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I would think these in house labs will become illegal since the clinicians have a financial incentive to biopsy more for more $$$. Does anyone know where we stand in regards to this issue?
Will these in-house labs Ever become illegal?
- Thread starter KeratinPearls
- Start date
Young keratinpearls,
Why do you care about the lowly pod labs????Just because you are employed by a urologist or dermatologist for $10/biopsy. How about the OLD F--K PATHOLOGISTS who exploit the young for probably even less than that in the lure of partnership?How about throwing them in jails? Or what about the megalabs that pay the same per biopsy? Or even the academic departments that use young attendings as slaves.
WE HAVE LET THIS HAPPEN TO US. NOONE EVER TRIED TO STOP THE GREED OF THE ACADEMIC DEPARTMENTS FOR CHEAP RESIDENT LABOUR. A GLUT OF THESE EXPENDIBLE SLAVES CHURNED OUT BY THESE FACTORIES HAS MADE EXPLOITATION POSSIBLE. WELCOME MY FELLOW SLAVE! HOPE YOU HAVE A THICK HIDE!
PS. ACTUALLY CONSIDER THESE ACADEMIC DEPARTMENTS THAT GET BOTH MONEY FROM CMS AND CHEAP SLAVE LABOUR AS WELL. WIN WIN FOR THEM. COMPARED TO THEM THE "OH SO BAD UROLOGISTS, GASTROS" ARE GIVING US A PRETTY GOOD DEAL. DON'T YOU THINK?
Why do you care about the lowly pod labs????Just because you are employed by a urologist or dermatologist for $10/biopsy. How about the OLD F--K PATHOLOGISTS who exploit the young for probably even less than that in the lure of partnership?How about throwing them in jails? Or what about the megalabs that pay the same per biopsy? Or even the academic departments that use young attendings as slaves.
WE HAVE LET THIS HAPPEN TO US. NOONE EVER TRIED TO STOP THE GREED OF THE ACADEMIC DEPARTMENTS FOR CHEAP RESIDENT LABOUR. A GLUT OF THESE EXPENDIBLE SLAVES CHURNED OUT BY THESE FACTORIES HAS MADE EXPLOITATION POSSIBLE. WELCOME MY FELLOW SLAVE! HOPE YOU HAVE A THICK HIDE!
PS. ACTUALLY CONSIDER THESE ACADEMIC DEPARTMENTS THAT GET BOTH MONEY FROM CMS AND CHEAP SLAVE LABOUR AS WELL. WIN WIN FOR THEM. COMPARED TO THEM THE "OH SO BAD UROLOGISTS, GASTROS" ARE GIVING US A PRETTY GOOD DEAL. DON'T YOU THINK?
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Oh. My. Zod.
Funniest post ever on SDN. I am literally laughing out loud right now at my computer.
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No I don't think so. Even if medicare does illegalize it, private insurance probably won't. I have read multiple headlines from the ASCP and CAP where they mention they have tried to eliminate the loop hole that allows urologists and the like to set up their own pathology operations and they always say they were unsuccessful.
THe truth is is that it is simply basic capitalism. And America is a capitalist country. THe only hope for you all is a massive reduction in the number of pathologists to create a shortage, but that will never happen. There was previous thread where the poster offered to forward an email that was sent between path residency directors. He sent it to me and if it is all legit, the academic residency directors believe there is a massive shortage of residency positions that will soon destroy the field if it is not increased. They mention the fact that molecular and cytogenetic labs being run by PhDs as evidence of the shortage.
It is time to consider academics. YOu won't have to worry about any of this stuff. You get to practice pathology because you love it and you reap all the rewards of being based at a university.
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A similar situation has been happening to radiology (in-office imaging and radiologists read the scans for the "PC component") for years and they haven't been able to stop it. Radiologists have been ok though because there is so much business for imaging and the reimbursement has been so high and for a while they didn't overtrain residents. They are now seeing their job market tighten up (though still not to the degree of pathology) and there is talk in radiology of overtraining. Why corporations have not started buying up radiology practices and getting the "TC" (or whatever it is called for radiology) is beyond me, but you'd think it will happen eventually.
Although the economic threats are similar, I wouldn't lump radiology's future with pathology's, at least not yet. Unlike pathologists, radiologists do not kid around with their bottom line, nor does their leadership have its head up its as$:
http://www.cardiovascularbusiness.com/index.php?option=com_articles&view=article&id=17906
As for when pathology mounts a similar campaign to protect itself, I wouldn't hold my breath.
