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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The money in medicine is very good especially if patients are not using insurance. I just got a quote for a breast job. $14K for a 2 hour surgery. I don’t know if another profession that can reliably make $7K in an hour. [/quote]
You can’t possibly believe he pockets $7k, can you?
For a variety of reasons, this is an awful example to use. Why don’t you look at Medicaid reimbursement rates, not how much you are paying out of pocket for a boob job?[/quote]
Why is it an awful example? The best paid doctors tend to be plastic surgeons and dermatologists. Their clients have disposable money and insurance may not be involved. With that said why are doctors complaining about being family or pediatric doctors? Their grades and choice determined that. Nurse practitioners and physician assistants will eventually take over those field. They have more autonomy than ever. That’s why the pay and demand for those positions isn’t what it used to be. The doctors did it to themselves. [/quote]
Ugh. 
I guess if your assumption is that everyone went in it for the money, then correct. Very few of the physicians we know are concierge (though they are being pushed in that direction) and actually did want to help people. The lack of respect you have towards family practice and peds, and conversely the pedestal you put plastics on, is sad. [/quote]
I’d also like to add the doctors didn’t “do it to themselves” but rather insurance companies did. [/quote]

Complete lack of respect.  That may fade when you are diagnosed with cancer and need surgery/ chemo from the most qualified, skilled physician you can find.  Hopefully you will find one who will put up with you [/quote]
Family and pedantic doctors don’t work oncology cases. Oncologist do. If they don’t know what’s going on they refer you out. Once again this is why NPs and PAs are taking over. Even hospitals aren’t seeing their value and are hiring them over MDs and DOs. This why they are gaining traction with more autonomy. [/quote]

Their value is that they are cheaper! They have less training and education so I wouldn’t say that equals higher quality of care. Again, anyone who says this should basically never see a doctor. Why would you see anyone dumb enough to spend 7+ years of intense training (not to mention all the pre med classes and boards) when all they needed was 2 year and some online classes? [/quote]
Just because you have more education does not mean the care is better. Many hospitals feel the value in the expanded medical school education is just not there and they aren’t seeing many negative effects in using NPs and PAs over MDs. In the future I imagine that if you’re seeing a family doctor or pediatrician it will be for a specialized case not your run of the mill cold and in the future there will be less of these kinds of doctors. [/quote]

Again if you feel this way please refrain from seeing a doctor. Primary care is the first point of entry to the system so you need well trained ppl who can consider whether your shortness of breath is just asthma Vs a pulmonary embolism. And also, PA and NPs are filling in speciality care increasingly so. It’s about money not training. It’s a joke if you think corporate medicine cares about anything else.[/quote]
It’s also about outcomes. If patients who were being treated by NPs and PAs were having significantly worse outcomes or were bring into more lawsuits due to bad outcomes hospitals wouldn’t touch them. Because the outcomes are more or less the same and they are cheaper hospitals are using them over MDs. It’s just a reality. [/quote]

You can’t really compare outcomes in the current system because NP and PAs still have alot of oversight from doctors. You’d have to have a completely independent group of NPs compared with an independent group of MDs to truly compare. It’s hard to imagine that an NP with less training could out perform an MD but it that truly was the case then there truly is no point of medical school but I doubt it since things are actually increasing in complexity and doctors now need even more training these days. [/quote]

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