Doctors leaving Medicine
Jul 12, 2014 21:34:07 #
For all you supporters of Obamacare: - you might find this interesting. An excerpt from my Medscape list for Physicians.
"A 2010 survey[1] by The Physicians Foundation found that 40% of doctors planned to drop out of patient care in the next 1-3 years, either by retiring or seeking a nonclinical job.
Doctors who decide to stop seeing patients are usually glad they did -- and in many cases, they're earning as much money as they did in clinical medicine, according to Steve Babitsky. Babitsky is an attorney who runs SEAK Inc., a Falmouth, Massachusetts-based company that trains physicians, including those who want to switch careers.
"Most, if not all, of the doctors who switch to a nonclinical career are happier," Babitsky said, adding that replacing clinical income is easier than you might think. "Look at what you're earning per hour of work," he said. "You may be getting less than plumbers, electricians, and landscapers."
Obamacare may cost more but you won't have much care - not with 30 million more patients and 40% fewer doctors who now have double the paperwork. Lots a luck with that!
"A 2010 survey[1] by The Physicians Foundation found that 40% of doctors planned to drop out of patient care in the next 1-3 years, either by retiring or seeking a nonclinical job.
Doctors who decide to stop seeing patients are usually glad they did -- and in many cases, they're earning as much money as they did in clinical medicine, according to Steve Babitsky. Babitsky is an attorney who runs SEAK Inc., a Falmouth, Massachusetts-based company that trains physicians, including those who want to switch careers.
"Most, if not all, of the doctors who switch to a nonclinical career are happier," Babitsky said, adding that replacing clinical income is easier than you might think. "Look at what you're earning per hour of work," he said. "You may be getting less than plumbers, electricians, and landscapers."
Obamacare may cost more but you won't have much care - not with 30 million more patients and 40% fewer doctors who now have double the paperwork. Lots a luck with that!
Jul 12, 2014 22:04:11 #
CatMarley wrote:
For all you supporters of Obamacare: - you might f... (show quote)
Thank you for you post Cat, however you will soon see that many on this forum will dismiss what you have presented as lies, mis-information, political dirty tricks, or just plain right wing propaganda.
Jul 13, 2014 00:24:26 #
phcaan wrote:
Thank you for you post Cat, however you will soon see that many on this forum will dismiss what you have presented as lies, mis-information, political dirty tricks, or just plain right wing propaganda.
Well either of two things will happen: 1. Obamacare will disappear and some of this will be averted, or 2. they will find out how true it is within 3 years. They had better hope they can afford to pay for concierge medicine like the two tier system in UK. As a doctor who has ALREADY left like many of my colleagues, I know what is in store. If people want to call it right wing propaganda, good luck to them. I hope they are satisfied with medical care from a PA or nurse practitioner, because that is what they will have.
Jul 13, 2014 00:44:41 #
CatMarley wrote:
Well either of two things will happen: 1. Obamacar... (show quote)
Most likely even less Cat.
Because our Daughter teaches Nursing at USC. What is going through, and coming out is NOT what I want to trust my or my Families care to.
Dumb doesn't just apply to the 47% who put and kept the current fiascoes in Washington.
I get to go see a Physical Medicine Doctor 07/31. (Specialist)
His name is:
Dilipkumar Hargovands (& a 3 letter sir name) MD
I kind of doubt he is a nice Jewish boy. He does wear a sheet on his head. :roll:
America has shot herself in the foot and is bleeding out. :hunf:
Jul 13, 2014 00:55:50 #
This is what is being discussed in the medical forums and journals. if you don't know whar concierge medicine is - look it up. You will soon need to know if you want care at all. (hope you can afford it)
The Future of Medicine?
Are doctors like Tom LaGrelius and Mario Ficarola -- and their practice models -- the future of medicine? Many observers think so. LaGrelius, who chairs the steering committee of a new concierge organization, the American College of Private Physicians, which launches in January, gives talks at medical schools in his area. To students who initially are turned off by a career in primary care, his recounting of what's possible in a concierge practice is a revelation.
