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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Doctors don't get paid enough and in a timely manner by govt. sorry[/quote]

you're full of it. they get paid much more quickly from the government and in some cases more. [/quote]

Definitely get paid more quickly (usually).  I don't know any instance where they pay more, maybe some HMOs.  I don't have a single contract below Medicare allowable.  A lot of strings attached to Medicare reimbursement as well.  Also potential for criminal prosecution for charting errors.  I try to limit Medicare to 30% of my practice.  I will go to cash only or retire if single payer happens[/quote]

Would you have agreed to single-payer if it meant Uncle Sam picked up 100% of your medical school costs?

I'm willing to be 90% of kids currently in medical school would take that deal. $300K+ in student loans is not sustainable. I think this will eventually be the grand bargain one day in exchange for single-payer coverage.[/quote]

Well mine are paid off but even so I would say no.  If I were in medical school looking at single payer I would look at other career paths.

The rising cost of education in general and medical school specifically is a topic in and of itself, but yes the inflationary costs are not sustainable.  In your scenario the new doctors are basically indentured servants to the govt.  I would imagine at the very least the govt would want to dictate where you practice for a set number of years (the way current federal forgiveness/payback program works), and for that kind of money most likely will want to direct your specialty training as well (how military medical "scholarships" work).

There is also the lost time away from family and deferring/foregoing pursuit of avocations that medical training requires that really has no dollar cost, but 80-100k per year beginning at 30 to 32 years of age won't cover it for many of the best and brightest when they are looking at options.[/quote]

If your fearmongering were true, there would be no doctors in uk, france, or germany.[/quote]

I never said *no one* would become doctors, just that many of the best candidates would be open to pursuing less strenuous professions

Again, for another thread, the healthcare systems in all three of those countries have separate issues, but briefly:

Training is not nearly as lengthy in terms of formal education, and residencies and fellowships not nearly as grueling.

Malpractice suits are almost nonexistent in terms of the physician's liability.

European physicians stick to bankers' hours except for life and limb threatening conditions.

I honestly don't know how other fields such as IB, law, etc pay in Europe compared to the US, but I would suspect many people here with options would look at other jobs in the high 5 to low 6 figure range that didn't require the number of years medicine does.  Hell, if I were starting out and looking at a government run system I would consider going to nursing school and then CRNA or NP school rather than medical school if I really wanted to be in the medical field.  Get out quicker, less liability/responsibility, and much better hours for close to the same pay.

We are already looking at a projected shortfall in physicians even without govt run healthcare; but maybe you are right, maybe all those young men and women will still flock to the profession. [/quote]

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