Why would anyone go into primary care nowadays?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Sounds like NPs and PAs will be happy to pick up the slack.

This is where DermViser's head explodes.

But I thought this was about getting people to go into primary care? So now you admit that in order to keep your vision sustainable, we'd have to have more midlevels enter the system and less physician input?
 
I don't even care about Medicaid/Medicare. Maybe one solution is to expand Medicaid across the board and force physicians to accept it.
Of course, that would be your solution - force them to take it so either they 1) close up shop since they're in the red, 2) go direct pay and leave the system altogether, or 3) become a private hospital.
 
But I thought this was about getting people to go into primary care? So now you admit that in order to keep your vision sustainable, we'd have to have more midlevels enter the system and less physician input?

I never said anything about getting people to go into primary care.

Other countries with universal health care don't seem to have a dramatic shortage of PCPs anyway. But then again medical school doesn't tend to cost so much there.
 
Of course, that would be your solution - force them to take it so either they 1) close up shop since they're in the red, 2) go direct pay and leave the system altogether, or 3) become a private hospital.

It's a potential solution. A single-payer system is another potential solution.
 
If I could somehow have a cash only practice, I'd literally cry myself to sleep in happiness every night. If I could somehow a cash only rads practice, I'd probably go mentally insane in happiness and disbelief because things that good are more rare than winning the lottery.

read up on atlasmd's posts about direct family medicine.....they do it and make great money. cash only, no insurance, 5-6 patients a day.... >200k
 
I never said anything about getting people to go into primary care.

Other countries with universal health care don't seem to have a dramatic shortage of PCPs anyway. But then again medical school doesn't tend to cost so much there.

You also aren't the world police and expected to maintain the defense of the whole modern world at any moment's notice. People seem to neglect facts like this when comparing the US with european nations.
 
Of course, that would be your solution - force them to take it so either they 1) close up shop since they're in the red, 2) go direct pay and leave the system altogether, or 3) become a private hospital.

He'd make it illegal to go cash only or private, so they'd basically become indentured servants of the government.
 
read up on atlasmd's posts about direct family medicine.....they do it and make great money. cash only, no insurance, 5-6 patients a day.... >200k

I'm doubly excited to read it because of their username. 2 months till AS3 comes out so pumped
 
You also aren't the world police and expected to maintain the defense of the whole modern world at any moment's notice. People seem to neglect facts like this when comparing the US with european nations.

Well that brings up another idea for saving money... 😉
 
He'd make it illegal to go cash only or private, so they'd basically become indentured servants of the government.

No, I don't think I would. I don't know enough about the situation to think that through thoroughly, but I see absolutely no reason to do that.
 
I never said anything about getting people to go into primary care.

Other countries with universal health care don't seem to have a dramatic shortage of PCPs anyway. But then again medical school doesn't tend to cost so much there.
Universal health care is a joke. I'd bet if you went to live in one of those countries, you'd be running back here very quickly.
 
Well that brings up another idea for saving money... 😉

Yes, which I'm all in favor for. However, the problem with that, is the rest of you p*ssies will be taken over, as we focus on defenses, which you tend to not like, forcing us and Russia to come to your rescue.
 
Sounds like NPs and PAs will be happy to pick up the slack.

This is where DermViser's head explodes.
I am more than happy for midlevels to take all the Medicaid and Obamacare exchange patients. Unfortunately for your diabolical plan, PAs and NPs reject Medicaid at the same if not higher rates than physicians. Seems like they aren't interested in indentured servitude either. Pity.
 
It's a potential solution. A single-payer system is another potential solution.
Yeah a "potential" solution with disastrous consequences making access even worse. Congrats.
 
I am more than happy for midlevels to take all the Medicaid and Obamacare exchange patients. Unfortunately for your diabolical plan, PAs and NPs reject Medicaid at the same if not higher rates than physicians. Seems like they aren't interested in indentured servitude either. Pity.
Maybe we should just force the PAs and NPs to take only Medicaid patients.
 
