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[quote=Anonymous]Doctor here. Before and after Obamacare.
Obamacare kind of stunned us for a bit because no one knew how reimbursement would change, so it really hurt hiring and the job market for 5+ years while everyone hunkered down.

However, I think that bigger problems are PE (as noted by others) or - in a hospital setting - the layers and layers of administrators with their hands out needing to be “fed.” Their job is often to watch the bottom line, not to ensure or optimize patient care. Some of this I think (but I’m not sure) was helped along by Obamacare because the legislation included confusing regulations, so more admins were hired to help with that. And whenever there is a regulatory change the MBA buzzards come out, looking for a creative new way to make money.

The administrators are really over the top. It’s bizarre, someone with an undergrad business degree gets to really influence how we practice - we all wonder why they can’t get charged with practicing medicine without a license.

For instance, we are incredibly short-staffed and had a great candidate interview for a job opening. We all interviewed him and agreed it would be a great fit, but one if our hospital admins said that he had “reviewed the applicants CV and just wasn’t all that impressed by him” so he put a stop to it. But the guys CV was amazing! So it’s this admin with a bachelors degree versus 10 doctors who want this person hired. Obviously, the real reason the hospital admin “wasn’t impressed” is because paying another doctor would cost the department money. He just wants to save money by being continually understaffed. That admin is actually visibly excited when someone quits (usually citing burnout or exhaustion). It saves money!

And these business types don’t care about long-term thinking and thoughtful growth. Doctors tend to stick around due to our non-competes (which I don’t think should be legal, but I digress), so we want to build something sustainable. But the admins get to jump ship whenever they want to a shiny new job. So they just want to save money NOW, with no regard for the future. And this really hurts us.[/quote]

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