Reply to Doctor's office switching to "concierge" (additional cost outside of insurance)

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I’m a doctor in primary care. If you want an MD pcp doctor in the future with good appointment times and someone who has time to listen etc this is what the future holds. For many it’s either this or leaving medicine all together because the current landscape is not sustainable.

In the future it will be either MD via concierge for the rich and a rotating group of NP/PA with less training for everyone else. [/quote]

nah, we dont want to pay and think $50 for a annual PCP visit is more than enough  SMH at how brainwashed the patients/consumers are these days.  [/quote]

$50 is more than enough.  It’s shocking how brainwashed Americans are.  People on South Korea or Japan go to the doctor every year for free, or when they need to pay it costs something like $5-10 per visit.  US healthcare blows.[/quote]

It's not "free", rather it's subsidized.  So is their education.  So physicians abroad don't graduate with $250-300K in loans that need to be paid back.  They also don't have to pay $100k annually in malpractice.

[b]I spend 90 minutes with my patients for their annuals.  Do you honestly think I could even pay staff on $50 for that time?  Much less rent, staff, etc?  If you want that, make sure you vote for a single payer system. [/b] That's what they have in countries with socialized medicine and I think that would be great.  But you can't ask physicians to pay for their education and not entitle them to be able to pay back their loans.  That's absurd.

There are actually pieces written about physicians lifetime earnings vs. plumbers and it only seems to be more for physicians around age 61.  A PCP has the same spending power throughout their lifetime as the plumber and literally nobody says $50 is enough to pay the plumber.  Who are you thinking will want to go into medicine???  Certainly not the "best and brightest"...you should consider seeing an NP. 
Here is the calculations with a urologist and it evens out around age 41...they make 2-3X what a PCP earns, for example.  https://www.studentloanplanner.com/doctor-vs-plumber/

I'm not sure why you think the physicians having gone through the rigorous training that we do and literally putting your lives in our hands shouldn't be compensated for that.  This is the attitude that is literally killing medicine.  Physicians don't want to deal with patients like you who don't value their time but will pay $400 for highlights and $800 for their dog's annual.[/quote]

I.e. if you aren't in a position to afford concierge, it's in your interest to vote for single payer. Physicians want to be paid like they're a luxury service, which prices out the vast majority of people. We need far more residency seats and we need to accept that NPs and PAs will be PCPs because there simply aren't enough MDs to go around   [/quote]

Physicians want to be paid, period.  It's not "luxury service".  Give me a break.  They are professionals like an accountant or attorney.  They just want to get paid for their time.  Insurance should be for catastrophic care and not routine stuff because it's a joke.  Doctors are going out of business left and right if they take insurance.  And insurance just denies everything while those CEOs make millions.  [/quote]

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