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Fpg1245 said:
Lmk where those peons are and I’ll gladly join. Peons are essentially at 275K in desirable areas which their predecessors 15 years ago were getting. Why these people haven’t burned the place down or commuted ritual suicide remains a mystery.
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they leave after 2-3 years or have other reasons why theyre stuck.
 
Fpg1245 said:
Lmk where those peons are and I’ll gladly join. Peons are essentially at 275K in desirable areas which their predecessors 15 years ago were getting. Why these people haven’t burned the place down or commuted ritual suicide remains a mystery.
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If Ralph is paying his midlevel faculty in the 3s, who can blame them for an evercore side gig? Probably benefits both sides as they don’t get a raise, and he looks away.
 
VAMC.. Where your pay will never exceed 320k a year even if you have 50 on tx.. But you'll always hear them sadly say "but the benefits are great" and then look at you mournfully for validation... Lol..
manchester united GIF
 
RadOncDoc21 said:
RadOnc is likely easier to have shift type schedules and remote access. Of course there needs to be some type of Linac babysitting but shouldn’t be hard to coordinate. We def can do more as a field in general but admin would never have it!
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I think that getting rid of incident to coverage would be very family friendly - don't have to be on site just for the sake of being on site. Fewer jobs though.
 
IonsAreOurFuture said:
I think that getting rid of incident to coverage would be very family friendly - don't have to be on site just for the sake of being on site. Fewer jobs though.
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Astro would vehemently oppose that, in fact they did just that when cms started scaling down supervision requirements in 2020 before the pandemic hit, which was ignored anyways.

One less justification for all these unnecessary training slots, which goes against what many of the academic chairs/PDs of Astro are hoping for. Supervision requirements justify the need for more docs, unnecessarily
 
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sirspamalot said:
VAMC.. Where your pay will never exceed 320k a year even if you have 50 on tx.. But you'll always hear them sadly say "but the benefits are great" and then look at you mournfully for validation... Lol..
manchester united GIF
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Benefits that they wildly overestimate.
These orgs are criminal enterprises.
 
sirspamalot said:
VAMC.. Where your pay will never exceed 320k a year even if you have 50 on tx.. But you'll always hear them sadly say "but the benefits are great" and then look at you mournfully for validation... Lol..
manchester united GIF
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50 on tx?

My understanding was people took VA jobs because they were more like 10 on treat, come at 9 leave at 3. Lots of PTO, and I thought pay was more like 400k. Maybe not an ideal way to start a career as a hungry 30 year old trying to build a career and a nestegg. But an older rad onc who has already won the game... it sounds ... not terrible.

That cafeteria food tho... better get used to intermittent fasting.
 
Moonbeams said:
50 on tx?

My understanding was people took VA jobs because they were more like 10 on treat, come at 9 leave at 3. Lots of PTO, and I thought pay was more like 400k. Maybe not an ideal way to start a career as a hungry 30 year old trying to build a career and a nestegg. But an older rad onc who has already won the game... it sounds ... not terrible.

That cafeteria food tho... better get used to intermittent fasting.
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This is the normal way things go…you either get tired of the grind and phase into it with an eye toward retirement or you have a somewhat sketchy past but not enough to be banned from federal jobs
 
We are in a gerontocracy, and it is going to fiscally ruin this country. Boomers don't care, as they are the worst generation this country has ever produced. They're getting theirs.

When it comes to the VA though, Boomer veterans shouldn't get lumped in with the rest. I get the opportunity to treat VA patients through fee basis referrals, and I always feel good being able to provide them with good care. They're such great patients to treat as we all know.
 
Fpg1245 said:
I heard they recently reformed the system. Meaning the newbies aren’t getting nearly the deal the oldies got
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This is the same in a lot of big academic centers that used to have generous pension for faculty. Nowadays the young guys are working so the older guys can get a sweet, sweet golden parachute.

