Re: Health Care
From: Gordon Goldman (obgyndoc@swbell.net)
Fri Jul 31 11:35:58 2009
Years ago when I was in training, before the advent of ER/Critical
Care specialists, the ER was staffed by interns and first year
residents, probably the most inadequately trained personnel to handle
such a critical area.
From my experience in that, it was not a good idea.
Gordon
On Jul 31, 2009, at 10:41 AM, Meenan, Anna wrote:
> 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
>> > >
>> Windows Live™ Hotmail®: Celebrate the moment with your favorite
>> sports pics. Check it out.
>
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