I am more than happy for midlevels to take all the Medicaid and Obamacare exchange patients. Unfortunately for your diabolical plan, PAs and NPs reject Medicaid at the same if not higher rates than physicians. Seems like they aren't interested in indentured servitude either. Pity.

Well of course they don't. It's not in their economic interests.
 
Well of course they don't. It's not in their economic interests.
Yeah, they also can't pay their bills without going bankrupt and having to shut their lights off. Has nothing to do with being greedy.
 
Yeah, they also can't pay their bills without going bankrupt and having to shut their lights off. Has nothing to do with being greedy.
Yeah, how dare these greedy doctors want to pay back their loans and feed and clothe themselves when there are so many other people who can't?
 
I don't even care about Medicaid/Medicare. Maybe one solution is to expand Medicaid across the board and force physicians to accept it.
What do you mean force physician to accept it? You can not be serious!
 
Yeah, how dare these greedy doctors want to pay back their loans and feed and clothe themselves when there are so many other people who can't?
Or even pay overhead: utility, practice managers, billers, etc. There is no way you can have an entire practice of all Medicaid/Obamacare Exchange patients. Your practice would go into bankruptcy bc you can't pay your bills.
 
Forcing people to do things not in their best interest for the "betterment of society" is not the most effective solution to any problem. The solution is to incentivize them to do it by rewarding them for their effort, not by creating a law that forces them to work for less pay than they want.
 
Or even pay overhead: utility, practice managers, billers, etc. There is no way you can have an entire practice of all Medicaid/Obamacare Exchange patients. Your practice would go into bankruptcy bc you can't pay your bills.
Yeah, this is why obamacare is going to fail miserably. No one will want to see these patients and they will have nowhere to go despite Obama promising everyone healthcare.
 
Forcing people to do things not in their best interest for the "betterment of society" is not the most effective solution to any problem. The solution is to incentivize them to do it by rewarding them for their effort, not by creating a law that forces them to work for less pay than they want.

I live to serve the state.

SYKE
 
I am gonna ask the government to force my school not to charge me tuition... Seriously!
 
Why don't all you bleeding heart liberals just take a few medicaid patients each month and pay for their care? Put your money where your mouth is? Oh wait, are you the same people trying to avoid your own co-pay by fighting with the visit type that the doctor's office coded?
 
Yeah, this is why obamacare is going to fail miserably. No one will want to see these patients and they will have nowhere to go despite Obama promising everyone healthcare.
They already are: doctors aren't taking new Medicare patients, or any Medicaid patients and Obamacare exchange plans have such narrow networks that no respectable hospital accepts it.
 
They already are: doctors aren't taking new Medicare patients, or any Medicaid patients and Obamacare exchange plans have such narrow networks that no respectable hospital accepts it.
Exactly - the whole thing is blowing up right in Obama's face, but what does he care, he's out of here pretty soon.
 
We can do this. It won't be good for physicians or health care systems, and that sucks. But we can and should do it.
You can count me out. How about you and your like-minded friends just open up a medicaid-only practice yourself since you believe so strongly? Don't force it on the rest of us.
 
Exactly - the whole thing is blowing up right in Obama's face, but what does he care, he's out of here pretty soon.
And we're finally finding out "what's in it". Luckily after the VA scandal, any credible talk about single payer (which is what the VA is) is effectively over.
 
We can do this. It won't be good for physicians or health care systems, and that sucks. But we can and should do it.
Sorry, but apparently, healthcare systems aren't playing ball. You'll have to find much better reasoning than that it's for the common good. Physicians and hospitals have an allergy to going bankrupt.
 
You can count me out. How about you and your like-minded friends just open up a medicaid-only practice yourself since you believe so strongly? Don't force it on the rest of us.
You didn't hear? His solution is paying higher taxes. Yup, that's the whole solution.
 
You didn't hear? His solution is paying higher taxes. Yup, that's the whole solution.

Yeah, raising taxes is the liberal answer to everything. Just pump more money into it, that'll do the trick. No sense in trying to figure out why the insane amount of money we already spend compared to every other country isn't doing it.
 
