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LADoc00

Gen X, the last great generation
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http://www.sfgate.com/health/article/Primary-care-doctors-growing-scarce-4160407.php

this is a GREAT example of a liberal mouthpiece actually fabricating a false narrative with the sole intention of enabling its political agenda (Completely Socialized Healthcare). Is this the 1930s all over again? Are newspapers literally printing solely to accomplish their open political stances?! No wonder printed news is a worthless investment!!

this is at the same time Jerry Brown is SLASHING primary care doc payments via Medi-Cal to levels where they cant actually operate in the black.
 
http://www.sfgate.com/health/article/Primary-care-doctors-growing-scarce-4160407.php

this is a GREAT example of a liberal mouthpiece actually fabricating a false narrative with the sole intention of enabling its political agenda (Completely Socialized Healthcare). Is this the 1930s all over again? Are newspapers literally printing solely to accomplish their open political stances?! No wonder printed news is a worthless investment!!

this is at the same time Jerry Brown is SLASHING primary care doc payments via Medi-Cal to levels where they cant actually operate in the black.

No kidding. They should be fair and balanced like Fox News.
 
I cant believe someone would use Ronald Reagan in their avitar picture. Guy should have been impeached for iran/contra. I love how the stupid republicans make a big deal out of Libya. Iran/contra was FAR worse.

Warn us about socialism some more LADoc. Or tell us how druggies deserve to die in ER waiting rooms.
 
I cant believe someone would use Ronald Reagan in their avitar picture. Guy should have been impeached for iran/contra. I love how the stupid republicans make a big deal out of Libya. Iran/contra was FAR worse.

Warn us about socialism some more LADoc. Or tell us how druggies deserve to die in ER waiting rooms.

Oh yes Webb you are a foreign intelligence genius...yes I forgot.

Stop derailing this thread, the point of it is to show how the modern media actually spins falsehoods into the narrative of "more docs, less pay".
 
http://www.sfgate.com/health/article/Primary-care-doctors-growing-scarce-4160407.php

this is a GREAT example of a liberal mouthpiece actually fabricating a false narrative with the sole intention of enabling its political agenda (Completely Socialized Healthcare). Is this the 1930s all over again? Are newspapers literally printing solely to accomplish their open political stances?! No wonder printed news is a worthless investment!!

this is at the same time Jerry Brown is SLASHING primary care doc payments via Medi-Cal to levels where they cant actually operate in the black.

Are there any liberal jackass promotions/agendas that don't function likewise?
 
Dont know. Webb and his kind are drinking the Kool Aid of the Dems as they impose a Cloward-Piven strategy to:
1.) bankrupt the country
2.) shake out resistance to government control of every aspect of our lives
3.) establish a modern Socialist paradise where instead of 50% of the country being dependent on the politicians to eat, 100% of us will

Whether they do this by a pysops style Gas Lighting program in the mainstream media or eventually by force using the local militarized police.

All I call say is "bring it".

Im a historian from my early education, coming to medicine later in the game. When I hear modern dems like Obama and even older Al Gore interviews where they demonize the rich and talk about the wealthy not paying their fair share (which is patently ABSURD), you hear 1930s Soviet committee meetings where they decided the liquidate the rich "Kulaks". Its scary.

Some elected politicians have now gone beyond politics into being outright traitors denouncing the Constitution as "being inconvenient" to their Cloward-Piven agenda.

But getting back to Pathology...the mainstream media is using a very well laid plan of propaganda and misdirection to eliminate the private practice of medicine. If you can undermine your enemy's financial network, they will be an easy target to overcome.

Part of this is continuing to press for more and more residents, often from outside the US as well as giving lower level providers more and more responsibilities. THAT was the point of that article.
 
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The one thing about that article that puzzles me was the medical student they interviewed. How did someone from Wisconsin actually get in to UCSF, and why did she go there? Mebbe if she went to University of Wisconsin med school she wouldn't be $160,000 in debt . . .

If you are asking that, you must not be familiar with UCSF....

