Salary of Doctors on Decline?

[sudongpo]

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I didn't mean to belittle any other profession. Sorry if it came off that way. Just trying to make the point that we do have it pretty good.
-S

Oh no. You didn't belittle anybody else.

I just didn't see the usefulness of others talking about teachers, firefighters, and police officers. I mean the thread is about physician salaries, and pulling down somebody else's income will not affect that.

I agree with you that it is a privelege, considering how hard it is to get into med school.

Cheers!

 

[deleted87716]

I'd really like a citation for that sort of statistic. Salaries have been declining, but I can't imagine that the above number could possibly be correct.

The mean net income for general internists in 1974 was less than $50,000 per year ( http://content.healthaffairs.org/cgi/reprint/4/2/22.pdf ).

$50,000 in 1974 was worth a little more than $200,000 in today's dollars ( http://www.bls.gov/cpi/ ).

 

[tncekm]

I don't know much about this...

I have 2 young kids in school, and know their teachers quite well...I speak with them at least weekly...If I felt one of them was inadequate for my son, I would raise hell...

It'll probably be more apparent in high school 😀

Parents moan and bitch, but what do they do to help improve the situation?

They do absolutely nothing--they do whatever the teachers and the teachers union tell them to do.

 

[Miami_med]

The mean net income for general internists in 1974 was less than $50,000 per year ( http://content.healthaffairs.org/cgi/reprint/4/2/22.pdf ).

$50,000 in 1974 was worth a little more than $200,000 in today's dollars ( http://www.bls.gov/cpi/ ).

That's more like what I would suspect. The decline is slow, steady, and hard to spot because it is primarily a failure to keep up with inflation.

 

[chimichanga]

It'll probably be more apparent in high school 😀

They (parents) do absolutely nothing--they do whatever the teachers and the teachers union tell them to do.

I hardly do what my employer tells me to do...I do what's right by the patients...

Bring it on...

 

[tncekm]

I hardly do what my employer tells me to do...I do what's right by the patients...

Bring it on...

Good man, good man... 🙂

 

[BlackScorpion]

I think physicians are relatively underpaid. Take Orthopedic surgery vs. Orthodontics. Average Orthopod works 60-70 hrs per week, pulls in about 400k. Average orthodontist works 40-45 hrs per week, makes 350k per. The route to orthopedic surgery is a longer and both are about the same in terms of competition for spots. Let's compare apples to apples. Although law enforcement and teaching are both noble profesions, they are not on the same plane as physicians in terms of education level, debt level after school, and time commitment.

 

[beetlerum]

Average Orthopod works 60-70 hrs per week, pulls in about 400k. Average orthodontist works 40-45 hrs per week, makes 350k per.

No way. Median salary for an orthodontist, by one source, is 113k. And there's much less prestige.

Although law enforcement and teaching are both noble profesions, they are not on the same plane as physicians in terms of education level, debt level after school, and time commitment.

[/QUOTE]

And doctors make more money and have higher status.

Also, who says that salaries should be determined by education level and time commitment?

I can't speak about teaching, but there are people in law enforcement who work very hard. I wouldn't make sweeping judgments like "not on the same plane." Have you worked in law enforcement? This seems like a very arrogant statement to make.

 

[BlackScorpion]

This is according to the Journal of Clinical Orthodontist
http://www.al.com/specialreport/huntsvilletimes/index.ssf?outlook/out30.html

Where are you getting your info from?

And about prestige. How do you judge prestige? Do you have degree in judging prestige? Are you a prestigotologist?

 

[BlackScorpion]

About comparing teaching vs law enforcement vs medicine

They ARE NOT ON THE SAME PLANE in terms of debt level after school, time commitment, and years of education, PERIOD. That's what I put in my post.

If you care to argue that they are. PLEASE POST your argument.

 

[beetlerum]

113k
http://swz.salary.com/salarywizard/layouthtmls/swzl_compresult_national_HC07000078.html

I know a few orthodontists. There is no way they make 350k on average. Maybe I just know poor ones.

They ARE NOT ON THE SAME PLANE in terms of debt level after school, time commitment, and years of education, PERIOD. That's what I put in my post.

If you care to argue that they are. PLEASE POST your argument.

I would think the burden would fall on the person making the sweeping judgment about a field he's never worked in. You made the big claim. I didn't. How about you support it?

I never disputed that in general starting physicians have more debt and require more years of education. I was disputing the claim that being a physician involves a vastly higher time commitment than law enforcement.

