Why primary care doctors are fed up

Onkel Neal · 08-25-09, 08:56 AM

This is posted on CNN

It will only get worse, as people expect first rate service at cut rate prices.

Quote:

How many diabetics do I struggle with, trying to get them to take better care of themselves? How many hours have I spent with teenage diabetics who will not check their blood sugar and forget half of their insulin doses?

AVGWarhawk · 08-25-09, 09:48 AM

I agree with him 100%. My dad is a retired ER physician. Although the pay was great for him it was thankless none-the-less. This fella in the article talks of saving money by not ordering this or that procedure. Ordering MRI and imaging of all kinds is a result of the sue happy society. CYA is all that it is. So, yes, he is saving money in the system by not ordering further procedures but he is also hanging himself out to dry. Furthermore, I agree with him that pay will be reduced greatly for physicians. So, why bother to pay out the whazoo for med school and with deminishing returns? I certainly would not want to be paid minimum wage to hear b!tching and moaning all day long. What happens is doctors have a set base of patients then cut it off. I have had doctors say they are not accepting anymore new cases/patients. They have enough to handle.

Yes, it will only get worse however, good health starts with taking care of yourself. This I agree with whole heartedly.

ReallyDedPoet · 08-25-09, 09:55 AM

You could add smokers, people who drink to much, and obesity to this list as well

Also another interesting stat is the cost of folks not showing up for scheduled medical appointments. It's in the hundreds of millions per year.
Sometimes we like to crap all over the health care system yet many times we only have ourselves to blame.

By the way I am a diabetic and could not agree more regarding being responsible for one's health.

AVGWarhawk · 08-25-09, 10:17 AM

I still chuckle remembering Obama saying that people need to live healthier and eat correctly. This was right before he took his press corp entourage to Five Guys Burgers and Fries

Do as I say and not as I do. I believe he had a smoke after lunch

Let's see if I have this straight.

Obama's health care plan will be
written by a committee whose head says he doesn't understand it,
passed by a Congress that hasn't read it,
signed by a president who smokes,
funded by a treasury chief who did not pay his taxes,
overseen by a surgeon general who is obese, and
financed by a country that is broke.

What could possibly go wrong?

SteamWake · 08-25-09, 10:36 AM

Quote:

Originally Posted by AVGWarhawk

I still chuckle remembering Obama saying that people need to live healthier and eat correctly. This was right before he took his press corp entourage to Five Guys Burgers and Fries

Do as I say and not as I do. I believe he had a smoke after lunch

Let's see if I have this straight.

Obama's health care plan will be
written by a committee whose head says he doesn't understand it,
passed by a Congress that hasn't read it,
signed by a president who smokes,
funded by a treasury chief who did not pay his taxes,
overseen by a surgeon general who is obese, and
financed by a country that is broke.

What could possibly go wrong?

Almost right except the bill was not written by any committe or politican in fact it was written by the "Apollo Allience". But very few know this as the media doesent bother to mention it.

http://therealbarackobama.wordpress....ollo-alliance/

But hey ... thats a diversion from the topic at hand.

I can fully understand the primary care doctors frustration as whenever I need to visit them I am stunned at the general state of health of the pepole in the waiting room.

AVGWarhawk · 08-25-09, 10:55 AM

Mr. DINGELL (for himself, Mr. RANGEL, Mr. WAXMAN, Mr. GEORGE MILLER of California, Mr. STARK, Mr. PALLONE, and Mr. ANDREWS) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned"

http://frwebgate.access.gpo.gov/cgi-bin/…

I do not see it as a diversion at all. It is part of the ever growing problem and it will get worse.

SteamWake · 08-25-09, 11:20 AM

Quote:

Originally Posted by AVGWarhawk

Mr. DINGELL (for himself, Mr. RANGEL, Mr. WAXMAN, Mr. GEORGE MILLER of California, Mr. STARK, Mr. PALLONE, and Mr. ANDREWS) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned"

http://frwebgate.access.gpo.gov/cgi-bin/…

I do not see it as a diversion at all. It is part of the ever growing problem and it will get worse.

Link is 404

They 'introduced' the bill, they dident write it. These bozo's are not capable of writing a thousand plus page bill let alone read it.

AVGWarhawk · 08-25-09, 11:26 AM

Quote:

Originally Posted by SteamWake

Link is 404

They 'introduced' the bill, they dident write it. These bozo's are not capable of writing a thousand plus page bill let alone read it.

