Blade:
I appreciate your posts! However, you never give us specifics as to what you would do with a solid future in medicine that seems to meet the criteria of "being worth the effort." Could you provide those? I
I can tell you I searched far and wide - and have not been able to find a model (maybe dermatology which is somewhat cash based ?). When I look on the pain message boards, some feel that anesthesiology will have better reimbursements. Cardiology - many pessimists. The list continues..I just don't think the insurance system is a good place to be at all.
As far as I can tell, this model is unsustainable for most fields. Insurance companies can't keep jacking their rates up like this forever. Medicare Part A,B,C,D is broke because the country is. It's only a matter of time before something like the IPAB gets rolling with no overturning SGR.
When I have spoken to people in all fields, no one is saying - oh yeah cardiologists will fine , or X Y Z will be fine.
I think the narrative I see is that medicine itself will not be an attractive profession at all - the hours, liability, stress, and declining reimbursements if this continues. I am a humble person, happy to serve - however I am not going to be "served" a continued case of "screw you" either.
Dentists surprassed primary care fields about 5 - 10 years ago. How long before they surpass most fields because their business model is more sustainable? Would I rather be a neurosurgeon making 400,000 a year or a dentist working 5 days a week 9-5 with much less stress making $200,000. My answer: dentist.
I am going to pay off my debt by my first year out, and have a decent amount of money saved 2 or 3 years after. At that point, I will consider going back to dental school or MBA school IF this nonsense continues. It sucks to have to live that way, but it is what it is.
It's not about the money - I just refuse to be a slave to bills like Obamacare which make no sense and force me into terrible patient care.