Yeah, raising taxes is the liberal answer to everything. Just pump more money into it, that'll do the trick.
You didn't expect him to actually think through a solution, did you? He should just hold a sign that says, TAKE MY MONEY.
 
You didn't expect him to actually think through a solution, did you? He should just hold a sign that says, TAKE MY MONEY.
Oh no, when it comes to him, he doesn't want to pay. He'll find a million loopholes. He just wants everyone else to pay.
 
Sorry, but apparently, healthcare systems aren't playing ball. You'll have to find much better reasoning than that it's for the common good. Physicians and hospitals have an allergy to going bankrupt.

Oh I agree. This is a pipe dream at the moment. I think we'll end up at something universal eventually but not in the near future at all.
 
Lol is anything the government does good for physicians?
Is anything the government does good for anyone? (other than the ones gaming the system, of course)

The rest of us just end up being forced to pay for subpar services that we didn't even want, oh and wars we didn't need and the vast majority of us didn't want.

Wish I could find that report on "tax waste". You'd be appalled to see the the kinds of things the government forces us to pay for.

Oh and what's the deal with politicians living like kings while talking about bettering the common man?
 
Yeah, raising taxes is the liberal answer to everything. Just pump more money into it, that'll do the trick. No sense in trying to figure out why the insane amount of money we already spend compared to every other country isn't doing it.
but, everyone should chip in their fair share. why should warren buffet pay less in income taxes than his secretary? I mean, people need that government honey that they don't deserve because it is the right thing to do, even if it doesn't make any financial sense and it will bankrupt our country.
 
Oh I agree. This is a pipe dream at the moment. I think we'll end up at something universal eventually but not in the near future at all.
Your entire way of thinking is a pipe dream. You should run for AMSA President, @jonnythan. Just try not to be a complete hypocrite. Oops, too late.
 
Last edited:
but, everyone should chip in their fair share. why should warren buffet pay less in income taxes than his secretary? I mean, people need that government honey that they don't deserve because it is the right thing to do, even if it doesn't make any financial sense and it will bankrupt our country.
Yup, he wants to raise income tax on everyone else, bc most of his salary isn't thru income but capital gains.
 
but, everyone should chip in their fair share. why should warren buffet pay less in income taxes than his secretary? I mean, people need that government honey that they don't deserve because it is the right thing to do, even if it doesn't make any financial sense and it will bankrupt our country.
The "fair share" thing has been debunked. You're including money that was already taxed. You want him to pay twice as much tax?

Secondly, it's the actual amount of money that matters, not the percentage. He probably pays more in actual amount of taxes than all the secretaries in america combined. The top 1% pay the vast majority of taxes in terms of actual dollars. It's the actual dollars that matter, since things are purchased in actual dollars, not percentage of your income.

Thirdly, your "fair share" depends on how much you use of government services. People who make more tend to use fewer social services, so their share should actually be less, if you want it to really be "fair".
 
Is anything the government does good for anyone? (other than the ones gaming the system, of course)

The rest of us just end up being forced to pay for subpar services that we didn't even want, oh and wars we didn't need and the vast majority of us didn't want.

Wish I could find that report on "tax waste". You'd be appalled to see the the kinds of things the government forces us to pay for.

Oh and what's the deal with politicians living like kings while talking about bettering the common man?

I guess it depends if you mean long term good or short term good. I guess due to human nature, the government's actions tend to punish physicians short term and reward them long term, vs the opposite effects for poorer classes. It just seems like in specific, there's an assault on physicians.
 
I guess it depends if you mean long term good or short term good. I guess due to human nature, the government's actions tend to punish physicians short term and reward them long term, vs the opposite effects for poorer classes. It just seems like in specific, there's an assault on physicians.
I agree. The govenrment paints physicians out to be these money hungry people and uses that to specifically assault physicians with public support. The public isn't going to complain because the "overpaid" physician got a pay cut.

If the government really wants to cut back, why not cut what Medicare pays to durable equipment and medical device supply companies? They won't touch that. Those companies donate and lobby like crazy. But they'll go for the physician.
 
Top