The link was just the PDF of the bill. Of course they could not write it or read it. With that in mind what makes Congress capable of anything at this point?

roman2440 · 08-25-09, 11:28 AM

I don't agree with the doctor at all. When I read his commentary all I see is some whiney little b***h who thinks he's underpaid. Look at how he writes that his compensation is only in the hundreds, BS. This is some california doctor that is upset that he isn't making the same pay grade as some of big suit patients he has.

There is one aspect of his complaint that I do agree with, though. And thats those people who choose to ignore their doctor's advice and instead trust their fears and what they read online about their 'condition'. People are driven by fear, its a common staple through life if you want to sell something, you sell it by planting fear of not having it. When most people go online to read about their symptoms they are going to focus on the items that they fear the most, which are usually going to be those rather rare corner cases that they really shouldn't be worrying about. But they really need to realize they are going to the expert and if the expert calls it something, he's more than likely right.

SteamWake · 08-25-09, 11:34 AM

Quote:

Originally Posted by AVGWarhawk

The link was just the PDF of the bill. Of course they could not write it or read it. With that in mind what makes Congress capable of anything at this point?

Fully capable of expanding their own power and the nations addiction to dependency. In fact there doing quite well at that.

AVGWarhawk · 08-25-09, 11:37 AM

Quote:

Originally Posted by SteamWake

Fully capable of expanding their own power and the nations addiction to dependency. In fact there doing quite well at that.

Yes, but that is coming to a grinding halt! Today the expected deficit is oh say, a few trillion over what was once thought! A nice clever out for Obama and his tanking health care plan.

PeriscopeDepth · 08-25-09, 12:03 PM

Quote:

Originally Posted by roman2440

I don't agree with the doctor at all. When I read his commentary all I see is some whiney little b***h who thinks he's underpaid. Look at how he writes that his compensation is only in the hundreds, BS. This is some california doctor that is upset that he isn't making the same pay grade as some of big suit patients he has.

He has a point though. Nobody is becoming a GP any more because you can make twice as much money with half as much of a workload in other specialities. It is kind of a problem if there are no GPs around.

PD

Onkel Neal · 08-25-09, 03:11 PM

Quote:

Originally Posted by roman2440

I don't agree with the doctor at all. When I read his commentary all I see is some whiney little b***h who thinks he's underpaid. Look at how he writes that his compensation is only in the hundreds, BS. This is some california doctor that is upset that he isn't making the same pay grade as some of big suit patients he has.

I disagree, I see no reason to label him whiney just because he feels he is underpaid. He's a doctor. They do not grow on trees, not everyone has the stuff to do it. Try letting your mechanic install a heart valve on you

Doctors should be highly paid.

Aramike · 08-25-09, 04:39 PM

Quote:

Originally Posted by Neal Stevens

I disagree, I see no reason to label him whiney just because he feels he is underpaid. He's a doctor. They do not grow on trees, not everyone has the stuff to do it. Try letting your mechanic install a heart valve on you

Doctors should be highly paid.

Not to mention the extraordinary cost of med school...

Platapus · 08-25-09, 04:48 PM

Considering that if he is like my GP, he will only see each patient for about 15 minutes max. At $55.00 per patient, if he can keep the waiting room filled that is $220.00 per hour.

And that does not include the kickbacks he gets from tests, prescriptions, and the stuff they push to sell you.

Not exactly poverty wages.

Forgive me for not crying a river for this guy.

It is the PAs and the NPs that collect the data, document the information, and perform the treatment. The doctor pops his head in the examination room for a few moments and gives out with the highly educated, highly trained medical council -- "let's try this drug. See me in three weeks and we can try something else".

Gee 8 years of medical school and I get "let's try this drug'?

