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Re: article- Are Doctors Underpaid?From: Rafael Haciski (haciski@earthlink.net)Sat Aug 30 20:54:12 2008
I think this is a very cogently written article. It also makes a difference whether the "salary" is indeed the take home pay after expenses, or is this the revenue from which other expenses have to come out. The bottom line is that what he says is true: physicians have less power both in their decision making and in their fee setting, and increasingly are becoming frustrated economically and financially. Note that most reimbursement by insurances is pegged to the Medicare rates, which have not risen in 15 years, yet the expenses continue to mount (cost of living, electricity, gas, salaries of staff, equipment, etc) and the only way to make the same reimbursement go further is to increase volume. And we know what that does to our relationship with patients. While it is all well and good to let the economy (supply and demand) take care of things, the problem arises as the current reimbursement model is not truly a free system but rather more of a controlled utility (gas and electric, for example) model, and most importantly when shortage is noted and appreciated, it takes at least 10 years of lag time to fill a void (4 yrs med school, 4 years residency, 2 yrs specialty training). Things are not happy at all, but unfortunately no amount of griping on our part will change things, until the leadership begins to suffer the effects of shortages (and they won't because they have a cushy system of medical coverage), and until the populus in general also begins to suffer and complain about it, thus affecting the election of the leadership.
-- Rafael Haciski MD FACOG Anchor Health Centers GYN 800 Goodlette Rd #360 239-643-8780 office 239-571-0292 cell Naples, FL.
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