A.) They have a CRAZY high barrier for non-AA male applicants. Like if you are white and a male, you better be Osler. This leaves what is otherwise a very competitive schools alot of room for people from outside the state.
B.) All UC medical schools are under strict orders to take more non-trad applicants. There are a few reasons for this. For one, non-trads have an exponentially higher rate of going into less competitive primary care fields. And, non-trad applicants are far more likely to skip private practice and go to work in government clinics and public hospitals.

This is all part of a well laid agenda that originated from long before Bakke vs. the UC Regents.

By the way, Bakke who won the case ended up being an upstanding physician at the Mayo Clinic while the Davis applicant they took INSTEAD of Bakke ended up being a serial killer who died some years ago.

Even more interesting, Ted Kennedy before he died actually held this applicant up as an example of why the UC medical education system works WHILE the guy (Chavis) was killing women in his home.

California, nice place huh? Aint America swell??

If the UC system could admit a class of nothing but "Blood Faces" they would, trust me. This is all part of a grand plan. If they cant get private practice docs to submit by constantly lowering pay, they can make the public think they are all crazy serial killers.

Wanna get rid of guns? Call everyone with a gun a potential killer. Want to get rid of physician autonomy? Fill their ranks with crazed killers and pill dealers and then publish LA Times articles on it.

Classic Saul Aulinsky asymmetrical warfare.
 
Kent Brockman: Professor, without knowing precisely what the danger is, would you say it's time for our viewers to crack each other's heads open and feast on the goo inside?

Professor: Yes I would, Kent.
 
How did someone from Wisconsin actually get in to UCSF, and why did she go there? . .

A. San Francisco is 10x as cool of a city as anything in Wisconsin.
B. San Francisco is an international global destination
C. San Francisco is 100x as diverse a swisconsin.
D. San Francisco is 190 x as cultural powerhouse as any city in Wisconsin
E. the climate is 23x greater.
F. The food is 83x better.
 
A. San Francisco is 10x as cool of a city as anything in Wisconsin.
B. San Francisco is an international global destination
C. San Francisco is 100x as diverse a swisconsin.
D. San Francisco is 190 x as cultural powerhouse as any city in Wisconsin
E. the climate is 23x greater.
F. The food is 83x better.

G. The avg income of pathologists in San Fran is...what's that? Excluding LeBoit, half of what us saps in the 'fly over' states make? Oh, nevermind. You can take San Fran and your climate and diversity and 'cultural strength', and I'll take my boring midwest city with dbl digit vaca weeks and ortho-range salary [and dirt cheap cost of living] and visit you as often as I like.
 
A. San Francisco is 10x as cool of a city as anything in Wisconsin.
B. San Francisco is an international global destination
C. San Francisco is 100x as diverse a swisconsin.
D. San Francisco is 190 x as cultural powerhouse as any city in Wisconsin
E. the climate is 23x greater.
F. The food is 83x better.

Okay I have lived in SF. I have actually have lived well in SF. I had a buddy who was a founding investor in the biggest IPO in history. I lounged around in his full top floor penthouse condo overlooking the city. Would roll out on a Thurs. to Gavin N.'s Club Matrix. Perhaps chill at 550 Montgomery late into the night after that....

Its nice, but it aint THAT nice bro. And its crazy expensive (and I was living rent free!).

The pay in the city for 95%+ of docs is crap, like less than Stockton or Fresno. Home prices are better now, but its still at least a million for anything I could sleep in. Probably 2million for a house I would actually be proud of. And a friend just told me his kids cost him 60K in schools because the public school system is crap.
 
In med school you are broke.

You can be broke in the Midwest or broke in SF. Think about it. What better time to go live on the coasts than your early 20s?

If the cost of living is the most important factor in where you live, why would cities like NY, LA and SF continue to grow and grow and be major destinations for young people, while rust belt cities lose population every census? I think Cleveland lost like 25% of its population in the last ten years and that is in this era of urban renewal.