08-25-09, 09:48 AM	#2
AVGWarhawk Lucky Jack Join Date: Jun 2005 Location: In a 1954 Buick. Posts: 28,254 Downloads: 90 Uploads: 0	I agree with him 100%. My dad is a retired ER physician. Although the pay was great for him it was thankless none-the-less. This fella in the article talks of saving money by not ordering this or that procedure. Ordering MRI and imaging of all kinds is a result of the sue happy society. CYA is all that it is. So, yes, he is saving money in the system by not ordering further procedures but he is also hanging himself out to dry. Furthermore, I agree with him that pay will be reduced greatly for physicians. So, why bother to pay out the whazoo for med school and with deminishing returns? I certainly would not want to be paid minimum wage to hear b!tching and moaning all day long. What happens is doctors have a set base of patients then cut it off. I have had doctors say they are not accepting anymore new cases/patients. They have enough to handle. Yes, it will only get worse however, good health starts with taking care of yourself. This I agree with whole heartedly. __________________ “You're painfully alive in a drugged and dying culture.” ― Richard Yates, Revolutionary Road

08-25-09, 09:55 AM	#3
ReallyDedPoet Canadian Wolf Join Date: Jul 2006 Location: Canada. The one and only, East Coast Posts: 10,885 Downloads: 946 Uploads: 5	You could add smokers, people who drink to much, and obesity to this list as well Also another interesting stat is the cost of folks not showing up for scheduled medical appointments. It's in the hundreds of millions per year. Sometimes we like to crap all over the health care system yet many times we only have ourselves to blame. By the way I am a diabetic and could not agree more regarding being responsible for one's health. __________________ Back in the Day

08-25-09, 10:17 AM	#4
AVGWarhawk Lucky Jack Join Date: Jun 2005 Location: In a 1954 Buick. Posts: 28,254 Downloads: 90 Uploads: 0	I still chuckle remembering Obama saying that people need to live healthier and eat correctly. This was right before he took his press corp entourage to Five Guys Burgers and Fries Do as I say and not as I do. I believe he had a smoke after lunch Let's see if I have this straight. Obama's health care plan will be written by a committee whose head says he doesn't understand it, passed by a Congress that hasn't read it, signed by a president who smokes, funded by a treasury chief who did not pay his taxes, overseen by a surgeon general who is obese, and financed by a country that is broke. What could possibly go wrong? __________________ “You're painfully alive in a drugged and dying culture.” ― Richard Yates, Revolutionary Road

08-25-09, 10:55 AM	#6
AVGWarhawk Lucky Jack Join Date: Jun 2005 Location: In a 1954 Buick. Posts: 28,254 Downloads: 90 Uploads: 0	Mr. DINGELL (for himself, Mr. RANGEL, Mr. WAXMAN, Mr. GEORGE MILLER of California, Mr. STARK, Mr. PALLONE, and Mr. ANDREWS) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned" http://frwebgate.access.gpo.gov/cgi-bin/… I do not see it as a diversion at all. It is part of the ever growing problem and it will get worse. __________________ “You're painfully alive in a drugged and dying culture.” ― Richard Yates, Revolutionary Road

08-25-09, 04:48 PM	#15
Platapus Fleet Admiral Join Date: Oct 2006 Posts: 19,362 Downloads: 63 Uploads: 0	Considering that if he is like my GP, he will only see each patient for about 15 minutes max. At $55.00 per patient, if he can keep the waiting room filled that is $220.00 per hour. And that does not include the kickbacks he gets from tests, prescriptions, and the stuff they push to sell you. Not exactly poverty wages. Forgive me for not crying a river for this guy. It is the PAs and the NPs that collect the data, document the information, and perform the treatment. The doctor pops his head in the examination room for a few moments and gives out with the highly educated, highly trained medical council -- "let's try this drug. See me in three weeks and we can try something else". Gee 8 years of medical school and I get "let's try this drug'? __________________ abusus non tollit usum - A right should NOT be withheld from people on the basis that some tend to abuse that right.

08-25-09, 11:28 AM	#9
roman2440 Seaman Join Date: Mar 2006 Posts: 32 Downloads: 11 Uploads: 0	I don't agree with the doctor at all. When I read his commentary all I see is some whiney little b***h who thinks he's underpaid. Look at how he writes that his compensation is only in the hundreds, BS. This is some california doctor that is upset that he isn't making the same pay grade as some of big suit patients he has. There is one aspect of his complaint that I do agree with, though. And thats those people who choose to ignore their doctor's advice and instead trust their fears and what they read online about their 'condition'. People are driven by fear, its a common staple through life if you want to sell something, you sell it by planting fear of not having it. When most people go online to read about their symptoms they are going to focus on the items that they fear the most, which are usually going to be those rather rare corner cases that they really shouldn't be worrying about. But they really need to realize they are going to the expert and if the expert calls it something, he's more than likely right.