Why can't urban and suburban FPs get to do all the procedures the rural FPs do?

[MacGyver]

I want to bring up a larger point that this thread illustrates. The fact that FPs are having trouble doing these procedures in suburban/urban markets means one thing:

THE CLAIM THAT THERE IS A OVERALL SHORTAGE OF DOCTORS IS AN ABSOLUTE LIE!

The govt and the "evil axis" who are working against our interests have sold this lie to the general public and now they are trying to get us to swallow the poison pill. Thats all you see in the media these days, how there's some huge enormous doctor shortage. Its all a load of crap and always has been. Rural areas are underserved, but urban areas are absolutely overwhelmed with doctors.

Its all a ploy by the "evil axis" to expand PA/NP scope as well as open up a hundred more med schools so they can sufficiently dilute the labor pool to cause massive wage depression.

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[iatrosB]

I want to bring up a larger point that this thread illustrates. The fact that FPs are having trouble doing these procedures in suburban/urban markets means one thing:

THE CLAIM THAT THERE IS A OVERALL SHORTAGE OF DOCTORS IS AN ABSOLUTE LIE!

The govt and the "evil axis" who are working against our interests have sold this lie to the general public and now they are trying to get us to swallow the poison pill. Thats all you see in the media these days, how there's some huge enormous doctor shortage. Its all a load of crap and always has been. Rural areas are underserved, but urban areas are absolutely overwhelmed with doctors.

Its all a ploy by the "evil axis" to expand PA/NP scope as well as open up a hundred more med schools so they can sufficiently dilute the labor pool to cause massive wage depression.

Thanks for the input.

*deleted*

 

[ajce9]

Thanks for the input.

*deleted*

Actually he makes a good point. Although a little dramatic.

In my area there are no shortages of FPs or most specialists. Maybe neurosurgery (only because it takes like 7 years to do a residency in it).

Some FPs in my area would say they are not as busy as they want to be.

We have an adequate number of most physician specialties and Primary care. We have a poor distribution of them.

If a patient complains that they can't find a doctor, that seems to have more to do with the insurance they have rather than with a shortage of physicians.

For example in Alaska many physicians no longer take medicare. So seniors can't find a doctor. There are many private insurance companies that have very very poor reimbursement schedules. Some below medicare.

 

[Faebinder]

Actually he makes a good point. Although a little dramatic.

In my area there are no shortages of FPs or most specialists. Maybe neurosurgery (only because it takes like 7 years to do a residency in it).

Some FPs in my area would say they are not as busy as they want to be.

We have an adequate number of most physician specialties and Primary care. We have a poor distribution of them.

If a patient complains that they can't find a doctor, that seems to have more to do with the insurance they have rather than with a shortage of physicians.

For example in Alaska many physicians no longer take medicare. So seniors can't find a doctor. There are many private insurance companies that have very very poor reimbursement schedules. Some below medicare.

As I stated in the past, Alaska is a F***D up state that deserves the grief it's getting wrt doctors. Studies show that doctors usually practice where they do their residency (makes sense cause that's where you first apply for a license), yet Alaska insists on being the only state that limits its license based on number of attempts of step 2 instead of step 3. Meaning they filter doctors (AMGs and FMGs) prior to them even coming to Alaska for residency... Basically, the state introduces a barrier that the residencies might not wish to have and thus less doctors are willing to head there.

If they want more doctors, they can start by eliminating their early barrier on their state license.

 

[ajce9]

As I stated in the past, Alaska is a F***D up state that deserves the grief it's getting wrt doctors. Studies show that doctors usually practice where they do their residency (makes sense cause that's where you first apply for a license), yet Alaska insists on being the only state that limits its license based on number of attempts of step 2 instead of step 3. Meaning they filter doctors (AMGs and FMGs) prior to them even coming to Alaska for residency... Basically, the state introduces a barrier that the residencies might not wish to have and thus less doctors are willing to head there.

If they want more doctors, they can start by eliminating their early barrier on their state license.

That may be true about Alaska but I was only using them as an example. Either way that has nothing to do with doctors not accepting medicare.

As far as the amg and fmg thing goes, I hard to believe that the whole state relies on FMGs for thier doctors. It is equaly as hard to believe that there are that many doctors who apply for an Alaska license that had to take the USMLE several times. I'm sure there are some but I don't think that is the make it or break is problem.

In Alaska they stopped taking medicare because they were payed very low rates. The same thing is taking place in many states not just Alaska.

There are not that many barriers to getting a license in Alaska. I can't imagine people breaking the door down to get a license there. Not that Alaska is not an amazing place but there popullation is just not that much and people don't generally want to go rural and Alaska is about as rural as it gets.