Re: Health Care
From: Gordon Goldman (obgyndoc@swbell.net)
Fri Jul 31 11:32:37 2009
Yes, we are. There already exist some non-military governmental
payback plans for support of residency training and some of those that
I have seen were from FMGs that leave the country following completion
of their residency. It may be difficult to enforce. Also, for those
who stay, most will migrate to the more urban areas eventually and the
benefit of long term care of patients fades. One other aspect of the
proposal may be a lesser number of those willing to go through all the
training and then work for a governmental agency for 2-4 years.
Please do not misunderstand my cynical first sentence. It intended as
cynical rhetoric, not criticism.
Gordon
On Jul 31, 2009, at 10:38 AM, Andrew Folley wrote:
> Gordon the question from Rich was "how would doctors feel if they
> worked for the govt and the govt decided to cut your salary by
> 50%". My response was that the insurance companies have already
> cut your salary by 50% I am writing off more and more every year
> (ie 30-40%) of my charges. I think we saying the same thing or
> not? I cant tell from your note? agf
>
> Date: Fri, 31 Jul 2009 09:50:46 -0500
> From: obgyndoc@swbell.net
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: Health Care
>
> Andrew,
>
> I don't know what you are smoking, but if you have any left over, I
> could use some of it.
>
> With regard to cutting fees by 50%, take a look at insurance
> reimbursements from the 80s and compare them to today. They are at
> least 50% less in most cases, if not more. People got the care they
> needed and the number/% of uninsured was much less than today. So,
> in answer to the question of how would one feel if the reimbursement
> was cut 50%, how do you feel?
>
> Gordon
>
> On Jul 31, 2009, at 9:19 AM, Andrew Folley wrote:
>
> 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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