Everyone else gets a pat on the back and, if you’re lucky, a Starbucks gift card
 
OTN said:
When it comes to the VA though, Boomer veterans shouldn't get lumped in with the rest. I get the opportunity to treat VA patients through fee basis referrals, and I always feel good being able to provide them with good care. They're such great patients to treat as we all know.
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Agree 100%. I’m also not VA employed but I treat a lot of vets and it’s a great experience
 
My personal favorite are combat vets (ww2) and especially aviator combat vets. Amazing humans. B17 pilots told me some harrowing stories. Insane stuff (Raid on Ploesti? Why yes, I was there and will narrate the History Channel video with you.. as we watch it). One gave me their "Luftstalag" prison yearbook. These WW2 vets and their memories are something I will cherish, they are all gone now. Heroes all of them.

Even more gruesome: Killing folks up close does something to a person, it breaks them a little bit in a sad way. One vietnam vet (a giant but a huge teddy bear) told me how he won a silver star for close quarters combat. You'd look at this guy gently walking by and never realize what he was required to do. The key phrase was "crushed his head in like a grape".. they hated the VC (the SS of the vietnam war they called them) with a passion because of the atrocities they committed on civilians..
 
Fpg1245 said:
I heard they recently reformed the system. Meaning the newbies aren’t getting nearly the deal the oldies got
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The VA benefits are now largely related to having their health care package forever upon retirement. There is a thrift saving plan (which is equivalent to many other retirement plans) and there is still a pension, although it is remarkably smaller than before. Pension calculator is easy to find online, but generously, after a 30 year career of federal service, you may be looking at a pension on the order of 100K (maybe 130K) a year as a very high federal earner (more than 300k). I think the calculation is 1 to 1.1% of your high 3 years salary x number of years served.

I do not know if pensions increase with inflation.

For the true boomer, who started federal employment before the early 80s, they could sometimes collect 80% of their top 3 years salary for life. (think about that).

There are a lot of 70 year old federal retirees out there who are living very well. There are also lots of 70+ year olds who retired from the telephone company or industry without college educations and are living very well due to honored pensions. Some of these folks are surprisingly bitter.

The benefits to the Veterans are very good IMO and the service connection calculator is bizarre. I believe that conditions like prostate cancer and DM are now eligible for service connection. These diagnoses are extremely prevalent in any group of 70+ year old men. The shear expenditure on veterans benefits is huge (can be looked up in line item budgets). A Veteran who has 100% service connected disability will collect roughly 37K annually tax free.

Of course veterans should be honored. I have found them to be no better or worse than the general public on average. If I were king, there would be mandatory military or other federal service for 1-2 years.
 
communitydoc13 said:
The VA benefits are now largely related to having their health care package forever upon retirement. There is a thrift saving plan (which is equivalent to many other retirement plans) and there is still a pension, although it is remarkably smaller than before. Pension calculator is easy to find online, but generously, after a 30 year career of federal service, you may be looking at a pension on the order of 100K (maybe 130K) a year as a very high federal earner (more than 300k). I think the calculation is 1 to 1.1% of your high 3 years salary x number of years served.

I do not know if pensions increase with inflation.

For the true boomer, who started federal employment before the early 80s, they could sometimes collect 80% of their top 3 years salary for life. (think about that).

There are a lot of 70 year old federal retirees out there who are living very well. There are also lots of 70+ year olds who retired from the telephone company or industry without college educations and are living very well due to honored pensions. Some of these folks are surprisingly bitter.

The benefits to the Veterans are very good IMO and the service connection calculator is bizarre. I believe that conditions like prostate cancer and DM are now eligible for service connection. These diagnoses are extremely prevalent in any group of 70+ year old men. The shear expenditure on veterans benefits is huge (can be looked up in line item budgets). A Veteran who has 100% service connected disability will collect roughly 37K annually tax free.

Of course veterans should be honored. I have found them to be no better or worse than the general public on average. If I were king, there would be mandatory military or other federal service for 1-2 years.
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1669270055644.gif
 
sirspamalot said:
My personal favorite are combat vets (ww2) and especially aviator combat vets.
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WW2 vets would be like... 95 years old now?
If they were 18 when the war ended in 1945, that would mean they were born in 1927.

