People are normally rewarded in large measure by the amount of risk they are prepared to take.
I've been in business for myself for somewhat longer than the time you've been practicing medicine. I have done well, but always by taking risks in the marketplace. Risks, I might add, that have never been covered by insurance.
So what was your net taxable income last year?
posted on 12/29/2004 7:22:37 PM PST
(A Free Stater getting ready to pack my bags!)
So your position is that the injustice should be tolerated and excused if one has a high income? Interesting thought process.
Having liability insurance is a requirement for physician licensure, not a choice. The state [managed by lawyers] mandates that a physician carry such insurance, so that other attorneys can have access to that deep pocket via lawsuits. The cost of the liability insurance differs by specialty; currently in my specialty it is in excess of $100K. This premium comes out of the physicians' pocket. That cost is passed on to the consumer. But I guess that's ok with you, since one must take "risks in the marketplace".
Your analogy between business marketplace risk and medical malpractice liability does not hold water. You have the ability to choose your risk; taking a risk by investment is indeed one of the essential components of a capitalist system. You can choose the AMOUNT of risk to take. You can choose WHEN to take it. You can choose to diversify your endeavors so as to minimize your exposure to risk.
On the other hand, I do not choose to take risk. I am merely trying to practice medicine, whereas malpractice profiteers choose to profit from the fact that medicine is an art rather than an exact science, and from the fact that at the beginning of the medical encounter one does not know the final answer one is trying to deduce, whereas the medical malpractice profiteer knows what the final outcome turned out to be, and seeks to demonstrate how easy this answer could have been arrived at had the physician only taken THESE SIMPLE STEPS, ladies and gentlemen of the jury.
And once these laypeople of the jury [NOT a jury of my peers, by the way] are subjected to the theatre of the courtroom and convinced that this poor unfortunate outcome could have been avoided ONLY if that doctor had taken these simple steps [arrived at, once again, after the final outcome is well known], or that this poor unfortunate soul needs the insurance money even if the Doctor actually didn't do anything wrong, then the doctor's reputation is besmirched, and he is declared to have been the CAUSE of this persons injury or death. So, Mr. Beenliedto [apt name], what amount of income justifies THAT?
Again, your underlying premise that I should tolerate and excuse medical malpractice profiteering for the sake of a comfortable income is intolerable for anyone of principle. I refuse to be a willing cash cow to be milked by malpractice attorneys at will, and I refuse that role for ANY amount of money.
And by the way, there is one wager, or RISK, that I WOULD be willing to take. Although you have "been in business for myself for somewhat longer than the time you've been practicing medicine", I have no doubt at all that my hourly income is less than yours. And how many 12 hour overnight business shifts have you done? How many Thanksgivings, Easters, and Christmases have you spent on the job? How many unattractive business deals have you chosen to turn down, as opposed to myself who must see anyone who shows up at the door, no matter the ability to pay, no matter how unpleasant the problem. Thirty five per cent of my patients never pay me ANYTHING for their care. In fact, I lose money because of the resources I must expend on them [a non-taxable loss, since no income is thereby produced].How many business deals do you sign onto knowing in advance that they will cost you money, rather than turn a profit?
Good luck on your future analogies.
posted on 12/29/2004 8:01:14 PM PST
(I've noticed that everybody that is for abortion has already been born. ~Ronald Reagan)
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