I understand you might think differently when you are 35-40, but I totally get a 22 year-old from Wisconsin snapping at an opportunity to live in SF even if it doesn't the most financial sense and plus UCSF is one of those top brand name medical schools that could possibly open a door two for you at some point in life.
 
In med school you are broke.

You can be broke in the Midwest or broke in SF. Think about it. What better time to go live on the coasts than your early 20s?

If the cost of living is the most important factor in where you live, why would cities like NY, LA and SF continue to grow and grow and be major destinations for young people, while rust belt cities lose population every census? I think Cleveland lost like 25% of its population in the last ten years and that is in this era of urban renewal.

I understand you might think differently when you are 35-40, but I totally get a 22 year-old from Wisconsin snapping at an opportunity to live in SF even if it doesn't the most financial sense and plus UCSF is one of those top brand name medical schools that could possibly open a door two for you at some point in life.
Agree, for residency or fellowship, but beyond that not a chance.
 
SF is a great city but way overpriced. Lived there for about 5 years in my early 20s. I could afford a two bedroom APT in lower Pacific Heights on my salary. I have friends and family that settled in Mill Valley, Hillsborough etc at the right time. A physician today will not be able to afford living anywhere near SF, if they want to buy a house, have a family, have some sort of retirement and afford paying for any kids college. You will be poor and frustrated... even making 3-400K a year. Those days are gone. Every time a tech stock goes public lots of young millionaires want to live in SF. Cannot see this changing unless there is a massive earthquake or disaster unfortunately.
 
SF is a great city but way overpriced. Lived there for about 5 years in my early 20s. I could afford a two bedroom APT in lower Pacific Heights on my salary. I have friends and family that settled in Mill Valley, Hillsborough etc at the right time. A physician today will not be able to afford living anywhere near SF, if they want to buy a house, have a family, have some sort of retirement and afford paying for any kids college. You will be poor and frustrated... even making 3-400K a year. Those days are gone. Every time a tech stock goes public lots of young millionaires want to live in SF. Cannot see this changing unless there is a massive earthquake or disaster unfortunately.

Or if you have double income.

My friends just bought a house in cole valley (a small neighborhood adjacent to haight ashbury) . He does interventional neuroradiology and she is a dermatologist.

But yes I agree that even on 350k a year, it would be hard nay impossible to live it up and pay bills, save for college etc in Dan Francisco, manhattan, parts of Brooklyn, west los angeles etc. But if you can make it work, it is worth it as the quality of life is so much higher in those areas
 
SF is a great city but way overpriced. Lived there for about 5 years in my early 20s. I could afford a two bedroom APT in lower Pacific Heights on my salary. I have friends and family that settled in Mill Valley, Hillsborough etc at the right time. A physician today will not be able to afford living anywhere near SF, if they want to buy a house, have a family, have some sort of retirement and afford paying for any kids college. You will be poor and frustrated... even making 3-400K a year. Those days are gone. Every time a tech stock goes public lots of young millionaires want to live in SF. Cannot see this changing unless there is a massive earthquake or disaster unfortunately.

Re: quake/disaster---it WILL happen and it will be all the rest of us who live in Hoooterville
who will have to bail them out viaour taxes rather than their individual responsibility (or lack thereof). Just look at Sandy and Katrina. And we'll even build them back up on a hurricane-prone coast or a huge fault line!
 
I grew up in a town near SF, now live on the east coast. SF is the most overrated city in the country, save LA and Miami. NYC has about 15 great restaurants, museums, music halls, and theaters for every 1 that SF might have. Only thing better about SF is scenery. I like the idea of visiting these kinds of places for specific reasons/destinations, but live in them? Hellz no. As far as med school, isn't there a UCSF campus in Fresno or Modesto or something that focuses on primary care? Maybe that's where this student went.
 
This thread is freakin hilarious! Let me put in my own perspective into the mix, for what it's worth.

