Reply to Drs office charging monthly fee for "better service"??

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[quote=Anonymous]a typical internist/PCP in this area who TAKES insurance (if you've noticed, many are cash only in DC) makes about $150K take home seeing 25 to 30 patients per day.  Overhead is very high in this area, liability insurance is high and reimbursement is low (reimbursement rates vary by state).  
So it's a decent salary when compared to the population at large but not so great when it entails 7 years of post college training, huge amounts of debt (most medical schools-GW, Georgetown, Hopkins--are now $65K/year tuition only), 60+ hour work weeks and the liability and stress of dealing with life and death matters (and PEOPLE!) all day, every day. 
Reimbursements are continually shrinking and many solo practice PCPs are really, really feeling the financial pinch.  Those employed by hospitals, etc. can breathe a little easier because their salaries are paid in part by $$ brought in by higher paid specialists.  
Most internists I know do it only because they LOVE it, and not all for the financial reward.

There's still money to be made in medicine (many other specialties pay 3, 5 and even 10 times what internal or family medicine or pediatrics pay) but it's not across the board by any stretch.[/quote]

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