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Why should I (or shouldn’t I) become a doctor?
. . . . Or worries about malpractice litigation, or that insurance companies tell me what tests I can order or when my patients must be released from the hospital, or difficult patients, or being forced to input patient notes into an electronic health record that isn't user friendly, or . . . .no amount of debt or years of schooling or gap years is going to deter me from this path.
In the past I would say save yourself the trouble but after researching into other fields from a pure job (and not career) perspective, medicine is at the top.Why should I (or shouldn’t I) become a doctor?
. . . . Or worries about malpractice litigation, or that insurance companies tell me what tests I can order or when my patients must be released from the hospital, or difficult patients, or being forced to input patient notes into an electronic health record that isn't user friendly, or . . . .
Even if something is medically necessary or recommended by the physician, most insurance companies have some form of criteria for every situation stating what they will pay for. So, either a Doctor does what is best for the patient and they don’t get paid (or worse, the patient will have to pay) or the doctor does what the insurance company is willing to pay for. How do they determine what they do and don’t pay for? Not a clue.How can they tell you what tests to order and how long to keep your patient since they don’t have medical training? 😕
Am I being naive or missing something?
Even if something is medically necessary or recommended by the physician, most insurance companies have some form of criteria for every situation stating what they will pay for. So, either a Doctor does what is best for the patient and they don’t get paid (or worse, the patient will have to pay) or the doctor does what the insurance company is willing to pay for. How do they determine what they do and don’t pay for? Not a clue.
Here is a great video showing a very sad truth of American Healthcare (tangentially related to the topic at hand):
Reasons like these are why many physicians (especially young ones) are refusing insurance and just doing in house financing type deals, or are doing home visits/flat fees. It is very similar to how veterinarians operate.
Basically, the dude calls every hospital in a several hundred mile radius to find which is the cheapest to have a baby at. Most of them hang up, some of them pass him around on hold to different people for several hours before answering with “we can’t tell you/we don’t know until it is all over,” and ONE gave him an answer (after several hours) of a general quote if everything goes right. The video highlights how no one knows or has access to a central charge list. You can find most values for Medicare, but no one pays at Medicare prices. And even then, a hospital will charge more if insurance (even Medicare) doesn’t cover it.I’ve seen the thumbnail for that video before but can’t bring myself to watch it. I know for a fact it’s pretty much just gonna piss me off about how horrible our health care system is. Especially since the title is annoying me already.
Basically, the dude calls every hospital in a several hundred mile radius to find which is the cheapest to have a baby at. Most of them hang up, some of them pass him around on hold to different people for several hours before answering with “we can’t tell you/we don’t know until it is all over,” and ONE gave him an answer (after several hours) of a general quote if everything goes right. The video highlights how no one knows or has access to a central charge list. You can find most values for Medicare, but no one pays at Medicare prices. And even then, a hospital will charge more if insurance (even Medicare) doesn’t cover it.
Ok PicardThere is nothing either good or bad, but thinking makes it so.
Become a veterinarian. There are no pros, but you get the double whammy of paying lots of money and earning very little money.Pros: Earning a lot of money
Cons: Paying a lot of money
This video was a waste of time. He called the wrong people because he doesn’t understand the system, and I actually think he did it that way deliberately. When my wife had a couple of minor surgeries, she called the insurance company with the surgery codes from the surgeon, told them where she was going to have the surgery, and she was told what they would pay and what our copay was based on our out of pocket maximum for the year. I believe it was correct to the penny. It also only took 5 min. Hospitals generally don’t know what they are charging, what or how much insurance company x pays for anything, or what your out of pocket costs are. They may have averages, but probably not things specific to your plan. They’ll never know that last part, your out of pocket maximum which is specific to your plan and may be different from mine through the same company.Basically, the dude calls every hospital in a several hundred mile radius to find which is the cheapest to have a baby at. Most of them hang up, some of them pass him around on hold to different people for several hours before answering with “we can’t tell you/we don’t know until it is all over,” and ONE gave him an answer (after several hours) of a general quote if everything goes right. The video highlights how no one knows or has access to a central charge list. You can find most values for Medicare, but no one pays at Medicare prices. And even then, a hospital will charge more if insurance (even Medicare) doesn’t cover it.