I am one of those few out of staters who got into UCSF for med school. At the end of the day it was cheaper for me to go to Duke instead of UCSF, since the latter gave out financial aid only in loans while Duke had a generous grant program. Plus, the difference in cost of living was crazy! I could live in a closet in SF for 600/month (this was back in early 2000's) or live in a grand 600sq ft brand new apartment with washer and dryer in Durham. And there wasn't much of a difference in the "quality" of my med school education either...so no brainer.

I live in the Bay Area now, just a stone's throw away from SF After having lived in Boston and Manhattan, I gotta say that SF as a city is waaaay overrated. The public transportation is crappy compared to the major East Coast cities, and the overall "walkability" and accessibility doesn't even compare. Plus, the food definitely is better in Manhattan 😉 The cost of living in the city for a nice place (let's say the nice apartments with views) are similar to those brownstones in Beacon Hill and the mid-levels in Manhattan (although Manhattan prices trumps all). As for MD pay, well it always depends by specialty, but the docs I know who live in SF don't live extravagantly (and those who do are dual income).

But I love it here in the Bay area. For me what trumps it all is the weather. Nothing beats not having snowy slushy winters EVER. And it's easier to drive to many places from here (ie. Napa, Tahoe, the beach, etc) than from Manhattan. So, it's a give and take...but in the non-winter months, I still miss Manhattan and Boston 🙂
 
This thread is freakin hilarious! Let me put in my own perspective into the mix, for what it's worth.

I am one of those few out of staters who got into UCSF for med school. At the end of the day it was cheaper for me to go to Duke instead of UCSF, since the latter gave out financial aid only in loans while Duke had a generous grant program. Plus, the difference in cost of living was crazy! I could live in a closet in SF for 600/month (this was back in early 2000's) or live in a grand 600sq ft brand new apartment with washer and dryer in Durham. And there wasn't much of a difference in the "quality" of my med school education either...so no brainer.

I live in the Bay Area now, just a stone's throw away from SF After having lived in Boston and Manhattan, I gotta say that SF as a city is waaaay overrated. The public transportation is crappy compared to the major East Coast cities, and the overall "walkability" and accessibility doesn't even compare. Plus, the food definitely is better in Manhattan 😉 The cost of living in the city for a nice place (let's say the nice apartments with views) are similar to those brownstones in Beacon Hill and the mid-levels in Manhattan (although Manhattan prices trumps all). As for MD pay, well it always depends by specialty, but the docs I know who live in SF don't live extravagantly (and those who do are dual income).

But I love it here in the Bay area. For me what trumps it all is the weather. Nothing beats not having snowy slushy winters EVER. And it's easier to drive to many places from here (ie. Napa, Tahoe, the beach, etc) than from Manhattan. So, it's a give and take...but in the non-winter months, I still miss Manhattan and Boston 🙂

You can't swim in the water unless you have a wet suit. Although there is no snow and slush it gets bone cold unless you live in Potrero Hill. SF was a cool city when it had communities and was affordable. It definitely does not have any attributes to make it worth the money. It is one of the most over-rated cities in the United States if not the world.
 
I can't belive the thread has gone this far and nobdody has castigated the FP attending who provides the final line in the article.


"It's increasingly clear that the cutting edge in medicine is primary care," Vener said.

Bwaaahahahahaha

Orthopedic surgeons in the military are performing hand transplants on soldiers who lost their hands in war. Companies like ion and ilumina are in the process of making full sequencing of the human genome a standard lab test. Physicians have developed treatment that has allowed people with a rabies infection in the CNS to survive this universally fatal disease.

The expansive knowledge of common human ailments possessed by a great primary care physician is somehing I have always admired, but the "cutting edge" in medicine is not explaining for the umpteenth time in a single day that you will not be throwing a z-pack at your patient's viral URI.

Finally, this is coming from a lily-white Irishman born and bred in the Sunset who went to St. Cecelia's for grammar school and St. Ignatius for high school: San Francisco is overrated, and the hassles of living in the "Yay Area" since the population exploded in the late 90's far outweigh the benefits.
 
