Why Should Mds Pay Be Cut With Single Payer?

wallyj84

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The current system is way too expensive and is only going to get worse. And before you start blaming Obamacare, from 2011 to 2016 health insurance premiums rose by 20%, but from 2001 to 2006 they went up 63%. Obamacare has slowed down the growth of health insurance premiums substantially. It isn't the cause of these high premiums.

Just logically speaking, you can't have a system where insurance companies and doctors make a lot of money and where health insurance is cheap and affordable. That just doesn't work. Something has to give.
 
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Thikn2velvet1

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The current system is way too expensive and is only going to get worse. And before you start blaming Obamacare, from 2011 to 2016 health insurance premiums rose by 20%, but from 2001 to 2006 they went up 63%. Obamacare has slowed down the growth of health insurance premiums substantially. It isn't the cause of these high premiums.

Just logically speaking, you can't have a system where insurance companies and doctors make a lot of money and where health insurance is cheap and affordable. That just doesn't work. Something has to give.

MDs aint going to 13 years of post high school education for $100000.
 

Thikn2velvet1

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Then maybe we need to rethink the way we train doctors, because the system is becoming a drag on people and the economy.

2 of my daughters are young highly specialized MDs and money is a strong reason for their motivation to become MDs. Not the only but certainly a factor. They do and should have 7 figure incomes. Cut their pay and they will simply see way less patients and you will wait months for their valuable care. Just like in the link I posted.
 

wallyj84

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2 of my daughters are young highly specialized MDs and money is a strong reason for their motivation to become MDs. Not the only but certainly a factor. They do and should have 7 figure incomes. Cut their pay and they will simply see way less patients and you will wait months for their valuable care. Just like in the link I posted.

Wouldn't they have to see more patients in order to make up for each visit bringing in less money than before?

Anyway, just saying doctors will quit doesn't change the fact that medical costs are rising much faster than inflation and that this situation isn't sustainable. Your daughters might take in less patients if their pay is lowered, but if something doesn't change the system will collapse and what will their incomes be then?
 
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phonehome

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2 of my daughters are young highly specialized MDs and money is a strong reason for their motivation to become MDs. Not the only but certainly a factor. They do and should have 7 figure incomes. Cut their pay and they will simply see way less patients and you will wait months for their valuable care. Just like in the link I posted.

Explain this logic or lack there of

What your Daughter MD's make is less because insurance companies are not paying top dollar like they did 20 or 30 years ago and they are really the ones driving this "trend" so they "solve" this by seeing LESS patients"

You make MORE money by having MORE customers not less.

Southwest did not become the airline that it is today by shunning all those coach passengers because they saw it as them "loosing money" on them and just having nothing but higher paying First or Business class passengers

In fact there were a few airlines that tried that "business model" in the 90's nothing but first class seating , no "money loosing coach seats well guess what they all are out of business and Southwest is bigger than ever

Irony of all ironies the "Trump Shuttle" was one of those
 

Thikn2velvet1

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Explain this logic or lack there of

What your Daughter MD's make is less because insurance companies are not paying top dollar like they did 20 or 30 years ago and they are really the ones driving this "trend" so they "solve" this by seeing LESS patients"

You make MORE money by having MORE customers not less.

Southwest did not become the airline that it is today by shunning all those coach passengers because they saw it as them "loosing money" on them and just having nothing but higher paying First or Business class passengers

In fact there were a few airlines that tried that "business model" in the 90's nothing but first class seating , no "money loosing coach seats well guess what they all are out of business and Southwest is bigger than ever

Irony of all ironies the "Trump Shuttle" was one of those

You don’t understand medical economics. It does not make sense but American physicians will not accept lower incomes, particularly highly skilled limited access specialists. PCPs might but not specialists.
 

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I work in healthcare. I know how much people are making. Unless you are a doctor who goes on daytime TV shows you aren't making 7 digit figures. Doctors have actually been making a lot less over the past decade.

Doctors make a lot of money, but they usually don't break the 1% barrier.
 
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phonehome

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You don’t understand medical economics. It does not make sense but American physicians will not accept lower incomes, particularly highly skilled limited access specialists. PCPs might but not specialists.

If your "understanding of medical economics" is derived from your two daughters being MD's well I will see you and raise you in that my two younger sisters are both MD's One an internal medicine specialist, specializing in geriatrics and the other a Psychiatrist

All you did was re-state this "Dr's will not accept lower incomes" but in no way explained the logic behind your contention that you can make MORE money by having LESS customers.

That fewer number of patients your daughter's would have, if they get their way would NOT "automatically" pay more than they would otherwise, the end result being that they will then make MORE money or as you put it "accept lower incomes.

How much a DR. gets per patient is determined by an insurance company.

It just is

As such for all practical purposes Dr.s work for insurance companies and this has been true for decades now.

Also few DR.s especially your "highly skilled specialist" work in circa 60's "Marcus Welby" private practices and that has been true for years and years now.

Also these days most DR.s , GP/PCM or some kind of specialist, be it Internal medicine, OB/GYN, Ortho or general surgeon or more specialized like CV s work for some kind of "healthcare company" be it an HMO or a "hospital system" which in addition to have a hospitals or these days often hospitals (plural) also have GP/PCM clinics and now often "urgent care clinics as well.

These Dr's are quite literally employees who with few exceptions where they are on fixed salary like at the Cleveland Clinic do essentially "piece work" and they do NOT control the number of patients they have or can pick and choose based on how much or how little they pay and often do not even know that.

Even those few rare exceptions of mostly GP's still in truly "private practice " are still being paid by insurance companies and they can "want" 500 bucks for an office visit or 5000 for some procedure but if Aetna or Cigna is only going to pay 350 and 3500 respectively that is just how it is.

You have FEW exceptions like Plastic surgeons or "eye Dr's'" who do LASIK where insurance is not part of it but those are the exception. Less than 10% of the total population of DR's