Are you giving those 95 year olds 79.2/1.8 to their prostates?
 
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Palex80 said:
WW2 vets would be like... 95 years old now?
If they were 18 when the war ended in 1945, that would mean they were born in 1927.

Are you giving those 95 year olds 79.2/1.8 to their prostates?
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I did 20 fx for an 89 yo vet a few years ago with a pretty high aua score and hematuria
 
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StIGMA said:
Probably prefer this story to another peds rad onc pedophile story. Maybe just delayed karma
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Karma?

I’ll bite. Who is being punished… and for what? Was there a coverup or something? I don’t know the backstory
 
Lamount said:
Karma?

I’ll bite. Who is being punished… and for what? Was there a coverup or something? I don’t know the backstory
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I dont believe in karma so dont use the term literally. But something akin to Babel, sure. If they hired him to see kids, they share some responsibility to make sure those kids are safe (even today) and that their hires in that position are beyond reproach.
 
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Moonbeams said:
This has been an absolutely fascinating discussion. I mean, my opinion is that it is ridiculous -- the level of vitriol towards occasional and even rare post 5pm work events is just wild to me. This idea that if your kids aren't actively managed by you at all times something awful will happen. But I am a dinosaur from an era where as an 8 year old in the summer we would venture off on bikes, explore the woods, not come back until dark, whatever. The bus would drop us off after school and we would walk alone the 20 minutes it took to get from the bus stop to our houses because our mom was at work and usually couldn't pick us up. Clearly I am out of touch when it comes to raising children in the modern world.

I've said this as a joke in the past, that if your staff can;t leave by 4 pm, it's catastrophic because they have kids that will literally die. Yeah, that's a joke, but really how much of one? Because that's kind of the attitude most seem to have.

What's really fascinating is how this is being framed as a equity/women's rights issue. I never even considered the mere existence of occasional after hours get-togethers as an affront to equality among the sexes in the workplace. Historically there was always the complaint of women being excluded from the "old boys club events" Of course everyone is invited to these things, but now it's a 180, nobody wants to be invited and they need to be shut down. I'm still unclear as to what the proposed solution is: a policy prohibiting them or just a general awareness that inviting colleagues out for a beer, is what, a microaggression?

Regardless, you all are not telling me anything I haven't already learned for myself. Most people hate these things and will be unhappy if they are pressured to go. I certainly don't have any plans to offer them again. And yes, the thing everyone LOVES more than anything are the free lunches and ability to waste time on the clock. If we stopped the rep lunches and started paying for weekly happy hours instead I think some staff literally might quit because of it.

Everyone is entitled to their opinion, but the level of animosity many have towards this is wild to me. There is no quicker way to piss someone off than to comment on parenting. My thought is that raising children is tough, and if this is something you have intentionally planned alongside a fulltime career in the medical profession, there are going to be some challenging tradeoffs you signed up for and within reason need to accept. Scolding colleagues for having social events after hours because it's a threat to your career/family balance is not something I can get on baord with. I'm just not going to see eye-to-eye on that and I guess that's the thing about our field is that you can ideally find the right group culture you fit in with. Obviously a cold corporate like academic or mega hospital probably isn't going to be the place for me, and that's fine. Medgator and I witll enjoy some sushi and beer on our own until we are forced out of business in, oh what, 5 years at this point? So yeah, I don't think you all have much to worry about as I suspect things like this will become extinct soon and looked back on like an anacronism from Mad Men.
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www.businessinsider.com

A man won the legal right to not be 'fun' at work after refusing to embrace 'excessive alcoholism' and 'promiscuity'

A worker was wrongfully fired for not following his company's "fun" values that included "excessive alcoholism" and "promiscuity," a French court ruled.
www.businessinsider.com www.businessinsider.com
 
Everyone has their own priorites. If they don't match yours, the only real question is: does anyone give even one. If you're paying them, then your priority takes precedence, right up until they quit. There is no absolute right (usually)... there just is what is important to you, and whatcha gonna do about it.

Everything else is noise.
 
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