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There seems to be a large amount of doom and gloom being posted over on Aunt Minnie:
http://www.auntminnie.com/forum/tm.aspx?d=1&m=223897&mpage=1𶫕
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I personally know of radiology residents that are having trouble getting jobs in their city of choice. The current radiologists in private groups are all absorbing the workload and not hiring. Sounds eerily familiar.
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Then you probably think wrong. We stand in deep caca with this issue. State and federal level lobbying the CAP and like organizations has pretty much been chock full of FAIL, per usual custom.
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That is true and urologists and other clinicians are lobbying hard to keep the current system going. Plus Uros and Gastros are type A individuals in general while Pathologists are introverted type B people in general.
No Urologist would ever work for a group of other docs and do their biopsies for 1/5 what medicare pays would pay him. But pathologists line up to take that deal. Urologists are alpha types. Pathologists for the most part are not. The ones that are alpha types end up being like Leboit or Bostwick or LADoc00 but those are rare birds. The majority of pathologists just want to sit at their desks with head phones on, wearing scrubs while they zone out on their cases and they don't want to have deal with patients or calls from other clinicians for that matter. They don't want to hustle and take call. That is a major factor in while pathology is flailing as medicine has become more of a business. Alpha types (MBAs, Uros, Gastros) are able to use and abuse Beta types (pathologists).
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I think you are mixing up type A/B personalities with "alpha" people.
oh, and there are plenty of type A and alpha pathologists. some of them wear scrubs too. and even listen to the forbidden music while working.
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I disagree. There is a reason why pathologists are willing to sign out cases for a fraction of what medicare pays while gastros and uros would never ever do that.
Alpha pathologists likely dress professionally, go to conferences and don't walk around listening to head phones. Trust me leboit, bostwick, epstein or LADoc00 don't walk around listening to headphones and they make bank.
You path residents that listen to head phones and wear scrubs 24/7 will end up working for urologist, lab corp, genoptix, caris but at least you have an easy schedule and no call and no business worries and no frozens
Alpha pathologists likely dress professionally, go to conferences and don't walk around listening to head phones. Trust me leboit, bostwick, epstein or LADoc00 don't walk around listening to headphones and they make bank.
You path residents that listen to head phones and wear scrubs 24/7 will end up working for urologist, lab corp, genoptix, caris but at least you have an easy schedule and no call and no business worries and no frozens
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It has nothing to do with personality type. If there were urologists and gastroenterologists on every corner they would work for whatever pay they could get. Are there urology groups undercutting each other for referrals from primary care docs? No, because there is plenty of work to go around. In pathology there is not plenty of work to go around so there is competition among groups.
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Wow, after getting your butt handed to you when you tried this piece of crap in another forum, I just noticed that you snuck it in here.
Do us a favor and stop using your high school's computers to post on this forum.
I totally agree. After reading many posts by said member, I have concluded that much are total nonsense.
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And they will be making more $$$ than they would in academics... and living in a better house than they would in academics... and sending their kids to better schools than they would in academics... and taking better vacations than they would in academics... and saving more for retirement than they would in academics...
🙂
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Doubt that all the way around. And when the uro lab goes under or CMS ratchets down the 88305 further or the urologists sell their practice to a hospital and the hospital decides to use their contracted pathology group, you will be SOL because you will be blacklisted from all private groups and unemployable in academics.
unlikely, especially with SLIDESCANNING companies like bioimagene now getting their greasy paws in the mix.
while bioimagene might seem like a friendly company just doodling along, trying to promo their new toys and become the next aperio, watch your back. although they claim they are not in the "lab business" i know of several recent situations where they have come in and taken away business from community pathologists across the country...i.e. ripping podlab bx's and whatnot. ask the company and i promise you they will deny it to the fullest, but keep in mind that their chief medical officer (Dr Robert Monroe) has a podlab business on the side and is involved in this process. how "convenient". if that's not greasy then i don't know what is.
while bioimagene might seem like a friendly company just doodling along, trying to promo their new toys and become the next aperio, watch your back. although they claim they are not in the "lab business" i know of several recent situations where they have come in and taken away business from community pathologists across the country...i.e. ripping podlab bx's and whatnot. ask the company and i promise you they will deny it to the fullest, but keep in mind that their chief medical officer (Dr Robert Monroe) has a podlab business on the side and is involved in this process. how "convenient". if that's not greasy then i don't know what is.