And yes, physicians have more prestige than orthodontists. Gimme a break.

If physician salaries every rise significantly, there will be a lot of unhappy people on SDN. You guys just love to wallow in being martyrs. You guys absolutely love the fact that salaries have declined. You interpret every bit of evidence in the most negative light possible and get angry whenever someone makes a contrary claim.

 

[BlackScorpion]

I also know a few orthodontist who make over 500k per. What's your point?

In terms of evidence, salary.com vs Journal of Clinical Orthodontist. Hmm, I would go with the latter.

Law enforcement vs Medicine in terms of time committment. Let
see, since I am going to be a physician. Four years of undergrad + four years of medical school + 3-7 years of residency. 60-100 hrs per week during residency. 50-60 hrs per week as an attending. I think in terms if TIME COMMITMENT, medicine has law enforcement hands down. Unless you PROVIDE EVIDENCE to the contrary.

As far as the rest of your post. I have no idea what you are trying to convey. Lay off the bottle...

 

[bkpa2med]

Orthodontists make a killing anywhere you go.

 

[beetlerum]

I also know a few orthodontist who make over 500k per. What's your point?

In terms of evidence, salary.com vs Journal of Clinical Orthodontist. Hmm, I would go with the latter.

Law enforcement vs Medicine in terms of time committment. Let
see, since I am going to be a physician. Four years of undergrad + four years of medical school + 3-7 years of residency. 60-100 hrs per week during residency. 50-60 hrs per week as an attending. I think in terms if TIME COMMITMENT, medicine has law enforcement hands down. Unless you PROVIDE EVIDENCE to the contrary.

What the hell does undergrad have to do with it? Everyone goes to undergrad, and if some law enforcement people don't, that is a point against med commitment because undergrad is far more fun than a job. Same for M1, M2, and M4. Residency is probalby worse but then again, it's hard to say WITHOUT COMPARING IT TO THE OTHER SIDE.

Seriously, try to take a step back and look at what you're saying. First you trot out things like undergrad to try to make medicine seem worse, then you make sweeping judgments without knowing about the other side. What you say if a law enforcement person said the opposite? You would say "oh, you can't compare, how can you compare without knowing med, blah, bah"

As far as the rest of your post. I have no idea what you are trying to convey. Lay off the bottle...

[/QUOTE]

You really don't know? Look at these threads. People here take the evidence in medicine in the worst light possible and the evidence about everything else in best light. Had we been arguing about medicine salaries, you would believe the lower number.

Example:
Whining about salaries going down. Then someone posts a recent survey:
7% decline, adjusted for inflation
10% primary care
3% specialists

The response of normal people: Hmm, well that was a little better than I thought. Still not great news for primary care, would like to stop further declines, but not as bad as I thought. Mostly primary care being hit.

Response from the SDN martyrs: Aack!!! 10% decline. And it's gonna get worse and worse, until we make 60k.

Normal people would argue for why their field is more prestigious. The SDN wallowers do the opposite! They love to be martyrs. It's much better than just feeling like you're fairly treated.

 

[dutchman]

Since when did prestige become a form of payment? Prestige don't pay no mortgage. Screw prestige, give me money.

 

[BlackScorpion]

Take a step back and READ your replies.

With that I'm going to stop replying to your posts.

I can't for the life of me follow what you're trying to say. Everyone goes to undergrad? Undergrad is more fun than a job? SDN martyrs? WHAT ARE YOU TALKING ABOUT?

YOU'RE NOT MAKING ANY SENSE!!

Seriously lay off the booze.

What the hell does undergrad have to do with it? Everyone goes to undergrad, and if some law enforcement people don't, that is a point against med commitment because undergrad is far more fun than a job. Same for M1, M2, and M4. Residency is probalby worse but then again, it's hard to say WITHOUT COMPARING IT TO THE OTHER SIDE.

Seriously, try to take a step back and look at what you're saying. First you trot out things like undergrad to try to make medicine seem worse, then you make sweeping judgments without knowing about the other side. What you say if a law enforcement person said the opposite? You would say "oh, you can't compare, how can you compare without knowing med, blah, bah"

You really don't know? Look at these threads. People here take the evidence in medicine in the worst light possible and the evidence about everything else in best light. Had we been arguing about medicine salaries, you would believe the lower number.

