Predictions under President Hillary

[deleted185747]

I'm in the early stages of setting up my own private practice. I have seen a few patients but it's slow and saturated in my area. It's not too late for me to pull the plug and run. When I hear people talk about how much worse things will be for us under Hillary it makes me pause.

What will specifically be worse? I'm in California, its already brutal. Enlighten me so I know what I'm up against, or I may sell my C-arm to Bedrock.

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[willabeast]

i am very happy that i practiced in an HMO for the last 25 years. i suspect all MD's in medium to large population centers will be better off practicing in an HMO setting in the near future, no matter who gets elected . rural areas probably immune to HMO intrusion. HMO definitely not perfect, but it beat private for me.
(5 years private - 25 years HMO).

 

[Disciple]

I'm in the early stages of setting up my own private practice. I have seen a few patients but it's slow and saturated in my area. It's not too late for me to pull the plug and run.

But, run to whom? The hospital? Kaiser?

 

[lobelsteve]

We will eat maggoty bread and onion broth. Think game of thrones.

 

[Ligament]

President Mrs. Bill Clinton is going to use the failure of Obamacare to push for single payor, to emulate the excellent system the Canadians and Brits have...my CANADIAN patients love their system, where it takes 6 months to get an SIJ injection, and 1 year to get a consult with a Pain Medicine subspecialist. They just love driving from Vancouver to Seattle to get care in less than 6 months.

 

[lord_jeebus]

I think it's all speculation. Hillary Clinton's entire political career has been directed toward saying and doing whatever increases her chances of becoming President, and I don't think anyone can really identify her true beliefs and motives. Given the political mess that health care reform had been for both Bill Clinton and Obama, I doubt that pushing for a single-payer system would be her top priority. It would take a huge landslide victory in the House and Senate to even consider such a move, and my understanding is that Democrats are unlikely to win majority control of the House. Even then, it would require complete support within her party, and unless it really is her #1 priority, she is not going to expend the political capital necessary to buy enough moderate Democratic votes to make it happen.

 

[drusso]

I'm in the early stages of setting up my own private practice. I have seen a few patients but it's slow and saturated in my area. It's not too late for me to pull the plug and run. When I hear people talk about how much worse things will be for us under Hillary it makes me pause.

What will specifically be worse? I'm in California, its already brutal. Enlighten me so I know what I'm up against, or I may sell my C-arm to Bedrock.

Are you willing to give up the prestige of private practice?

 

[Sig123]

The saving grace here is Hillary can be bought. Let's hope the right people buy her.


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[Ligament]

The saving grace here is Hillary can be bought. Let's hope the right people buy her.


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True that, and seriously something to consider. Plenty of money in the insurance industry to buy her off and bend her over to make her do their bidding, for the right price she'll do anything, even sell Uranium to Russia...LOL...wait...she actually did do that. Crap.

 

[SSdoc33]

True that, and seriously something to consider. Plenty of money in the insurance industry to buy her off and bend her over to make her do their bidding, for the right price she'll do anything, even sell Uranium to Russia...LOL...wait...she actually did do that. Crap.

insurance industry is happy. pharma is happy. device makers are happy.

docs are unhappy. patients are unhappy.

i dont see much changing as the docs and the masses dont have the lobbying money.

single payer wont happen for long-long time.

 

[Ducttape]

We will eat maggoty bread and onion broth. Think game of thrones.

you get onions?

 

[lobelsteve]

you get onions?

Vidalia Georgia. Best onions in the world

 

[Gauss]

insurance industry is happy. pharma is happy. device makers are happy.

docs are unhappy. patients are unhappy.

i dont see much changing as the docs and the masses dont have the lobbying money.

single payer wont happen for long-long time.

I'm seeing a sudden exodus out of medicine with respected CMO's, physician admins, and clinical leadership. Retiring or switching careers. It's starting to get the attention of non-clinical admin as they're simultaneously seeing substantial revenue losses and cutting of nonclinical areas and jobs.
winter is coming

 

[Stim4me]

Hiliary has no mandate or plan that she pushed during her campaign. Furthermore she will enter the presidency with a 53% unfavorable rate, highest ever. She's a lame duck from day one...end result, more tax and spending, more entitlements, more Medicare nonsense...

 

[hyperalgesia]

My worry is her leftist supporters, the Chavistas, who just came up with a novel idea they call "Socialism" - where everyone chips in their fair share and is equal and stupid happy (see link below). Nowadays Hillary is a capitalist and resistant to such ideas but she will say and do whatever to get re-elected.

But if she gets elected, we may need to stop hating her and start buying her. At least until someone more free-market and less crony is available.

https://www.washingtonpost.com/news...out-venezuelas-political-and-economic-crisis/

 

[Stim4me]

My worry is her leftist supporters, the Chavistas, who just came up with a novel idea they call "Socialism" - where everyone chips in their fair share and is equal and stupid happy (see link below). Nowadays Hillary is a capitalist and resistant to such ideas but she will say and do whatever to get re-elected.

But if she gets elected, we may need to stop hating her and start buying her. At least until someone more free-market and less crony is available.

https://www.washingtonpost.com/news...out-venezuelas-political-and-economic-crisis/

Like a prostitute??

 

[NJPAIN]

Vidalia Georgia. Best onions in the world

Obviously you don't know Walla Walla Sweets


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[geauxg8rs]

Like a prostitute??

How could you demean the worlds oldest job with such a vile comparison?

 

[DrCommonSense]

insurance industry is happy. pharma is happy. device makers are happy.

docs are unhappy. patients are unhappy.

i dont see much changing as the docs and the masses dont have the lobbying money.

single payer wont happen for long-long time.

Correct, Hillary is literally owned by the device, big pharma, investment banks and hospital lobbies. She will makes sure the money goes to these groups.

Furthermore, she will make sure "specialist" physicians in the system make only about 30% over PCP physicians.


Anesthesiology will see far more midlevel encroachment and CRNA "rights" which has just started in the VA. The VA will show that CRNAs are "capable of doing almost all cases independently of anesthesiologist" and will get far more independent rights over the next year. Anesthesiologist will probably have to "collaborate" in models where they do their own cases but still have to "put the fires out" for CRNA continuing to obtain their liability. Lawsuits will continue to INCREASE in number/size as more Medicaid people come into the system with large entitlement complexes and a "sue happy" attitude. The obesity/drug epidemic will make anesthesia riskier and riskier from a malpractice standpoint.

Probably better to be on the business end of medicine in the next 5 to 10 years.