The American docs were all small businessmen and Republicans. I think they imported foreigners to work cheaply at the V A and also to support socialized medicine. Medicare p;ays so poorly that many docs refuse to accept it. I have to change docs again, because here docs drop it when they have built their practice. This is really just another immigration issus, imho.
Medi-Cal is a good example along with Medicare.
It’s often hard to find a doctor who will take patients on these programs.
Here is a story that I watched unfold in a border hospital residency program.
It deals with immigration indirectly and with attitudes of certain politicians.
Thank God, I no longer have to deal with residency programs.
There are many unspoken codes in how residencies are handled.
Violate one of those unspoken codes and it can be a career ender.
An example is a forty-year-old foreign doctor with 18 years of experience in private practice and on staff at various foreign hospitals who came to work in a border hospital, residency program.
The doctor was doing a rotation in surgery when she was molested by a more senior third year Arab resident doctor who had come from Syria.
The Arab doctor placed his hand under her skirt, rubbing up between her legs and told her, if you want to pass this rotation then you know what you need to do.
She told him that she would rather fail the rotation than commit adultery.
The new resident doctor complained to her residency program director but he refused to do anything.
The program director and Chief resident warned her very sternly not to make waves over such an insignificant charge.
Therefore, against advice, she wrote up a report of complaint against the offending doctor.
Instead of removing the Arab doctor, the new doctor was moved and the Director of the Surgery residency program gave her failing marks in the rotation that included everything from how she dressed to not having good working relations with her superiors.
I understand from associates that the Arab doctor in question eventually had to leave the hospital.
I believe someone said he was now practicing slicing and dicing surgery in either Kansas City or Chicago.
Being around some of the most educated on the face of the planet can be a real drag.
There always seems to be a petty dust up between staff and the residents.
It is a world where a young resident soon learns the importance of the initials CYA as the Eleventh Commandment.
A residency is like a sweatshop of old.
The hours are long, sometimes 100 or more a week.
Residents from Harvard sued the hospitals, AMA and residency system asking to get reasonable hours.
The standard was eventually reset to an 80-hour workweek.
That only came after several deaths and horrendous mistakes due to resident doctors being so tired they fell asleep while operating on patients or making prescriptions.
The work is tedious with lots of pressure coming from every angle.
If anyone is interested, they might look up and see what side of this debate that Democrat Senator’s Hillary Clinton and Charles Schumer took.
It is interesting that a person advertised to the world as caring for the undeserved and who writes a book “It Takes a Village” would come down on the side of the American Medical Association, hospitals all big political donors.
If nothing has changed in the last few years and due to Clinton's and Schumers diligent work, residency programs are exempt from work standards set by the federal government.
When this came down it was, needless to say, a slap in the face.
With out cheap residency doctors pay that averages just a little more than minimum wage hospital profits would be a lot less.
Therefore, less money to donate to politicians.
This also goes to the immigration question of how many H and J visas are issued each year.
With a cap on H visas lifted then more foreign doctors can come in and fill jobs at lower wages.
I am surprised that the Republican Candidates for office have not picked up on Clinton and Schumers dubious actions in the Senate.
Instead of taking the side of the underdog, they sided with those having deep pockets.
Personally and professionally, I do not want someone working on my family, anyone or me if the doctor has been up for 24 or more hours or does not understand directions in English.
JUST THE OPINION OF A RED STATE WANNABE.
For those who disagree Flame Away.