"My gosh, you can do this?" they respond incredulously when he tells them about his practice and lifestyle: the visits ample enough to treat complex patients, the relaxed pace, the civilized ambience, the time for jaunts to Catalina. "They become enthusiastic about primary care again," he says.
LaGrelius disagrees that concierge medicine poses a threat to the supply of primary doctors nationwide. Its impact will be just the opposite, he contends. "If anything, concierge medicine is going to grow the number of primary care doctors," he believes.
"We're going to eventually develop a cadre of young doctors who want to go back to primary care because they can do what my doctor did when I was a kid: have a great practice, really take care of sick people, and not just turn a crank on CPT codes," he asserts.
The ability to start a concierge practice will also lure many specialists back to primary care, he's convinced.
"I have a good friend, a cardiologist, who's about to convert to concierge medicine," LaGrelius offers by way of example. "He currently does about 10 echocardiograms a day in his office. He's in the cath lab all day long, and he's burning out. He says, 'Why don't I just convert to concierge medicine, take 600 of my sickest cardiology patients, and care for all their problems?'"
CCP's client roster includes a growing number of cardiologists, gynecologists, gastroenterologists, and rheumatologists, who typically serve as primary doctors for patients with certain chronic conditions, in addition to the majority of doctors who practice concierge medicine: internists and family physicians.
"A lot of subspecialty internists are getting ready to say, 'I'm going back to my first love -- primary care -- and care for the sickest diabetes or cardiology or rheumatology patients, do fabulous work with them, keep them out of the hospital 60%-70% of the time, and do wonderful preventive care,'" LaGrelius predicts.
"This," he concludes, "is what the whole country needs to move to."
The Future of Medicine?
Are doctors like Tom LaGrelius and Mario Ficarola -- and their practice models -- the future of medicine? Many observers think so. LaGrelius, who chairs the steering committee of a new concierge organization, the American College of Private Physicians, which launches in January, gives talks at medical schools in his area. To students who initially are turned off by a career in primary care, his recounting of what's possible in a concierge practice is a revelation.
"My gosh, you can do this?" they respond incredulously when he tells them about his practice and lifestyle: the visits ample enough to treat complex patients, the relaxed pace, the civilized ambience, the time for jaunts to Catalina. "They become enthusiastic about primary care again," he says.
LaGrelius disagrees that concierge medicine poses a threat to the supply of primary doctors nationwide. Its impact will be just the opposite, he contends. "If anything, concierge medicine is going to grow the number of primary care doctors," he believes.
"We're going to eventually develop a cadre of young doctors who want to go back to primary care because they can do what my doctor did when I was a kid: have a great practice, really take care of sick people, and not just turn a crank on CPT codes," he asserts.
The ability to start a concierge practice will also lure many specialists back to primary care, he's convinced.
"I have a good friend, a cardiologist, who's about to convert to concierge medicine," LaGrelius offers by way of example. "He currently does about 10 echocardiograms a day in his office. He's in the cath lab all day long, and he's burning out. He says, 'Why don't I just convert to concierge medicine, take 600 of my sickest cardiology patients, and care for all their problems?'"
CCP's client roster includes a growing number of cardiologists, gynecologists, gastroenterologists, and rheumatologists, who typically serve as primary doctors for patients with certain chronic conditions, in addition to the majority of doctors who practice concierge medicine: internists and family physicians.
"A lot of subspecialty internists are getting ready to say, 'I'm going back to my first love -- primary care -- and care for the sickest diabetes or cardiology or rheumatology patients, do fabulous work with them, keep them out of the hospital 60%-70% of the time, and do wonderful preventive care,'" LaGrelius predicts.
"This," he concludes, "is what the whole country needs to move to."
Jul 13, 2014 01:04:59 #
CatMarley wrote:
We are better off without doctors who are primarily interested in how much money they can make.For all you supporters of Obamacare: - you might f... (show quote)
If doctors are not interested in patient care, they are in the wrong field.
