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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Better care to me means a dr spending the time with you to listen and to figure out what is actually wrong.  Better care is the opposite of what i get at my gyno, reiter hill, where i wait for an hour to spend 1.5 mins with the dr.  It's awful.  I pay privia so my internist doesnt become my gyno. So he doesnt have to take on a ton of patients and see them all for 5 mins to make money, which seems to be what my gyno has decided to do.[/quote]

Go midwife!

My (non-profit) OB has responded to increased financial pressure by shortening appointments to nothing to squeeze in as many paying patients as possible.  I pay out of pocket for my midwife, who comes to my house for appointments and stays for an hour or more.  There are GYN midwives out there, too, and I think it is worth every penny.

It is also true that primary care doctors, who have always made the least, now make even less.  My MIL is a pediatrician, and her income has steadily decreased over the years, even as her patient load increased.  She dropped Tricare in a military town, even though she came to America by joining the US military, because their reimbursement rates dropped below Medicaid.  She is well past retirement age, still working 100+ hours a week, both because she loves her work and because the value of her practice has dropped so much.  No more "selling practices" to retire...[/quote]

I'm the PP w/reiter hill (cannot STAND them).  What exactly does a midwife do?  What kind of education is required of them?  Can they prescribe medication?  My first reaction to your post was "you have GOT to be kidding, a midwife??" but honestly I don't know anything about them and never even considered that as an option.  (Sorry just being honest)  Please educate me and others who also may have no clue about what they have to offer.  Thanks.[/quote]

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