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Wrong move to do Anesthesia?

Discussion in 'Anesthesiology' started by jayboyadams, Jun 19, 2008.

  1. jayboyadams

    jayboyadams 2+ Year Member

    Oct 22, 2007
    Los Angeles
    People keep telling me that if a Democrat enters office and pushes thru some kind of "Universal" type health care, that Anesthesiologists, as well as most doctors, will suffer severe cuts in salary, not to mention all the problems with Medicare in the next few years.

    Im not very well versed in any of this, but does anyone have any light they can shed on this subject? Are anesthesia salaries gonna dip way below what they are now in the next 5, 10, or 20 years?
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  3. Consigliere

    Consigliere 7+ Year Member

    May 28, 2008
    Neither here nor there
  4. bigdan

    bigdan SDN Donor 15+ Year Member

    Dec 30, 2002
    Ann Arbor
    What would your other option be, if not Anesthesiology?

    Better to do something cool that you like and be "broke", than be broke doing something you hate. Right?

  5. leaverus

    leaverus New Member 10+ Year Member

    Jan 23, 2004
    Nowhere in particular
    Yeah i don't know much about that stuff either...i just know they need to leave doctors' salaries alone; it's a screwed up world in which people complain about the "exorbitant" salaries of doctors, yet a lousy CHILD RAPIST wins a $57M lottery...*SIGH*
  6. CambieMD

    CambieMD cambiemd 10+ Year Member

    Oct 4, 2003
    Hi there,

    I am not worried about the future of anesthesia. I am now in a specialty that I love and enjoy going to work every day. Do what you like and the other rewards will follow. If FPs were paid major $$$ I still would not want to practice FP not because it is terrible, it just isn't for me.

  7. ucsfgaspain

    ucsfgaspain ASA Member 7+ Year Member

    Feb 20, 2008
    I think that I'm a realist about medicine. The political climate in the US has changed and nationalized health care is going to happen. Why? Because business for the first time has now come out in favor of a universal health care system. THis never happened before. Where business goes, politicians go. Whether they are republican or democrat.

    Believe me who has better funded political action committess the ASA, the AMA, or big business. Dude , we make chump change compared to CEO's.

    If you want to be insulated from universal health care, there is a couple of ways:
    1) leave medicine and do something else. You've got to realize that medicine is a business but the only business where the product is considered a right. This screws with the very fundamentals of a free market system.

    2) go into a specialty that provides a service that is not considered a right..i.e. cosmetics. People are happy to hand over tens of thousands of dollars to look younger or to have bigger boobs. But they bitch and scream when they have to pay a couple of thousands of dollars to save a loved ones life with a CABG. Even though, they brought on the CAD onto themselves by smoking and eating too much.

    It's probably not what you want to hear but I think that this is reality.

    I know that when I went through college (Stanford) all the smart kids were premed. Now all the smart kids are heading into I-banking and VC. That says a lot.

    Have no delusions about medicine. We are widget makers now no different from the guy at GM banging out an engine block. We are better paid but still fundamentally we are the factory makers that provide the product called health care.
  8. cchoukal

    cchoukal Senior Member Moderator 10+ Year Member

    Jul 10, 2001
    SF, CA
    I've considered this same analogy, and I tend to agree, at least on a systems scale. And like the automobile workforce of the 80s and 90s, we will get screwed out of our future by administrators and executives...
  9. KNC

    KNC 2+ Year Member

    Mar 25, 2008
    The Burgh
    Now.....Let us pray......
  10. 2ndyear

    2ndyear Senior Member 10+ Year Member

    Jul 11, 2002
    New England
    Salaries may not go up ever. Can you still make a good living doing this job? Yes. Universal health care will probably be a big equalizer. Primary care guys might gain a little, we'll probably lose a bit along with rads. But nothing will be sacred, it will affect ALL fields of medicine. I wouldn't pick a specialty based on what could happen in the future. Even if you do 100% cosmetic whatever stuff, when the economy goes south as it is doing now, your work falls off. Just look at Starbucks, they're really feeling it right now as people give up their $4 latte to put gas in. Now what about that $4000 boob job?
  11. IctalSmile

    IctalSmile 2+ Year Member

    Apr 6, 2008
    The way I see it, I'll end up spending 13 years of my life after high school to do a job that is the coolest thing in the world to me. If it allows me to live comfortably after payin off the loans, that's a bonus I guess. (It sure beats buckin bales back on my parents farm!)

    Now don't get me wrong, I really don't want to see our salaries fall in the future, but if it causes all the peeps who are lookin at anesthesia residencies in the next couple of years due to a "perceived lifestyle" to think twice, then it's a sacrifice I'll take. (I know you guys and gals who are actually gettin a check don't wanna hear that!)

    But this is what I wanna do more than anything. I can't imagine doing anything else. I love checking out post's about the complicated cases you guys have. Jet, Noyac, Copro, Mil, Venty (hope he's doin okay), amyl, ucsfgas, and everyone else, ya'll are all like big brothers and sisters to me.... Not literally of course, but when I read about your cases I get that, "Yes, yes, yes, that's exactly what I wanna do!!!!" kinda feeling. And I love hearing about everyone applying for residencies in the fall, and tips etc. I've learned a $hit ton from you guys. And you guys aren't jerks to students either.

