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[quote=Anonymous][quote=Anonymous][quote=Anonymous]The disparity of pay among physicians is what is criminal. It's all part of a skewed reimbursement system that values procedures more than cognition and actually taking care of patients. And it incentives itself by just ensuring that more procedures are done, some unnecessarily because they pay so much. The technical skills and training to be a critical care doctor and a spine surgeon are not that different. And one doesn't work harder than the other. But one makes 5 times more. Or even 10 times more. It's ridiculous. And some of it is sour grapes, sure. But it's difficult when you see the same guy in the middle of the night and he makes orders of magnitude higher than you because of reimbursement schemes set up decades ago. When he's not working harder than you and didn't train any harder. Stupid. [/quote] So you think neurosurgeons don't have more technical skills than a critical care doctor? I strongly disagree with you. Procedures and surgery require more skill and they get paid accordingly. Maybe you think a consult ending with a script is the same a a 7hr surgery.[/quote] I am a new poster here, and I agree with the CCM doc above. Somehow there is this misconception that something procedural is more meaningful and more difficult than any thinking or decision making. And it isn’t about training or which is mire important. Procedures get paid more. Always. For example, if you go to your PCP with new daily headaches and some warts on your finger, he will ask you some questions about the headaches and determine whether or not this is evidence of a bigger problem (like a tumor), tension headaches, migraines, etc (a consult that may or may not end in a script). Then he will freeze your warts. At the end of it, he will bill for the consultation and the procedure. One of these requires clinical training, and may save your life. The other could be done by anyone who walks into a CVS. But which do you think pays more? [/quote]
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