Turmoil in Orlando.

[deuist]

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Probably not the best way to measure that. I honestly don’t care about a person who comes to the ER for their allergies and doesn’t get seen for 7 hours.

That's not at all what I'm talking about. Many primary care physicians and specialists are in such short supply that patients wait for months to be seen. How many of us write discharge instructions which say, "Follow up in 2 days," knowing there's no way that's going to happen?

 

[RustedFox]

That's not at all what I'm talking about. Many primary care physicians and specialists are in such short supply that patients wait for months to be seen. How many of us write discharge instructions which say, "Follow up in 2 days," knowing there's no way that's going to happen?

Seriously, this.

At my workstation, there's a list of the "big local GI specalist group docs" in one of those plastic cases.
There are seriously 24+ docs in that group. All local.
Yet, people can't seem to get an appointment in a reasonable amount of time. Even the insured ones that the GI group should be gobbling up.

Says something about the supply to demand ratio.

Locally, psychiatry is in pretty amazingly short supply.
I asked one of the hospitalists (that I trust, and doubles as a community FM doc) the other day: "Hey; who do you send your psych patients to?"
She laughed at me before telling me: "If you know of anyone taking patients - give their name to me."

On the other end: the local cardiology groups are warring over who gets what.
Such is life in Florida, where your average patient is a fat, buttery Noo Yawk'ahh who came down here to enjoy a retirement full of high-sodium/high-calorie meals, fine cigahhs, and lots of alcohol-containing beverages.

I'm pretty sure that I caught a glimpse of Vinny D'Brooklyn spreading pats of butter on his manboobs with a butterknife 2 shifts ago.

 

[GeneralVeers]

Seriously, this.

At my workstation, there's a list of the "big local GI specalist group docs" in one of those plastic cases.
There are seriously 24+ docs in that group. All local.
Yet, people can't seem to get an appointment in a reasonable amount of time. Even the insured ones that the GI group should be gobbling up.

Says something about the supply to demand ratio.

If medicine worked in a proper way with market forces, the price to see a consultant would increase such that there would be more consultants, and eventually supply would meet demand. Unfortunately government and insurers price fix in such a way as to limit the supply. Expect things to get worse under Medicaid-for-All.

 

[wamcp]

If medicine worked in a proper way with market forces, the price to see a consultant would increase such that there would be more consultants, and eventually supply would meet demand. Unfortunately government and insurers price fix in such a way as to limit the supply. Expect things to get worse under Medicaid-for-All.

Canadian doctor: Beware of the pitfalls in a Medicare for All plan

The decision by Sen. Elizabeth Warren to unveil her Medicare for All plan left little doubt that health care will likely be the single most important policy issue facing Americans in 2020. Adam Kassam writes that while much of the political narrative will focus on how the election represents a...

www.cnn.com

“...the government sets a ceiling for physician billings. With increased costs, many physicians have decided to reduce their hours, work part-time, cease practicing and retire.

Moreover, it is also not uncommon for patients to wait over a year from the moment I refer them to an orthopedic surgeon to the time they receive the appropriate workup, imaging and are ultimately operated upon.

This is happening amid a doctor shortage in Canada where, paradoxically, newly qualified primary and specialist physicians -- many of whom I know personally and trained alongside -- are having troublefinding work. It is increasingly challenging for new graduates to find jobs in specialty care centers, which often have restrictions on the number of full-time hires that can be employed.”

Patients can’t find enough doctors in Canada

https://www.cbc.ca/news/canada/british-columbia/bc-doctor-shortage-medical-fees-1.4100251

Yet 20% of specialists in Canada are jobless

Nearly one in five new specialist doctors can’t find a job after certification, survey shows

More junior specialists are facing bleak job prospects than at any time since The Royal College of Physicians and Surgeons of Canada began studying the problem in 2011

www.theglobeandmail.com

 

[TooMuchResearch]

The US should import (invite) Canadian doctors and solve our doctor shortage and their unemployment problem.