    So after going on a tangent, I don't personally think universal healthcare will kill anesthesia, but like Cambie said, if it does hurt us a little, and your in anesthesiology for the right reasons, you still get to go to work and do the coolest thing in the world every day. I'm sure my views will change a bit after I graduate and am trying to get Wachovia off my back, but for right now knowing that I'm gonna have the coolest job in the world is good enough for me.
  12. Strength&Speed

    Strength&Speed Need more speed...... 10+ Year Member

    Dec 26, 2004
    well if it is...there's always the handgun thread

    Ictal--keep up that enthusiasm. and pass me what your smoking too, i need some of it
  13. amyl

    amyl ASA Member 10+ Year Member

    give money to the ASA, your state organization, the PAC... these are the only people working to protect your/my future. others are better funded and organized...we need to rectify this on both accounts. now i know people criticize these groups and justify not giving money to them on that account but they are all we have right now. there is no time or room for apathy.
  14. ucsfgaspain

    ucsfgaspain ASA Member 7+ Year Member

    Feb 20, 2008
    To add another point about medicine. I do understand big businesses point of view. Health care costs are skyrocketting. You can't justify 10% per annum increases in health care costs. What gets lost in this whole mess is that physician salaries account for less than 10% of total health care costs. But who has the weakest influence in Washington? MD's? Why? B/C/ pharma, GE (take a look at How big GE Healthcare is), Medical device companies have the money to lobby for their interests. Why do you think the fiasco of the Medicare Drug Bill got passed. That legislation only benefitted one group: pharma. It was a travesty to open up the public coffers to be raided by skyrocketting drug costs. Why is it that we allow t.v. ads to be directed directly to consumers? Why is viagra considered a right? You know if you can't raise your flag pole b/c you smoke and got really have no right to make society pay for you little blue pill so you can pop a wood and have an MI when you try to rut around like a pig.

    The whole health care mess is sickening b/c these other interests have skewed the debate to look at doctor's salaries rather than at the whole picture i.e. what's going on in the other 90% of the cost pie. We as physicians are just as guilty though. Why? Cuz most physicians are arrogant bastards. When cost cutting occurs i.e. when Medicare calls for a 10% cut. All the specialties and primary care start backstabbing each other trying to justify why they shouldn't get cut and the other specialty should. It's pathetic.

    You know we physicians would like to think that we are smart. But we sure as hell are not in business. My fricking hospital's janitor's union does better negotiation than the AMA or ASA.

    Lucky for S.O. was smarter than me. She went tech. She's my insurance policy against universal health care:)

    Last edited: Jun 20, 2008
  15. Frank Rizzo

    Frank Rizzo Member 10+ Year Member

    May 13, 2005
    'have an MI when you try to rut around like a pig'... I can't stop laughing!!! Maybe its just post-call stupidity, but I think this is the funniest thing I have ever heard!

  16. Hockeyguy

    Hockeyguy Senior Member 10+ Year Member

    Jun 22, 2005
    St Louis/Denver
    Uh-Oh the sky is falling again!
  17. Taurus

    Taurus Paul Revere of Medicine 10+ Year Member

    Jul 27, 2004

    If I had to do it all over again, I would have stuck with working or dentistry. Medicine is too *#%&'ed up and it's only getting worse.
  18. Strength&Speed

    Strength&Speed Need more speed...... 10+ Year Member

    Dec 26, 2004
    if i had to do it over again, i'd rut around like a pig. *(wheres that stinkin pig icon when you need one?)
  19. tncekm

    tncekm MS-1 2+ Year Member

    Jul 18, 2006
    Wow, after reading the reader responses in the article you posted, I can see why physicians and nurses butt heads. I never really saw it before, but after going through about 40 posts many nurses really do think they're superior to physicians, despite the enormous difference in their training. :confused: On another note, it was amazing to me to see that the PA's on the other hand seemed to have a much greater appreciation for the training a physician has than the nurses do.
  20. Taurus

    Taurus Paul Revere of Medicine 10+ Year Member

    Jul 27, 2004
    I think a lot of it comes from the top. The nurses are brain-washed by their leaders into thinking that way, irregardless of no or poorly designed studies supporting their case.

    That's why the physicians need to conduct their own well-designed studies to demonstrate where it would be ill-advised to let autonomous DNP's loose on the unwitting public.
  21. jayboyadams

    jayboyadams 2+ Year Member

    Oct 22, 2007
    Los Angeles
    Thanks for the enlightenment everyone. Its a little depressing to hear how big business seems to run the show in health care, and that our careers/salaries/quality of life depend on the moves they make, not so much on what we do, at least that's what it seems like to me. True, as long as I find something I enjoy, I dont have to be making 200k-300k, although that would be nice :)
  22. amyl

    amyl ASA Member 10+ Year Member

    you know what else is bull****: insurance companies etc cover viagra but not birth control prescriptions.

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