Example:
Whining about salaries going down. Then someone posts a recent survey:
7% decline, adjusted for inflation
10% primary care
3% specialists

The response of normal people: Hmm, well that was a little better than I thought. Still not great news for primary care, would like to stop further declines, but not as bad as I thought. Mostly primary care being hit.

Response from the SDN martyrs: Aack!!! 10% decline. And it's gonna get worse and worse, until we make 60k.

Normal people would argue for why their field is more prestigious. The SDN wallowers do the opposite! They love to be martyrs. It's much better than just feeling like you're fairly treated.[/QUOTE]

 

[tncekm]

Undergrad more fun that a job? HA! We've got ourselves someone who has never held a job, hahaha.

I'll take working at the local fast food restaraunt over a semester of OChem, Physiology, upper div. general reqs + Research, etc, etc any day of the week.

 

[Faebinder]

WTH... if i could have gone to med school without the undergrad and the loans i had to take during undergrad *which piled to the interest* I would have... therefore it's a damn important factor.

 

[dutchman]

okay this is what I don't understand about this whole decline in physician income especially with primary care. If the country is in severe need of primary care physicians then why in the world are they the ones taking the biggest paycuts?

 

[deleted4401]

This thread has deteriorated so much ... but seriously, did some people have such a bad undergrad experience that they'd rather work? Wow. I think that is the only statement that I'm totally floored by. Not that doctors' salaries are on the decline. Not that $186k isn't enough. Not that policeman make a $100k a year (man.. that is a lot, not being sarcastic; I just had no idea that you could make that much). Not that public school teachers are akin to the devil, according to some posters. Everyone of those comments I can at least see an opposing viewpoint. But to say that work was better than college. I'm dumbfounded. I'm literally overwhelmed with that statement.

Seriously - 4 years of parties, girls (or guys) your age, interesting classes, a pretty campus, cool volunteer activities, meeting friends you will keep in touch with forever, study abroad, a gym that is better than anything I will have on the 'outside', dorm life, intramurals, date parties, formals, great campus speakers ... I know how much I said I love my job, but damn, if I could be a college student all my life ... um, is there even a choice?

This needs to end. I will appease the naysayers. Our salary is a pittance, our job is drudgery, and the smartest of us will try to find admission to the finest of trade schools. The rest of us will grudgingly, reluctantly try to find some solace in this most horrible profession of medicine. I will, with heavy heart, continue down this path of treating cancer patients, and try to do my best to hide the utter disgust I have with my job.

-S

 

[tncekm]

Nobody said public school teachers are the devil, but I said they whine too much and are most definitely not underpaid.

And, I guess preferring studies over work is a personal thing--to each his own. All I can say is that it was a freggin' gift I shall forever be thankful for that I don't have to study as hard as some, because, I am not the kind who loves it--but I do it regardless, its a means to an end.

 

[CameronFrye]

This thread has deteriorated so much ... but seriously, did some people have such a bad undergrad experience that they'd rather work? Wow. I think that is the only statement that I'm totally floored by. Not that doctors' salaries are on the decline. Not that $186k isn't enough. Not that policeman make a $100k a year (man.. that is a lot, not being sarcastic; I just had no idea that you could make that much). Not that public school teachers are akin to the devil, according to some posters. Everyone of those comments I can at least see an opposing viewpoint. But to say that work was better than college. I'm dumbfounded. I'm literally overwhelmed with that statement.

Seriously - 4 years of parties, girls (or guys) your age, interesting classes, a pretty campus, cool volunteer activities, meeting friends you will keep in touch with forever, study abroad, a gym that is better than anything I will have on the 'outside', dorm life, intramurals, date parties, formals, great campus speakers ... I know how much I said I love my job, but damn, if I could be a college student all my life ... um, is there even a choice?

This needs to end. I will appease the naysayers. Our salary is a pittance, our job is drudgery, and the smartest of us will try to find admission to the finest of trade schools. The rest of us will grudgingly, reluctantly try to find some solace in this most horrible profession of medicine. I will, with heavy heart, continue down this path of treating cancer patients, and try to do my best to hide the utter disgust I have with my job.

-S

Yeah, if people were miserable during undergrad, I can't imagine how miserable they're going to be once they actually become a doctor and have to work for a living. Heck, I thought med school was fun too. Sure there was some hard work, but whereas my friends all entered the daily grind of work, I had an excuse to act like a college student for another four years.

