USACS admins make 500K salaries

[dozitgetchahi]

LMAO Yea this place is realistic - 100% doom and gloom. It seems that every thread degrades to how crappy ER is, politics, or how crappy ER is.

Dude, I’m not even an ER doctor.

SDN isn’t always accurate about things, yeah I agree. But I have seen so much **** on FB physician community, Reddit etc that sounds like it’s straight out of the twilight zone. I will take negative realism over rose colored glasses and singsongy happy bull**** any day of the week. Our profession is just caked in so much fake bull**** anyway. Sometimes it’s actually a relief to see people call it like they see it.

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[EctopicFetus]

LMAO Yea this place is realistic - 100% doom and gloom. It seems that every thread degrades to how crappy ER is, politics, or how crappy ER is.

I mean to be fair 2/3 of EM docs are currently burnt out. Just wait until the financial pain hits. Envision is going broke does anyone think whoever takes over a bankrupt organization is going to raise pay? Do we think that envision and their creditors and soon their operators aren’t gonna see the cost of running their individual sites and hand the money losing contracts back. Whoever goes and takes them over be it a creditor or Sound or hospital will raise pay? Then as pay goes down we will see the market reset and pay will drop further.

I have a great job. Some others on here do too. Some of us are 10-15+ years out and have been lucky $$ wise Which helps.

Keep in mind also that we are minting 2x the number of EM docs per year as we did 15 years ago. Hard to imagine too many attendings who are 6 months out are already burnt out. Would be great to see the burnout rate broken out in 3-5 year increments. My guess is the docs who are 5-10 years out are the crispiest. Some of that is selection cause the guys who burnt out in years 5-10 are gone. Most of the people i know who left clinical medicine did so in the first 10 years.

 

[Pudortu]

The best post on that thread?

All these downvoting medstudents are going to make fine HCA kings 🤣

 

[Janders]

I like reddit… but NOT for EM or medicine. For random niche video game communities, etc…

 

[RustedFox]

The best post on that thread?

All these downvoting medstudents are going to make fine HCA kings 🤣

How can you still read the thread?!

 

[Pudortu]

How can you still read the thread?!

I had it saved on an app. I un-saved it though because there was no comments for over 14 hrs so it was pointless to keep if actually deleted. Can’t find it anymore now

 

[Apollyon]

I only go to r/fool us, after a show is on, to see how they did the tricks! Otherwise, it's randomly for a pic. Anything reasonable and Reddit do not otherwise intersect.

 

[GonnaBeADoc2222]

I mean to be fair 2/3 of EM docs are currently burnt out. Just wait until the financial pain hits. Envision is going broke does anyone think whoever takes over a bankrupt organization is going to raise pay? Do we think that envision and their creditors and soon their operators aren’t gonna see the cost of running their individual sites and hand the money losing contracts back. Whoever goes and takes them over be it a creditor or Sound or hospital will raise pay? Then as pay goes down we will see the market reset and pay will drop further.

I have a great job. Some others on here do too. Some of us are 10-15+ years out and have been lucky $$ wise Which helps.

Keep in mind also that we are minting 2x the number of EM docs per year as we did 15 years ago. Hard to imagine too many attendings who are 6 months out are already burnt out. Would be great to see the burnout rate broken out in 3-5 year increments. My guess is the docs who are 5-10 years out are the crispiest. Some of that is selection cause the guys who burnt out in years 5-10 are gone. Most of the people i know who left clinical medicine did so in the first 10 years.

There's not much CMG presence in my neck of the woods, so hopefully the collapse won't affect my local market, which is already bad.

I'm about 6 years out. Praying I can eek out another 5 to 10 of FT are current income before I hit coast FIRE and get out.

 

[cyanide12345678]

There's not much CMG presence in my neck of the woods, so hopefully the collapse won't affect my local market, which is already bad.

I'm about 6 years out. Praying I can eek out another 5 to 10 of FT are current income before I hit coast FIRE and get out.

Me too, i just need another 4-5 years and then I’ll just come down to 8 shifts a month and then I’ll just turn on autopilot and let it ride until im ready to quit.

Though technically i think I’ve already hit coast FI. Most of us with even mid 6 figure investments are probably coast FI depending on age.

 

[Fox800]

Most Redditors have no sympathy for physicians. To them, we're greedy and overpaid. They want to scream about how we don't spend enough time giving 100% of our attention to their non-emergent chronic pain issues/POTS/mast cell activation syndrome seriously, or lash out at the individual docs for getting inflated bills from the hospital (not the doc's fault, obviously). Outside of r/medicine it's an echo chamber of whining and complaining with docs as the #1 punching bag.

 

[EctopicFetus]

I agree with the idea that if you saved a ton you are fine. However are you guys sure you will get the shifts you want in the future? That you wont face 20%+ pay cuts? Serious question.

 

[GonnaBeADoc2222]

I agree with the idea that if you saved a ton you are fine. However are you guys sure you will get the shifts you want in the future? That you wont face 20%+ pay cuts? Serious question.

Only certainties are death and taxes.

My employed shop gave raises / bonuses last year.

We have nocturnists and are hiring more.

I think we hired 8 more FT physicians in the last year.

I am cautiously optimistic that I can get 10 more years of FT pay before i wanna cut back.

 

[bronx43]

Most Redditors have no sympathy for physicians. To them, we're greedy and overpaid. They want to scream about how we don't spend enough time giving 100% of our attention to their non-emergent chronic pain issues/POTS/mast cell activation syndrome seriously, or lash out at the individual docs for getting inflated bills from the hospital (not the doc's fault, obviously). Outside of r/medicine it's an echo chamber of whining and complaining with docs as the #1 punching bag.

