Skip to comments.Doctors without Dollars
Posted on 10/03/2010 10:49:25 AM PDT by Nachum
The February 12, 2007 issue of Time magazine included an interesting article by Scott Haig, M.D. entitled Doctors without Dollars. As Dr. Haig illustrated, the traditional practice of medicine is no longer as lucrative as it once was, so doctors are looking for other ways to make a living. Some
(Excerpt) Read more at kevinpezzi.com ...
Welcome to life under Obamacare...
Well at least he makes enough to wallpaper his web site with parchment....
If he told us again how smart he is, I was going to throw up.
We’re going to hear of back-ally surgeries and an underground medicine if Obamacare and the FDA have their way.
The "back alleys" are going to be in the Caribbean or in South America, and they will be very nice.
lol. True. But he was making a point about what doctors are going to be left after so many just give up.
I suggested to my son that he and a group of other physicians in various specialties should buy a cruise ship (People could by stock) and set up a practice outside the 3-mile limit. I would be happy to start a ferry business for the patients.
India is already receiving a large number of medical tourists. And a large percentage of the population already speaks English.
Wasn’t this done to provide abortions to Ireland, which considers them illegal?
Dr’s can make money but some are to stupid to figure out how
Or...they could set up something in Panama....since Mexico is now out due to the danger of violent death there.
I’d fly to Panama for yearly checkups...or procedures that need doing.
“I suggested to my son that he and a group of other physicians in various specialties should buy a cruise ship (People could by stock) and set up a practice outside the 3-mile limit. I would be happy to start a ferry business for the patients.”
I think that is a great idea. If the Casino ships can do it, why not a Medical based ship. Let me know if he is going to do that. I think it would be a great investment opportunity.
I spent several years in Panama with the Army and loved it. (Before we gave the bases away.)
THe problem with going offshore for care is that you can’t really fly “over there” for routine stuff. One would still need somebody closer to see on short notice. That is where the future is heading for docs here. It would be nice to live “down there”, though. I read online they are starting communities for gringos on one of the islands in Las Perlas and another up in Bambito. It sure would be nice to live in either.
I would recommend what I have done, strongly. I left the large group I was with and started “my own practice”. I have no employees. I do everything myself. I have a little broom closet sized office and I only go there to meet patients for their appointment. My overhead is so low I can get by without hardly doing anything. This year my Fed Tax burden should be about zero. If that ain’t “going Galt” I don’t know what is.
“India is already receiving a large number of medical tourists. And a large percentage of the population already speaks English.”
I’ve had a ton of experience with physicians from other countries, including India, who have come to the US to do a repeat residency and fellowship to then practice here. Although there are smart people everywhere in the world, I would never want someone educated in medicine in India taking care of me.
What prompted you to do this in the first place? My daughter-in-law worked for a time between med school and residency for a doctor who was cash-only. Another creative way to get out from under all the ridiculous paperwork that ends up costing patients a fortune.
Look for the same thing to happen here. There will be a shortage of good docs, and those who are good will have lots and lots of people willing to pay them out of pocket. The income of good docs will increase, a lot, and the medical care of the average person will diminish, a lot. And, you'll have to go through a DMV like experience to receive this care in many instances.
I know what I'm talking about. It's absolutely shameful that a group of idiots who I highly doubt could get through medical school have basically reduced the quality of care for the general public.
I didn't go into medicine to get rich. I went into medicine because it was the most substantive thing I personally could do with my life, given my interests and in consideration of what things I was best at. I've always thought of it as a privilege to be a doctor. If I'm willing to make a few adjustments, Obamacare will have little if any effect on my income potential, but it will have a tremendously negative effect on what I can do for patients. Without a doubt.
One thing the general public is also probably not aware of, and isn't on their radar, is the very real possibility that the FDA will slow the rate of approval of new devices and drugs that could significantly increase medical costs. I would be very surprised if the FDA doesn't become more and more politicized, with pressure to only approve those things that are ‘cost effective’ in terms of ‘amount spent per life year saved’ in the general population. The left screwed themselves much, much more than they have any realization of.
If American doctors flock there for lower taxes and less regulation, many more American patients would follow.
I have sold health insurance for most of my adult life and that is all very true. I have dealt with doctors, hospitals, and patients. All of the ills of the socialized systems will visit this country -and worse.
Numerous doctors I work with and have worked with. To a man (and woman) they are very very upset.
I liked it there also.
We have a freeper there who reports in now and then. Expat guy or some name like that.
Stupid Jimmy Carter! But nevertheless it’s still seemed easy to be there as an American....so far.
Yep. All so some nitwits like Pelosi and Obama can feel important, and so a group of extreme leftists who hate the success of others can feel that they are ‘getting even’. It's all very tragic and pathetic. There are few adults in politics.
Indian medical schools produce some of the best physicians in the world.
And most of them are here.
Of course, they have what are in effect open admissions, so the degree per se doesn’t mean much.
But the valedictorian of the Lady Hardinge Medical College is as good or better than anything from Harvard.
And much less likely to be politically correct.
People will have to start heading to places like Panama. No mammograms if you’re under age 50. No colonoscopies if you’re over 75. The latter, I hear, is starting in January. No knee replacements if you’re more than 25 pounds overweight. No by-pass if you smoke or if you’re over 65.
Based on what? I've been at major medical centers on both coasts and the midwest. I've worked with people from every European country, and from India, Russia, Mexico, and many others. Some from India are excellent, many need a lot more training. I stand by what I said.
Regarding being better than anything form Harvard, that's not saying a whole lot. East coast medicine is okay, and sometimes outstanding, but in general the Ivies do not produce exceptional physicians. Having been all over the country, and at Ivies, I can say with confidence that the best clinical medical training is actual in the midwest, by far. The reason is that they generally see more advanced disease, deal with a lot more critically ill patients, and programmatically emphasize clinical medicine more than bench research.
So, whatever comments you have about the valedictorian of the Lady Hardinge Medical College being as good or better than anything from Harvard doesn't really resonate from a clinical perspective. It has to be remembered that medical school ratings are often based on publications and NIH research dollars. Those are clearly important measures of academic performance, and are meaningful, but are not relevant to clinical skills or acumen. Yes, some really bright kids do their residencies and fellowships in the Harvard system, and some turn out to be outstanding physicians. The same can be said, however, about every medical school and pretty much every university-based training program in the country, and probably the world. The best at a ‘third tier’ training program in the US is just as likely to be outstanding as are the best at Havard, UCSF, or any program one wants to name. No one has a monopoly on smarts.
At first I thought I would do cash only but several patients who are lawyers (believe it or not) talked me out of it. I was going to do $60 for 30 min. and that way I wouldn’t need to bill, etc. Thank goodness they did. I am much “better off” learning to do billing and bookeeping.
To each is own. My point was that physicians and others being targeted by the govt will find creative ways to get around certain regulations. For awhile. I expect most methods will be cut off by the govt at some point, on pain of licenses being taken away
Oh, I have said right along that we might be heading toward “back alley” Lipitor while abortion can be practiced on Main Street. Check my priors...
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