Come on down to Cleveland, Ohio. If you can't afford to live in Cleveland, you can't afford to live.
 
Finally, this is coming from a lily-white Irishman born and bred in the Sunset who went to St. Cecelia's for grammar school and St. Ignatius for high school: San Francisco is overrated, and the hassles of living in the "Yay Area" since the population exploded in the late 90's far outweigh the benefits.

Oh. that is actually pretty elite. You need to return to the Fatherland one day and sit around the Top of the Mark at the Intercontiental sipping Hot Toddies or BV drinking Irish Coffees with your private school chums looking out across the city with plans to retake it...muhahaha. I do this often by the way.
 
SF sucks, you would have to pay me probably well over a million a year to get me to live there. And provide me with a driver. Last time I went there I was dodging homeless guys and feces on the sidewalk, and that was a nice part of town.

I am tired of people saying stuff like "place X is much better to live in than place y." It depends on you as an individual. I hate hot sun and humidity and I also hate traffic jams and celebrity culture so I will be goddamned if I ever live in southern california or the southeast.
 
I don't know if you are clumping in the burbs with SF but if you aren't are you snobbing just a bit.

If you live in Hayes Valley, Mission, Inner sunset, North Beach, Inner Richmond, Castro, Duboce Triangle, (i.e SF proper) you can live a full life and do anything without a car and just relying on walking, bus, train and bart.

And please, NY has 15 times the restaurant scene of SF? That is just ridiculous.

No place is NY. But SF is right behind it and if you think SF sucks, then imagine how dismal it would be to live in Portland, AUstin, Denver, Pheonix, etc...

This thread is freakin hilarious! Let me put in my own perspective into the mix, for what it's worth.

I am one of those few out of staters who got into UCSF for med school. At the end of the day it was cheaper for me to go to Duke instead of UCSF, since the latter gave out financial aid only in loans while Duke had a generous grant program. Plus, the difference in cost of living was crazy! I could live in a closet in SF for 600/month (this was back in early 2000's) or live in a grand 600sq ft brand new apartment with washer and dryer in Durham. And there wasn't much of a difference in the "quality" of my med school education either...so no brainer.

I live in the Bay Area now, just a stone's throw away from SF After having lived in Boston and Manhattan, I gotta say that SF as a city is waaaay overrated. The public transportation is crappy compared to the major East Coast cities, and the overall "walkability" and accessibility doesn't even compare. Plus, the food definitely is better in Manhattan 😉 The cost of living in the city for a nice place (let's say the nice apartments with views) are similar to those brownstones in Beacon Hill and the mid-levels in Manhattan (although Manhattan prices trumps all). As for MD pay, well it always depends by specialty, but the docs I know who live in SF don't live extravagantly (and those who do are dual income).

But I love it here in the Bay area. For me what trumps it all is the weather. Nothing beats not having snowy slushy winters EVER. And it's easier to drive to many places from here (ie. Napa, Tahoe, the beach, etc) than from Manhattan. So, it's a give and take...but in the non-winter months, I still miss Manhattan and Boston 🙂
 
I don't know if you are clumping in the burbs with SF but if you aren't are you snobbing just a bit.

If you live in Hayes Valley, Mission, Inner sunset, North Beach, Inner Richmond, Castro, Duboce Triangle, (i.e SF proper) you can live a full life and do anything without a car and just relying on walking, bus, train and bart.

And please, NY has 15 times the restaurant scene of SF? That is just ridiculous.

No place is NY. But SF is right behind it and if you think SF sucks, then imagine how dismal it would be to live in Portland, AUstin, Denver, Pheonix, etc...

You really cannot compare the level of restaurants in NYC with SF. NYC is the center of the universe when it comes to food and restaurants. Portland, Austin, Denver, and Phoenix are at least somewhat affordable. SF is a beautiful city with much to offer. However, it is waaaaaay over priced. Anyone who insists on living in SF in their late 30s-early 40s when they cannot really afford it is suffering from the Dunning-Kruger effect something fierce.
 
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