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Reply to "Where have all the doctors gone?"
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[quote=Anonymous]NP. I'm an MD. I like my job and take insurance in private practice. But the insurance companies have refused to increase what they pay me since I originally negotiated the first contract with them many years ago. There is no cost of living adjustment. The market is now flooded with midlevels whom they can pay less, so they have no incentive to keep up with inflation for MD-level care. I mostly just work because I enjoy it, and have a partner with a good income and no debt. If I needed to make a lot of money, it would be a major issue. Also, there's an increase in for-profit startups that provide really poor quality care. Some of these work with insurance companies, so the insurance company has even less incentive to pay for real doctors. [/quote]
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