It'll be a massive cluster when this whole thing blows up and we end up in a NHS system if we're lucky. The coddled American public will go absolutely apes*** when doctors stop pandering and in general not GAF unless it's real and severe disease.

 

[Fox800]

It'll be a massive cluster when this whole thing blows up and we end up in a NHS system if we're lucky. The coddled American public will go absolutely apes*** when doctors stop pandering and in general not GAF unless it's real and severe disease.

Let it burn. When entitled people can't get into their POTS clinics and patients are discharged from the waiting room without their dilala and specialists finally realize we aren't going to do non-emergent MRIs at 6:00 PM on a Friday night, there will be a reckoning. Chronic pain? Med refill? Work note? Using the ED for your vague somatic complaints that "no one can figure out" at 0200 after seeing multiple specialists and you want an answer right meow? MSE and go.

 

[HemeOncHopeful19]

Let it burn. When entitled people can't get into their POTS clinics and patients are discharged from the waiting room without their dilala and specialists finally realize we aren't going to do non-emergent MRIs at 6:00 PM on a Friday night, there will be a reckoning. Chronic pain? Med refill? Work note? Using the ED for your vague somatic complaints that "no one can figure out" at 0200 after seeing multiple specialists and you want an answer right meow? MSE and go.

You think an NHS style healthcare system in America won't involve customer satisfaction surveys and having to respond to patient complaints?

 

[John Rawls]

Let it burn. When entitled people can't get into their POTS clinics and patients are discharged from the waiting room without their dilala and specialists finally realize we aren't going to do non-emergent MRIs at 6:00 PM on a Friday night, there will be a reckoning. Chronic pain? Med refill? Work note? Using the ED for your vague somatic complaints that "no one can figure out" at 0200 after seeing multiple specialists and you want an answer right meow? MSE and go.

On the other hand, many of these patients won't show up in the ED for nonsense because they'll have the privilege of bothering formerly snobby private insurance docs for those things. The waiting room for a dermatologist under NHS is something incredible to see. The bittersweet lining of this unavoidable eventuality is that we will all be suffering together, not just the ED anymore.

 

[Dr Mantis Toboggan]

You think an NHS style healthcare system in America won't involve customer satisfaction surveys and having to respond to patient complaints?

I suspect it won’t be Medicare for all but rather United Healthcare for all. And all doctors will have to dance to their tune.

 

[HemeOncHopeful19]

I suspect it won’t be Medicare for all but rather United Healthcare for all. And all doctors will have to dance to their tune.

By then it will be “Optum Permanente for all”

 

[TooMuchResearch]

You think an NHS style healthcare system in America won't involve customer satisfaction surveys and having to respond to patient complaints?

A good ED medical director burns most of those complaints.

 

[bronx43]

You think an NHS style healthcare system in America won't involve customer satisfaction surveys and having to respond to patient complaints?

Nope. There’s no customer satisfaction for healthcare anywhere else in the world. Even if there is some forced metric for customer service it won’t be enforced and nobody would care - like the DMV.

 

[bronx43]

I suspect it won’t be Medicare for all but rather United Healthcare for all. And all doctors will have to dance to their tune.

Doubt it. At the speed at this is all going, there’s no chance for UHC or any insurer to somehow take over the delivery side of healthcare on a large scale.

 

[gruemd]

Nope. There’s no customer satisfaction for healthcare anywhere else in the world. Even if there is some forced metric for customer service it won’t be enforced and nobody would care - like the DMV.

I think sometimes about what dollar amount pay cut I'd be okay with to 1) Not have to talk gently to patients who are being ***holes in a hope they don't give us a bad review, and 2) to not have to order/chart defensively/practice CYA medicine and just do what I think is truly actually needed for a patient. I will say, one of the biggest perks of my current job is that I've heard zero times in two years about any patient satisfaction scores, or really any metric besides occasional STEMI/stroke/sepsis charting.

 

[EctopicFetus]

Doubt it. At the speed at this is all going, there’s no chance for UHC or any insurer to somehow take over the delivery side of healthcare on a large scale.

Uhc employs 6% of all docs in America. 6%. 1 in 16. Scale what they have with government help and backing. Done.

 

[bronx43]

Uhc employs 6% of all docs in America. 6%. 1 in 16. Scale what they have with government help and backing. Done.

Just don’t see it happening. Single payer still much more likely. If government were going to back UHC (unclear why they would, there would be political backlash), they may as well just roll out huge Medicare expansion.

 

[xaelia]

Just don’t see it happening. Single payer still much more likely. If government were going to back UHC (unclear why they would, there would be political backlash), they may as well just roll out huge Medicare expansion.

Kasier bought Geisinger the other day. A consolidating miasma of companies rationing care either explicitly or through obstruction and non-payment –

– but as long as HCAHPS etc. are components of reimbursement, the grovelling will continue, and trickle down to the front-line clinicians.

We definitely have surveys and etc. for patients here in the public system in NZ, but realise the overall functioning/non-functioning is frequently the culprit creating the non-ideal situation generating a complaint against any individual doc.

 

[Dr Mantis Toboggan]

Just don’t see it happening. Single payer still much more likely. If government were going to back UHC (unclear why they would, there would be political backlash), they may as well just roll out huge Medicare expansion.

Probably what is more likely is a Medicare Advantage type situation where you have 3-4 private players that have huge government contracts etc.

 

[EctopicFetus]

Just don’t see it happening. Single payer still much more likely. If government were going to back UHC (unclear why they would, there would be political backlash), they may as well just roll out huge Medicare expansion.

Agreed. I don’t think it will happen. I also don’t think single payer will happen in the next 40-50 years. Too much money and keep in mind they don’t have the infrastructure. They use health insurers to administer Medicare and Medicaid. Very little is done by the actual government other than supplying money.

I’m just saying it is possible and uhc is the proof it could. Could not would.