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Re: How much do obstetricians think they're worth?From: mark decker (mdecker@nconnect.net)Wed Jul 31 21:56:02 1996
At 07:04 PM 7/23/96 -0500, you wrote: >>Why should we as obstetricians be doing $25 dollar per hour tasks when >>we are worth $100 dollars per hour. If you continue to do $25 dollar >>per hour tasks, then that is what you ultimately will be worth. > >Anyone else think this statement reveals greed and arrogance? > >John Vindekilde, MD, MPH, MBA; FACOG, FACPM no.. A patient asked me why I was paid 600$ an hour. for her "10 minute vist." I spent 45 minutes involved in a very detailed h and p and infertility discussion..told her it would be expensive to get the baseline labs..and ordered basic inititial work up labs and cultres. then I explained that she went through two receptionists..1-2 nurses.. a billing clerk..then a lab tech..she paid for the building and it's other support services and my 70,000 a year in liability insurance. I explained overhead and hmo deductions/federal deductions <medicare et all>. I went into the detailed h+p and the plan we'd gone over with her visit. <she had sent in a letter of complaint and my response was 4 pages long. she stayed with me. point is to me "we are worth" involves all the overhead..the charge we must generate to keep our heads above water. I see about 35-40% of the charges if I am lucky. it is likely less than that. and I do eat a lot of free care..write off care as we all do. for some of my patients I personally pay for their antibiotics when they can't afford them. I think it just goes with the job..responsibility. that's the way I read it anyway. maybe I misread it. Mark -- mark decker md major surgery is done on me obgyn - avid biker minor surgery I do one someone else. midwest usa I need to remember that. <perspective>.
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