Mike
Jul 13, 2014 02:33:20 #
CatMarley, what you are saying here is almost word for word what I'm hearing from my two Daughters and Son in Law, all MD's. My one daughter and her husband are in their last year of residency. They both went in wanting to be Pediatricians, and now neither of them want anything to do with Primary care under this new ACA scheme. Both are now looking into subspecialty fellowships. My other daughter is a Psychiatrist, so the ACA doesn't affect her much, but even she, very Liberal and Gay, thinks the ACA went way overboard and will ultimately hurt the system and the people it serves.
Jul 13, 2014 07:39:30 #
You have to believe that some Dems who voted for ACA knew this was going to be one of the consequences. (A charitable way of saying they ALL could not have been so short-sighted.)
Jul 13, 2014 08:51:34 #
Blenheim Orange wrote:
We are better off without doctors who are primarily interested in how much money they can make.
If doctors are not interested in patient care, they are in the wrong field.
Mike
If doctors are not interested in patient care, they are in the wrong field.
Mike
Considering the hourly wage, most doctors make less than plumbers and electricians. Should Plumbers and electricians be only concerned about their pipes and wires? Dpctors go to school for 8 years aftr highschool and then get 2 to 4 years of resident training on top of that. They only start making money after age 30 and they are already about $300,000 in debt. So they should not be concerned about money? With only 35 years left to make enough to pay off their student loans, save for retirement and educate their kids? You gotta be kidding! 80 hour work weeks is what it takes. And they drop dead young!
Jul 13, 2014 10:21:09 #
CatMarley wrote:
Considering the hourly wage, most doctors make les... (show quote)
As a disgruntled general practice/urgent care physician making a low 6 figure income after nearly 30 years in practice, I couldn't agree with you more. Get a load of this P.O.S. car with MD plates. Really "drives" home my point.
And his/her other car is a piece of shit, too
Jul 13, 2014 10:35:46 #
Shutterbugsailer wrote:
As a disgruntled general practice/urgent care physician making a low 6 figure income after nearly 30 years in practice, I couldn't agree with you more. Get a load of this P.O.S. car with MD plates. Really "drives" home my point.
Ha, Ha. Both I and my husband were physicians, and we never had time for family vacations and we never could afford an Accura. Best I ever did was a Suburu. My Heating and AC man had a Summer house at the beach. He charged more for house calls than my poor tired husband, who dropped dead at 64! But we raised three good kids. Two of whom have served in Afghanistan.
Jul 13, 2014 10:41:07 #
Blenheim Orange wrote:
We are better off without doctors who are primarily interested in how much money they can make.
If doctors are not interested in patient care, they are in the wrong field.
Mike
If doctors are not interested in patient care, they are in the wrong field.
Mike
You are confusing achievers with under-achievers.
Jul 13, 2014 10:41:42 #
CatMarley wrote:
Ha, Ha. Both I and my husband were physicians, and we never had time for family vacations and we never could afford an Accura. Best I ever did was a Suburu. My Heating and AC man had a Summer house at the beach. He charged more for house calls than my poor tired husband, who dropped dead at 64! But we raised three good kids. Two of whom have served in Afghanistan.
Good for you. My wife and I raised 7, 5 boys and 2 girls, all are employed and raising families of their own. I once owned a 15 year old Cadillac, it was my price and joy at the time.
Jul 13, 2014 10:47:07 #
Most plumbers, carpenters, and electricians I know have gone to the underground economy. They demand to be paid in cash. They do great work and found a way to keep the government out of their hair and pockets. I sense that because government has lost the respect and trust of the working class, skilled labor is moving underground and is doing very well.
I realize that medicine is hopelessly entangled with insurance and the government and this is not an option. It's very sad.
I realize that medicine is hopelessly entangled with insurance and the government and this is not an option. It's very sad.
Jul 13, 2014 10:49:26 #
CatMarley wrote:
Ha, Ha. Both I and my husband were physicians, and we never had time for family vacations and we never could afford an Accura. Best I ever did was a Suburu. My Heating and AC man had a Summer house at the beach. He charged more for house calls than my poor tired husband, who dropped dead at 64! But we raised three good kids. Two of whom have served in Afghanistan.
That picture was taken last summer. The Acura was about 25 years old and a real rust bucket
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