 

[tncekm]

I've worked, and I prefer work time over study time any day of the week. I guess its a matter of personal preference, however.

 

[Faebinder]

I worked full time in undergrad... I worked part time in grad... I paid out of state tuition for 2 years and was not allowed to get loans for the 4 undergrad years.

My wife was exactly the same except that she got loans for the undergrad ...

Med school was the first time I got a breather.

So... when asked if I would rather work 4 years or being in useless hell called 'undergrad' for 4 years... I would much rather work.

It's all gone now... a long bad memory/dream.... though the interest and loans continue to haunt me.

Bottom line... undergrad is not a 'breeze' for everyone and many don't realize that.

 

[Miami_med]

I've worked, and I prefer work time over study time any day of the week. I guess its a matter of personal preference, however.

Yeah, I have to agree. I worked myself through undergrad, and I am probably more fond of work time than study time. If there was a way to work study the first two years of medical school, I probably would have. It's hard for me to imagine that someone actually went to medical school for the pleasure of sitting in class for more years, but to each his own.

 

[CameronFrye]

I worked full time in undergrad... I worked part time in grad... I paid out of state tuition for 2 years and was not allowed to get loans for the 4 undergrad years.

My wife was exactly the same except that she got loans for the undergrad ...

Med school was the first time I got a breather.

So... when asked if I would rather work 4 years or being in useless hell called 'undergrad' for 4 years... I would much rather work.

It's all gone now... a long bad memory/dream.... though the interest and loans continue to haunt me.

Bottom line... undergrad is not a 'breeze' for everyone and many don't realize that.

Ok, fair enough. I'll buy that. I worked as an orgo lab TA as an undergrad, but that was a lot of fun and paid really really well (much better than residency), so I didn't really suffer too much. I did work some pretty sh*tty jobs during the summer though. I could never wait for school to start back in the fall. I'm sorry to hear that your undergrad experience was so bad.

 

[hye345]

Bookmarking

 

[lsres]

Redirecting the thread a bit - I think most of us are interested in what the future holds in store. Will ever increasing patients in Medicare with limited government funds cause an acceleration in the decline of salaries so that medical school graduates will have a hard time paying their debts? Every year congress votes to repeal the 5% cut in Medicare but with the new congress and increasing pressures this may not always happen. Or will the increasing number of specialists and shortages in some areas stabilize things? What will be the impact of increasing numbers of both American medical school graduates and non-US citizen foreign medical graduates applying for residency programs?

 

[Disciple]

Enter Pay 4 Performance, which is already set to start 7/1/07 for physicians who want to receive the 1.5% reimbursement increase they should rightfully be getting automatically.

 

[vail103]

Enter Pay 4 Performance, which is already set to start 7/1/07 for physicians who want to receive the 1.5% reimbursement increase they should rightfully be getting automatically.

Pay for performance is actually designed to screw doctors. Especially since they are not yet clear on how they intend to gauge our performance.

 

[deleted87716]

Pay for performance is actually designed to screw doctors. Especially since they are not yet clear on how they intend to gauge our performance.

Early Experience With Pay-for-Performance
Meredith B. Rosenthal, PhD; Richard G. Frank, PhD; Zhonghe Li, MA; Arnold M. Epstein, MD, MA
JAMA. 2005;294:1788-1793.

http://jama.ama-assn.org/cgi/content/abstract/294/14/1788

Conclusion: Paying clinicians to reach a common, fixed performance target may produce little gain in quality for the money spent and will largely reward those with higher performance at baseline.

 

[Disciple]

Pay for performance is actually designed to screw doctors. Especially since they are not yet clear on how they intend to gauge our performance.

I agree. That's why I stated that physicians should be receiving that increase automatically. There are some 70+ performance measures that have been identified, I believe the first trial next July will involve 3.

Most of our specialty societies are lobbying to have more control on deciding exactly what these performance measures will be.

 

[Faebinder]

Hm... How will the pay for quality affect how much medicare/medicaid pays people like Chiropracters and naturopathic docs... after all, they use the same ICD codes to bill.

I wonder if they will complain....

