Re: Health Care
From: Meenan, Anna (annam@uic.edu)
Fri Jul 31 12:52:46 2009
I dunno, Andrew. I have been teaching 1st,
second, and third-year FP residents for the past
24 years, and I would not want most of the ones i
have taught taking care of my family at the end
of their first year. I don't think I am
underestimating them at all.
Anna Meenan, MD, FAAFP
>The alternative is having your family show up in
>the emergency room for their preventative care.
>You may be underestimating the training of
>todays interns in primary care?
>
>Date: Fri, 31 Jul 2009 10:40:55 -0500
>From: annam@uic.edu
>To: ob-gyn-l@mail.obgyn.net
>Subject: RE: Health Care
>
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>Rural clinics staffed by 2nd-year FP residents?
>That's essentially what you are saying, I think.
>Years ago, one year of internship may have been
>sufficient to train a GP, but not anymore. I
>would not want my family cared for by one of
>these government residents, which is essentially
>what they will be.
>
>Anna Meenan, MD, FAAFP
>
>1. Let me rephrase my proposal. How about
>if we start the program with next years incoming
>medical students. "If we accept you to our
>medical school you will have a mandatory
>committment to govt service for a minimum of 2
>yrs and not more than 4 afters your 1 yr primary
>care internship. For every year of service, 1
>yr medical school will be paid for. (ie Ricks
>180K). You will then be assigned to serve in
>underserved area for 2 to 4 years depending on
>how many years med school is paid for. (your
>choice of area) you get a fixed income
>(comparable to private docs in area) with bonus
>incentive based on quality factors (not
>quantity). renewable contracts optional after
>that. After committment finished you can go into
>residency and specialty of your choice. Upside
>is that the 15% of uninsured will be assigned to
>a primary care doc in their geographic location
>(ie minimal choice for them).. PS who of us on
>this list said in our med school interview that
>we "wanted to be doctors so we could make lots
>of money"?? I am sure our answer was "I want to
>help people"??
>
> > Date: Fri, 31 Jul 2009 01:18:49 -0500
>> From: rchudacoff@mylinuxisp.com
>> To: ob-gyn-l@mail.obgyn.net
>> Subject: Re: Health Care
>>
>> El
>> How much did you pay for medical school. I took out a loan for $180,000
>>
>> Richard Chudacoff, MD, FACOG
>> Sent from my iPhone
>>
>> On Jul 30, 2009, at 10:59 PM, Dr Eberhard Wl Lisse <el@lisse.na> wrote:
>>
>> > Why does Health Care work in other industrialized countries?
>> >
>> > el
>> >
>> > On 31 Jul 2009, at 04:51 , Gordon Goldman wrote:
>> >
>> >> Well put, Doug. Perhaps some on the list are not aware of the
>> >> development/history of the practice of medicine into the 'industry
>> >> of medicine' in this and other countries around the world.
>> >> Acceptance of a paid position opens the door to the 'veterinarian
>> >> mentality' in medical practice, whereby you treat the person that
>> >> writes your paycheck (closed HMO panels, governmental agencies,
>> >> hospital employed physicians) and do what they want done, as
>> >> opposed to what may be the best medical interests of the patient.
>> >> Those who fail to learn from history (the failure of governmental
>> >> systems in other countries) are destined to repeat it.
>> >>
>> >> Gordon
>> >
>
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