Anonymous wrote:Doctors are the only professions treated this way. See e.g., professors, lawyers, law enforcement, teachers, etc. etc.

What way? Have you just graduated?

I don't think you know much about the professions you listed.

Doctors are the only professions treated this way. See e.g., professors, lawyers, law enforcement, teachers, etc. etc.

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Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

What percentage of what is billed do you think goes just to pay overhead to run the clinic, straight off the top, not even including malpractice insurance, maintaining licensure, etc. -- just the lights on, employees paid, and utilities?

This is true of most businesses with rent, salaries, insurance, material and utility costs. The patient is not paying pennies though. They are paying hundreds and thousands of dollars a year.

Right. So what percentage do you think thatis, for a medical practice?

How can I tell? Are you in Manhatten or Front Royal, which affects rent and salaries. What kind of doctor are you - OB-Gyn or dermatologist or PCP, which will impact insurance premiums. Are you a concierge doctor or part of a hospital system? How many support staff do you employ? How long do you spend with each patient?

I don't know the answer to these operating cost questions for my tree service or local supermarket either. Why don't you provide these figures to us?

Anonymous wrote:Doctors need to get the AMA to stop lobbying for very limited residency seats. Many of these problems could be solved if we stop artificially restricting the number of doctors.

This

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Anonymous wrote:So many of these issues are the result of health systems controlling doctors and not doctors themselves! Most doctors now are employers and have zero say over their schedule. The average primary care doctor have 2000-3000 patients!

And it’s really frustrating because the health systems force us to bill higher. They literally have documentation specialists that make us change our notes to bill more. And yes they make us. They bring it all the way up to our bosses if we don’t.

We all need to stop blaming doctors and work hard to reclaim the system.

- doctor, who wanted to do good but it seems impossible these days

The socialization of the medical system and Obamacare has made everything worse

It was far better in the 80s

No it’s free market and private equity firms.

^^"that is"

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Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

What percentage of what is billed do you think goes just to pay overhead to run the clinic, straight off the top, not even including malpractice insurance, maintaining licensure, etc. -- just the lights on, employees paid, and utilities?

This is true of most businesses with rent, salaries, insurance, material and utility costs. The patient is not paying pennies though. They are paying hundreds and thousands of dollars a year.

Right. So what percentage do you think thatis, for a medical practice?

Maybe evening hours? I have to wait weeks or months until a 4pm appointment is available so I don’t have to use my leave. I don’t get a lot of it.

I’m thrilled when I can find a doctor with evening hours.

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Anonymous wrote:^^oh and don’t forget all the supplies he has to buy - strep tests, flu tests, urine cups, needles, gauze, 826 other things

They don't give these to patients for free. They turn around and charge us for vaccine administration, lab fees, test fees ...

m
That’s doesn’t matter, insurances don’t pay those fees half the time. You think we get reimbursed for your covid tests anymore? Think again

Never had one at the doctor's.

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Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

What percentage of what is billed do you think goes just to pay overhead to run the clinic, straight off the top, not even including malpractice insurance, maintaining licensure, etc. -- just the lights on, employees paid, and utilities?

This is true of most businesses with rent, salaries, insurance, material and utility costs. The patient is not paying pennies though. They are paying hundreds and thousands of dollars a year.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

What percentage of what is billed do you think goes just to pay overhead to run the clinic, straight off the top, not even including malpractice insurance, maintaining licensure, etc. -- just the lights on, employees paid, and utilities?

Anonymous wrote:

Anonymous wrote:^^oh and don’t forget all the supplies he has to buy - strep tests, flu tests, urine cups, needles, gauze, 826 other things

They don't give these to patients for free. They turn around and charge us for vaccine administration, lab fees, test fees ...

m
That’s doesn’t matter, insurances don’t pay those fees half the time. You think we get reimbursed for your covid tests anymore? Think again

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

That’s because you have no clue how much it costs to keep a medical practice afloat. And no primary care doctor is getting “hundreds”, plural, for a routine visit. Maybe a cardiologist.

Think if the doctor brings in 400 dollars in one hour- that’s a really good rate to bring in. They pay the receptionist 20, each MA 20, the billing specialist probably 30, and the office manager 30. You’re left with 280 an hour. Then you have to pay your rent on your office. You have to pay malpractice insurance (massive). You have to pay for your EMR that you use. Your scheduling software that you use. Your website maintenance. Your medical supplies. Your cleaning crew. Your hazardous waste removal. Your electricity. Your internet.

Now imagine you close your office for one hour for lunch, since your staff wants to eat. Eliminate that hour. Now imagine your patients expect you to call and email them back. Eliminate one more hour for that type of admin work at the end of the day. That’s 6 hours of patient care time where you get paid, and 2 hours where you continue to have expenses but don’t make money.

If people think primary care doctors who didn’t sell out to private equity firms are laughing all the way to the bank, I have a bridge to sell you.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Hit reply too fast. Do you see how this makes zero sense? You want them to know better than you but you don’t want to do what they tell you to do.

Also if they take all those phone calls they’ll never have time to actually see patients in person and also they won’t get paid. Sucks but true. Your quick phone call, multiplied by 15, plus the documentation required for it, would take up hours.

There's A LOT of real estate between "makes $50k a year" and "makes $600k a year". Doctors could stop over-scheduling, spend more time with patients, take phone calls, work on bedside manner and still make what any American would consider a lavish sum. Nobody is asking them to impoverish themselves, just maybe make a couple thou less a day.

Doctors have zero control over their own schedules. Unless they own their own practice, in which case they are struggling to make ends meet thanks to the insurance industry paying Pennies on the dollar.

It looks a lot more than pennies on the dollar when I get my statements. They get hundreds for a few minutes of face time.

The hospital system pays the doctors a fraction of what is billed

Doesn't that happen with law offices, plumbing services and private school teachers too?

Doctors need to get the AMA to stop lobbying for very limited residency seats. Many of these problems could be solved if we stop artificially restricting the number of doctors.