 

[hye345]

bump

 

[factoid]

I'm an ortho surgeon graduate and I don't work nearly that much. Most Orthopods don't. Where is this 80 hr data you are talking about? I work between 45-55 hours a week and take about 8 weeks of vacation a year. When you are an attending surgeon your schedule is almost entirely by choice. Salaries are up because of supply and demand pure and simple. Merritt Hawkins now rates Orthopedic surgery as the hardest to recruit specialty in medicine.

hey there. what do you mean hardest to recruit? in terms of attending surgeons or residents? i'm sure it's obvious i'm not too familiar with merritt hawkins.

thanks

 

[dawg44]

hey there. what do you mean hardest to recruit? in terms of attending surgeons or residents? i'm sure it's obvious i'm not too familiar with merritt hawkins.

thanks

They interviewed hospitals and it was the most common search percentagewise and hospitals rated it as the most difficult position to fill.

 

[JadedSurgeon]

Also, who says that salaries should be determined by education level and time commitment?

In the grand scheme, isn't higher salaries the point of education level and time commitment for the vast majority of people. All those who think that people should go into medicine strictly because they "want to help people" should go practice in countries like Cuba or Kenya where doctors are actually needed.

As another note, all the foreign doctors who come to America aren't here because they feel that our medical system is broken and needs their help. They're all about the money.

Sorry, I didn't mean money, I meant standard of living.

I can't speak about teaching, but there are people in law enforcement who work very hard. I wouldn't make sweeping judgments like "not on the same plane." Have you worked in law enforcement? This seems like a very arrogant statement to make.

My roommate in college was a criminal justice major :



In undergrad:
I spent my entire day taking classes, taking labs, teaching labs, volunteering in hospitals.
He took classes for 4 hours a day, and then hung out with friends the rest of the time.


On weekends, I worked as a CNA in a nursing home (3 8/hr shifts per week)
He hung out with friends.


He only studied hard enough to get a 2.5 GPA
I had to study hard for 3.75+ GPA

Currently:
He is currently a police officer earning 55k+
I am currently MSI going into debt at the rate of 52k a year (only about $12.5 k is for living expenses (rent, food, gas, etc)


While Im in residency:
I will work minimum 80hrs per week (officially😉 ) and get paid 40k
He will work 40 hours and get paid over 60k


I'm not complaining, i choose my path, but it is insulting for people to compare how hard police officers, teachers work compared to doctors

 

[toothless rufus]

I find it absolutely infuriating that the plan seems to be to reduce physician salaries to peanuts! Sooo, then how can we get physician's salaries in general on the rise, and to match inflation; without adding work hours? Doctor's should be well compensated for what they do! Providing a public service should not mean being public servants!

 

[turkleton]

Man topics have shifted since this thread started.

Teachers, from my experience, don't get paid that much. They typically start out in the low to mid 30's depending on the school district with marginal yearly raises. It takes them a while to get tenured and get a salary in the mid 50's-60's- once they're there though, it's pretty sweet. If pay for teachers was so good, you'd have the best and brightest going into it. How many of your high school valedvictorians are HS teachers? As far as the other professions such as policemen and firefighters and whatever was haggled about, one of the posters was absolutely right- supply and demand economics trumps what others perceive as pay disproportionate to training/education. What about nurses hauling in 90k, or NP's, CRNA', RNFA (making well over 100k)? There's apparently a need, so they're going to get paid. That simple.

As far as physicians salaries, I personally don't have a problem with making 180-200K in my early 30's if my debt was forgiven. The most unbearable burden financial burden about entering our profession is the amount we have to pay for it. Undergrad was fun, med school was tough but fun, and I think residency will be the same. I would carry no angst about it, the prospect of another 7 years of training but with a reasonable, stable salary if it weren't for the damn monkey on my back... I have less than 150K, but amongst my friends I'm the exception.

 

[premed85]

so it maybe true that physicians' salaries may go down in the future, but there is also going to be a shortage of doctors in the near future. Money for me is defnitely not the biggest incentive to go into medicine, however, who would want to have a 200K debt coming out of med school if they can't afford to pay it off? So this presents a little bit of a discrepancy...if there is already going to be a huge shortage, and managed care is planning to reduce physician's pay, wont this create an even bigger shortage?

 

[Faebinder]

so it maybe true that physicians' salaries may go down in the future, but there is also going to be a shortage of doctors in the near future. Money for me is defnitely not the biggest incentive to go into medicine, however, who would want to have a 200K debt coming out of med school if they can't afford to pay it off? So this presents a little bit of a discrepancy...if there is already going to be a huge shortage, and managed care is planning to reduce physician's pay, wont this create an even bigger shortage?

