Where have all the doctors gone?

[Anonymous]

In 2010 around 84% of Americans had health insurance and by 2022 around 92% had health insurance. Add to that the population grew by 30 million Americans. So around 26 million more Americans have health insurance so are more likely to go to the dr and specialists. The number of physicians hasn’t increased to match how many more people have insurance.

[Anonymous]

The go concierge.

[Anonymous]

Anonymous wrote:The go concierge.

^^ *They*

[Anonymous]

My husband works in the industry.

[Anonymous]

Anonymous wrote:I think my GP and my kids’ pediatrician are both part team, seems very common these days, more than a few years ago.

My former dentist only worked when her kids are at school...like 9-3. No holidays or breaks. We changed practices.

[Anonymous]

Pay has no increased in decades, docs are leaving networks or choosing to not work for Pennies on the dollar. Thank you Obama care.

[Anonymous]

My wife had her annual mammogram, high risk with family hx. Doc made her wait one year and 1 day to make sure it was covered etc etc...the statement from ins came back and still denied even though every year before that it was covered. No idea why BUT the point is that what happens to that money? The doc won't get it from ins and can't come get it from me so the entire appt is a waste. The admin staff that made the appt, verified ins, the nurse, the supplies, the doc who read the report and the list goes on should not be paid for what they did?? I don't know! The system is the broken, the consumer is like perfect but this had consequences. The docs are handcuffed by insurance thanks to politicians who get donations. This leads to docs leaving the networks and telling the patients we refuse to work for fee.

[Anonymous]

They quit because people kept showing up to appointments with stacks of self identified pub med articles demanding they be evaluated.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Cut back to 24hr a week now that med school loans are paid off. Enjoying having a life again. I’d work 40 hours if patients weren’t so miserable and management didn’t try to cram my schedule way past full.

What makes the patients miserable? I mean, specifics in terms of behavior thet shouldn't be doing.

Just angry about wait times in the office (that I can’t control), having a lot of things that they “insist “ on being tested for despite it not being relevant for their symptoms - and some tests will yield a lot of false positives if you test everyone for them. It sounds wrong- like, “if I test positive, and the test is 99% accurate, then it’s a real positive!” but google the Bayes Theorum and you’ll see that’s actually wrong. But patients INSIST on testing for things. And it muddies the waters and makes my job harder and doesn’t make their symptoms go away because now they’re convinced they have, for example, chronic Lyme disease and they won’t consider that their fatigue is actually probably from sleep apnea or depression. Anyways I’m ranting.

[Anonymous]

Anonymous wrote:Pay has no increased in decades, docs are leaving networks or choosing to not work for Pennies on the dollar. Thank you Obama care.

More like, thank you greedy insurance companies.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Cut back to 24hr a week now that med school loans are paid off. Enjoying having a life again. I’d work 40 hours if patients weren’t so miserable and management didn’t try to cram my schedule way past full.

What makes the patients miserable? I mean, specifics in terms of behavior thet shouldn't be doing.

Just angry about wait times in the office (that I can’t control), having a lot of things that they “insist “ on being tested for despite it not being relevant for their symptoms - and some tests will yield a lot of false positives if you test everyone for them. It sounds wrong- like, “if I test positive, and the test is 99% accurate, then it’s a real positive!” but google the Bayes Theorum and you’ll see that’s actually wrong. But patients INSIST on testing for things. And it muddies the waters and makes my job harder and doesn’t make their symptoms go away because now they’re convinced they have, for example, chronic Lyme disease and they won’t consider that their fatigue is actually probably from sleep apnea or depression. Anyways I’m ranting.

None of that sounds miserable to me. It sounds human. It sounds like humans who are struggling and are asking doctors to help them feel better.

[Anonymous]

Anonymous wrote:Pay has no increased in decades, docs are leaving networks or choosing to not work for Pennies on the dollar. Thank you Obama care.

All those poor, struggling doctors?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Cut back to 24hr a week now that med school loans are paid off. Enjoying having a life again. I’d work 40 hours if patients weren’t so miserable and management didn’t try to cram my schedule way past full.

What makes the patients miserable? I mean, specifics in terms of behavior thet shouldn't be doing.

Just angry about wait times in the office (that I can’t control), having a lot of things that they “insist “ on being tested for despite it not being relevant for their symptoms - and some tests will yield a lot of false positives if you test everyone for them. It sounds wrong- like, “if I test positive, and the test is 99% accurate, then it’s a real positive!” but google the Bayes Theorum and you’ll see that’s actually wrong. But patients INSIST on testing for things. And it muddies the waters and makes my job harder and doesn’t make their symptoms go away because now they’re convinced they have, for example, chronic Lyme disease and they won’t consider that their fatigue is actually probably from sleep apnea or depression. Anyways I’m ranting.

None of that sounds miserable to me. It sounds human. It sounds like humans who are struggling and are asking doctors to help them feel better.

Yes, people are trying to self advocate because care has become so abbreviated and disjointed

[Anonymous]

Anonymous wrote:

Anonymous wrote:I think many do not take Insurance..they just cater to those who can pay out of pocket.

Very, very few. How out-of-touch do you have to be to think many people can pay out-of-pocket?

You submit for out of network

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I think many do not take Insurance..they just cater to those who can pay out of pocket.

Very, very few. How out-of-touch do you have to be to think many people can pay out-of-pocket?

I don't need many people. I just need some. I don't take insurance though some of my patients self submit the bills. Life is so much better. It's the future for those that can afford it. Others will wait to see the doctors that take it.

I'm not saying there are no doctors that do that. But the number of people in a position to pay for doctors like that will always greatly limit the number of doctors that can do it.