Reimbursements

[commonwealthMD]

---

Members don't see this ad.

As a current med student I find it a little disconcerting that reimbursements are declining and physician comp isn't even keeping up with inflation. Do you suspect that this trend will continue into the future? How low are reimbursements realistically going to get. Physician salaries are excellent currently, but will that be the case in the future if comp continues to decline... I can't imagine the US instating a 'medicare 4 all' type service with the power and lobbying power pharma has in the US. I don't see that being an issue for the foreseeable future.

 

[Pepe18]

.

 

[commonwealthMD]

Didn’t you just post that you are a med student in the UK? Why are our salary changes disconcerting to you?

No one can predict the future

Because I plan on matching in the states... I don't want to slave away studying for step2ck and publishing to get into the US if the comp is going to be the same as the UK...

 

[deleted480308]

Because I plan on matching in the states... I don't want to slave away studying for step2ck and publishing to get into the US if the comp is going to be the same as the UK...

I imagine we’ll still be paid better than you. If not, we’ll all go somewhere else together 😉

 

[commonwealthMD]

I imagine we’ll still be paid better than you. If not, we’ll all go somewhere else together 😉

I imagine so, I can't see universal healthcare in the US anytime soon with all the power big pharma has. Our consultants are paid a flat £77,000 before tax when they first become an attending (35ish). It reaches £105,000 before you retire, and that is the same across all specialties from GP to neurosurgery... sad.

 

[chaim123]

Because I plan on matching in the states... I don't want to slave away studying for step2ck and publishing to get into the US if the comp is going to be the same as the UK...

Just a reminder that residents don't make nearly the salary that attending physicians do. Unlike you have some type of right to remain here after your residency program you will ultimately have to go back to the UK.

 

[Tenk]

View attachment 297193

How the hell did you find a picture of me at work? Take it down please.

 

[commonwealthMD]

Just a reminder that residents don't make nearly the salary that attending physicians do. Unlike you have some type of right to remain here after your residency program you will ultimately have to go back to the UK.

Just marry an american... Only kidding @USCIS

You can reapply for a visa and often get hired. A quater of all physicians wouldn't be FMGs if they were just sent back home and couldn't come back... It's not uncommon for an employer to issue a greencard after residency, and although the remark about marrying an american was a joke... it's not uncommon to marry in residency, and I hear they like British accents in the states.

 

[chaim123]

Just marry an american... Only kidding @USCIS

You can reapply for a visa and often get hired. A quater of all physicians wouldn't be FMGs if they were just sent back home and couldn't come back... It's not uncommon for an employer to issue a greencard after residency, and although the remark about marrying an american was a joke... it's not uncommon to marry in residency, and I hear they like British accents in the states.

That is all correct. However most residencies offer the J-1 visa, which requires you to go back home for at least two years to share the knowledge you've learned with your home country. So while yes you could apply back in America for an H1b, you'd need to spend two years back in the UK first.

 

[Chemist0157]

As a current med student I find it a little disconcerting that reimbursements are declining and physician comp isn't even keeping up with inflation. Do you suspect that this trend will continue into the future? How low are reimbursements realistically going to get. Physician salaries are excellent currently, but will that be the case in the future if comp continues to decline... I can't imagine the US instating a 'medicare 4 all' type service with the power and lobbying power pharma has in the US. I don't see that being an issue for the foreseeable future.

It is in flux at the moment. M4A is a threat. That will probably die either way and especially depending on how the Democrat primaries go. But even Trump I believe noted some reduction in physician compensation. The trend has been a slow erosion of compensation for years, particularly from Medicare and other insurance providers follow suit. Doctors have worked harder and smarter along the way to help offset to some degree. Still, our starting point is higher compared to somewhere like the UK that also has its own problems so it should still be better here pay wise.