😴 There is no shortage of doctors... If you are going to pay peanuts for the work then you will get a shortage of doctors willing to do the work... it doesnt mean there is a shortage of doctors. Understand the difference, shortage of doctors is a relative term. That's why we got ARNP and PA in primary care now. Everyone now wants to go to the ER or get direct admitted rather than see their primary care doctor... even the insured people (especially the insured people who think they should be treated better than others cause of their good coverage).

 

[miss medulla]

I will take a little less if that means i will have job security. dont forget alot of the other professions might get paid well for a couple years but if they lose that job ..its done they have to spend 6-12 to find another well paying job. At least our profession is Secure (we are not running to much in the rat race ) and we will always find a job with a reasonable salary and to me thats Priceless!

 

[Faebinder]

I will take a little less if that means i will have job security. dont forget alot of the other professions might get paid well for a couple years but if they lose that job ..its done they have to spend 6-12 to find another well paying job. At least our profession is Secure (we are not running to much in the rat race ) and we will always find a job with a reasonable salary and to me thats Priceless!

Reasonable is a relative term.. especially with loans involved and average weekly hours like 60.

 

[Miami_med]

Was it Warren Buffet that said, "there is no such thing as security, only opportunity?"

 

[carrigallen]

That's more like what I would suspect. The decline is slow, steady, and hard to spot because it is primarily a failure to keep up with inflation.

I have enough debt right now to make inflation beneficial.

 

[mdjobexchange]

Doctors' salaries are still about the same as they were 10 years ago, but they are definitely way less than 25 years ago.

They would be much lower than 10 years ago if it were not for the increase in productivity. Basically, doctors are working much harder to make similar money as 10 years ago. I have been out for about 7 years now, working in the OR as an anesthesiologist and meet many different docs. Most of them state that their per case reimbursement is down about 30-40% and their overhead has gone up 50% in the last 10 years. The only way they have kept the same income is to do more cases. This data is confirmed by numerous reports from MGMA and other management companies. You have to hustle these days in private practice. People are doing about twice the work as 10 or 15 years ago to make the same money.

If incomes have been essentially static over the last 10 years, then real income is actually down, because of inflation. Inflation is much higher than the government reports, because the government has been steadily deleting items from the inflation calculations. They recently deleted energy costs from the inflation index. What kind of crap is that?

Here is a link to a good article by a vascular surgeon. Surgery reimbursement.

In the article, Dr. Degroote shows that veterinary insurance pays twice what Medicare pays for the same procedure on a dog. When I administer anesthesia on Medicare patients, I get about $60 bucks an hour. The guy who works on my Nissan Xterra gets $100/hr. Medicare inguinal hernia is about $400, take out the 50% overhead and the surgeon gets about $200 for the office visit, operation, and follow-up. Great.......

On the brighter side, there are some good options...all is not lost. I think one of the best things going right now is locum tenens. I did locums for 2 years. Pay for some primary care specialties still sucks, but for Orthopedics, you can get $1200/day. General surgery, $1100/day. Anesthesia, $1200/day. That is for 8 hours. Overtime is about $160/hr. The locums companies pay for malpractice and travel. Sometimes you can get assignments in the city where you live.

I don't know what people are thinking when they say there is not a shortage of doctors in this country. It is only going to get worse. I recruit for my hospital and it is a hard job.

I think salaries are eventually going to go back up (reimbursement per case.) I think Dr. Degroote has the best idea. It goes back to an old saying, "It is the patient's insurance, not the doctor's insurance." Become an out-of-network provider and you can charge what you want. It is hard to do straight out of training, because of debt, etc....but it is the only way to break the chain of managed care and Medicare.

 

[Faebinder]

The power of insurance companies is in EMTALA.... get rid of it and then no one can force you to see someone with an insurance you know wont pay.

 

[McGillGrad]

Here is a link to a good article by a vascular surgeon. Surgery reimbursement.

Wonderful article.👍

 

[mmag]

The last bastion of fee for service medical care: veterinary medicine

http://www.slate.com/id/2176521/

 

[simpler2]

I never understand the regular complaints against declining physician reimbursement/earning rates. If you wanted to make money and be material successful why go into medicine? The brain power and effort of medical education could have been more efficiently applied to business ventures if this was your goal. Don't bother posting the responses about need to pay medical bills and about "compensation", I feel they hold little weight. No one begs us to go through the education and paying off loans is never impossible (perhaps it becomes so when one feels they are entitled to multiple "luxuries" as a professional)