Anonymous wrote:Its become a factory line since obama care kicked in. welcome to a somewhat world of socialized healthcare that docs need to process as many as possible to turn a profit.

also dont forget, inflation has gone nuts but the insurance reimbursement to doctors has stayed constant so they cant afford to hire staff. Its really a sh*t show.

Its about to hit dentistry next.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I agree with you. For what we pay in insurance costs and out-of-pocket costs, it feels like we get such poor quality of care. And maybe it's wrong of me, but it feels like such a money grab sometimes. I never know what question at an appointment will get the visit billed differently so there's a $$ co-pay, and it varies with different providers.

I work in healthcare and please be assured, it is a complete money grab.

An unintended consequence of the ACA is that it became prohibitively expensive for doctors to operate private practices, and so they are either shuttering their offices/retiring or selling their services/practices to large healthcare organizations (like the one I work for). Clinical staff is suspicious and resentful of administrative staff, whom they see as out of touch with the day-to-day operations.

My boss, a VP, is candid about the fact that the system is intractably bloated, but everyone at the top gets a piece, so don’t expect any meaningful changes anytime soon. Everyone is in on it, and we all know, and we all get paid, and because this is America no one will stop us.

I'm also in healthcare (doctor). It's nothing to do with the ACA (which helped many of my previously uninsured/underinsured patients get better care). It's because of the corporatization of health care. I agree with the rest of what you say.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Was healthcare not for profit in the 80s and 90s?

It was. But at that time only doctors could own medical practices. Then the rules changed and PE and other investors got into the business. Your money is now supporting an additional layer of people getting rich.

Which additional layer are you talking about?
Admin bloat?

Anonymous wrote:Long story, but I am very familiar with current med school admissions and the types of people that admissions committees are favoring. Let’s just say that, if you think doctors are bad now, be afraid for the future. Very afraid.

Anonymous wrote:Agree it has gotten ridiculous. We are lucky - we have a great pediatric urgent care near us and they’ve become our go-to over the pediatrician for anything symptomatic. Ped is not helpful except for getting shots.

Anonymous wrote:

Anonymous wrote:OP, I agree with you. For what we pay in insurance costs and out-of-pocket costs, it feels like we get such poor quality of care. And maybe it's wrong of me, but it feels like such a money grab sometimes. I never know what question at an appointment will get the visit billed differently so there's a $$ co-pay, and it varies with different providers.

I work in healthcare and please be assured, it is a complete money grab.

An unintended consequence of the ACA is that it became prohibitively expensive for doctors to operate private practices, and so they are either shuttering their offices/retiring or selling their services/practices to large healthcare organizations (like the one I work for). Clinical staff is suspicious and resentful of administrative staff, whom they see as out of touch with the day-to-day operations.

My boss, a VP, is candid about the fact that the system is intractably bloated, but everyone at the top gets a piece, so don’t expect any meaningful changes anytime soon. Everyone is in on it, and we all know, and we all get paid, and because this is America no one will stop us.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I feel sorry for the sick and poor in rural areas. We have it pretty good in the DMV compared to most areas.

My parents are in rural PA and they actually have an easy time finding doctors--both primary care and specialists. The DMV is hard because the cost of running a practice is so much higher (rent, salaries, even utilities).
Physicians are reimbursed the same in both places but their overhead is twice as high here.

Danville?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, I agree with you. For what we pay in insurance costs and out-of-pocket costs, it feels like we get such poor quality of care. And maybe it's wrong of me, but it feels like such a money grab sometimes. I never know what question at an appointment will get the visit billed differently so there's a $$ co-pay, and it varies with different providers.

Then you have misplaced anger. Your problem is with the insurance companies.

I think this is another reason docs are jumping ship. Patients take out their anger on them when it should be directed towards insurance companies. Patients are paying insurance companies more, insurance companies are paying doctors less plus they’re requiring loads of additional paperwork and complicated billing structures for basic care.

Doctors are not allowed to unionize, they cannot demand that the government reign in the unethical insurance companies, they could not demand PPE during the pandemic, they have to work inflexible schedules with less and less staff and money.

Young docs don’t start working until they’re almost 30, missing out on years of earnings and savings, then they’re saddled with debt.

-not a doctor but my best friend is and I’ve witnessed first hand how these past few years have impacted her life.

Doctors can unionize. And those in private practice ultimately decide what insurance they'll accept.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Long story, but I am very familiar with current med school admissions and the types of people that admissions committees are favoring. Let’s just say that, if you think doctors are bad now, be afraid for the future. Very afraid.

Yep. Holistic admissions.

What does this mean? What kind of people?

Anonymous wrote:

Anonymous wrote:I feel sorry for the sick and poor in rural areas. We have it pretty good in the DMV compared to most areas.

My parents are in rural PA and they actually have an easy time finding doctors--both primary care and specialists. The DMV is hard because the cost of running a practice is so much higher (rent, salaries, even utilities).
Physicians are reimbursed the same in both places but their overhead is twice as high here.

Anonymous wrote:

Anonymous wrote:I don’t trust any Doctor Who is younger than 50

So you don’t trust the bulk of women & POC doctors?