k per year with a Master's degree (one to two years worth of post-grad) AND because of a variety of deductions pay <10% in federal tax... and they have NO call, NO malpractice and work 40 hours per week...

they have an idea of what my income is, and yet, would much prefer their trajectory (less schooling, less debt, less responsibility, no malpractice) with their lower salary...

there needs to be an incentive to be become a doctor to justify the aggravation...

 

[lobelsteve]

i have a few friends who became engineers --- they make about 120-150k per year with a Master's degree (one to two years worth of post-grad) AND because of a variety of deductions pay <10% in federal tax... and they have NO call, NO malpractice and work 40 hours per week...

they have an idea of what my income is, and yet, would much prefer their trajectory (less schooling, less debt, less responsibility, no malpractice) with their lower salary...

there needs to be an incentive to be become a doctor to justify the aggravation...

Isn't the satisfaction of helping your fellow man enough? Greedy doctors.


I have an upcoming procedure for a self-pay patient. The hospital suggested she pay $58,000.

I talked it over with the office, and because there is no special equipment needed, no expense, they offered the patient a fee of $850 .

I would do the same thing the same way in both cases. Only benefit to the OR is better lights. My fluoro is better than what the hospital has.

Anyone care to explain....I get paid a few hundred dollars either way. So where does the money go?

 

[Jcm800]

Isn't the satisfaction of helping your fellow man enough? Greedy doctors.

it would be if i was able to barely get a four year degree where attendance was recommended and i had a job where i got the summers off...

The most brilliant minds may not have gone into medicine, but typically the most driven and hard working...The sacrifice was put forth for the reward, that of helping your fellow man (and women) but also to make a living that made up for the nightmare.

To get into medical school in this country was/is a nightmare. I made major sacrifices to go to a good medical school and paid a lot for it. my friends that are lawyers and engineers (my wife) make a lot of money, with 4 years of school (plus 3 for law school) and have none of the hassle, and none of the grief about being called greedy.

my attorney friends are big capiltalists and nobody blinks an eye when they get billed for 15 minute increments of time on the phone, but when the anesthesiologist bills in 15 minute units, its a sin.

I may just sell my fluoro, and franchise a McDonalds, it will improve my image from being a greedy doctor, to just a business man.