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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsThe REAL entitlement that nobody wants to talk about.
I was having an online conversation with a like-minded friend who was telling me she went to a conference where apparently they spent 20 minutes trashing Obamacare and said that 43% of Doctors were going to go out of business in the next 5 years BECAUSE of Obamacare.
Really?
Not because of the greed of the AMA and the Doctors that belong to that organization?
This particular "crisis" is one of an industry that has insulated and protected itself from competition by limiting the number of medical students, so now, a shortage of Doctors is imminent...but it has been predicted for over 30 years.
We have the perfect storm on us. Our aging Baby Boomer population that will need increased medical care combined with a large majority of physicians who will be retiring at the same time. But the AMA decided to protect the profits of the existing doctors by not increasing a pool of new doctors.
In this article, written in 2002, the very thing was being discussed. But instead, these assholes who were going to retire anyway are going to try to blame it on Obamacare instead of placing the blame squarely on themselves.
>>>snip
Viewed from within this recent historical context, the paper by Cooper and colleagues can be considered the first round of a renewed debate. The main premise of their piece is that demand for physician services will increase greatly as our nations health sector and overall economy expand in size. Whether this is due to the hand of Adam Smith, government planners, or coincidence, the paper documents that during the 19292000 period U.S. physician supply and gross domestic product (GDP) did track each other closely. The bottom line of their forecast is that they predict that the United States will have a shortfall of substantial magnitude (equivalent to about 200,000 physicians) by the year 2020. http://content.healthaffairs.org/conten
So, it appears that the REAL entitlement in this country is going to be healthcare. In a country that has upwards of 50 MILLION uninsured, I truly believe that THIS is the reason the republicans are fighting this law so hard. This is typical of the "I got mine" crowd. They do NOT want to share healthcare. There will NOT be enough physicians to take care of this population after the ones that have been predicted to leave their practices do. And of course, they want the blame to go somewhere else.
There will HAVE to be a restructuring in order to meet the needs of the country. Don't let people get by with blaming it on Obamacare. This has been in the works for a long time. Personally, I think the FEDERAL government needs to take over and increase medical school enrollment SUBSTANTIALLY and give us a national healthcare plan--but someone needs to shine the light on the actions that the AMA took to keep physicians wealthy and to artificially stifle competition.
brewens
(13,622 posts)of the incentive to be one, have also decided they need to be incredibly wealthy as well. We always expected doctors and CEO's to be well off, now they also want all the money.
You see that in many professions. Their status and the fact that they have relatively nice working conditions, mean nothing if they don't take most of the money. They expect people with the rougher jobs to risk their health for peanuts.
I've always been a little harsh on people with desk jobs whining about stress. Try doing concrete in the hot sun, under the gun to get the job finished on time, before you tell me about your stress!
Horse with no Name
(33,956 posts)Country faster than any other industry.
This is truly a National Emergency. Maybe Cuba can send us some docs?
brewens
(13,622 posts)for what they can afford to pay. If you want to be a doctor, you'll have to settle for a large, but not princely income. It will be the insurance companies that will be cut out.
The biggest threat to medical professionals are working class wages. If the workers don't make any money, how do they expect to get paid? Look at the big insurance companies. Where did they come from in the first place? Employers didn't want to give workers medical coverage. Unions made them want to. People in the health care insurance industry have been working against what created them in the first place.
No Vested Interest
(5,167 posts)Known for the large number of physicians produced, who are sent worldwide to care for those suffering in emergencies.
If I remember correctly, Cuba offered to send doctors after Katrina, but, of course, the offer was refused.
I wouldn't be surprised if Cuba had offered to send doctors following Sandy, and we wouldn't have heard much about it.
Anyway, whenever I hear about the coming doctor shortage, I am reminded that Cuban doctors are plentiful and could help relieve our shortage very quickly.
(I am not Cuban nor Hispanic.)
underpants
(182,902 posts)+
Horse with no Name
(33,956 posts)underpants
(182,902 posts)that's why I responded - not that it was me, any response gets people interested
1StrongBlackMan
(31,849 posts)with anti-ObamaCare (actual, anti everything President Obama) folks that cited to these same figures.
My response has always been: Well ... Yes. Some aging physicians will retire ... and the ideological ones will blame it on ObamaCare. But how many non-aged physicians will be shuttering their practices because of their politics? What are they going to do ... open a plumbing or electrical contracting business?
Horse with no Name
(33,956 posts)This percentage of loss was predicted long before Obama was even on the national radar.
The projected number of docs will retire. I HIGHLY doubt any more than that will. However, I do know one bastard that is an OB/GYN who retired under Bush and came out of retirement just so he could run his mouth about "quitting" because of Obamacare. I imagine the biggest number of physician detractors re: Obamacare come from those who have supported limiting the numbers in medical school for their own gain OR those physicians who work in the private sector (in the insurance industry, etc). THEIR jobs would just go away if we had a national healthcare plan.
hfojvt
(37,573 posts)"The real entitlement in this country is going to be healthcare"
Okay, that means we will all be entitled to healthcare?
Horse with no Name
(33,956 posts)definition
to give (a person) the right to do or have something;
If a person does NOT have health insurance, they are generally NOT entitled to healthcare in this country.
Not sure why you aren't able to figure this out...
Egalitarian Thug
(12,448 posts)the upper middle class in general, are hurt and feel the pain, that's when change will happen. And that's why their entitlements are ignored.
Reforming the ridiculous, antiquated weeding process of medical school is an excellent example, but is just one of the myriad artificial restrictions placed just to exclude the majority of Americans from participating in/entering the country club set.
freshwest
(53,661 posts)Where they come from, doctors were not regarded as gods surrounded by a group of worshippers. It's a profession, not the road to riches, hanging out on the golf course and living in luxury. They are barely in the middle class, and are willing to adapt.
Those who got into medicine to get rich are not going to fare well, squeezing the life blood out of the people they claim to care about. The discriminate in their practice based on the ability to pay now. The less complicated the processs, the less bias against patients, the better for people. Elitists of all kinds are squalling.
Let them retire, there is no shortage of doctors to replace them, people who believe in working in the field of healing and not sitting on their laurels.
Igel
(35,359 posts)They rely not just on tuition to fund the kids' educations. Research funds help. So do grants.
But once they're done, they have residencies. These are largely funded through teaching hospitals. The hospitals "make a profit" off of patients, some of the money going to the medical schools but a lot of it going to residents and fellows.
This is where the bottleneck is in training new doctors. This isn't an AMA "thing." It's a funding issue.
Please note that there's an odd distribution of doctors in the US. The more "red" a county is, the fewer doctors it'll have per capita.
Horse with no Name
(33,956 posts)but if you read the article, you will see that their has always been a gateway to the medical profession with a very strict gatekeeper.
And it is an AMA thing. It always has been. Why do you suppose there is a funding issue with it? Perhaps because there are no type of government grants available to those attending medical school--why do you suppose this is? Perhaps to keep poor kids out of their profession?
Granted, a few token poor kids with good stories will be allowed through the gates, but as a friend of mine who is a surgeon told me a few years ago....it is harder to get in medical school than medical school is.
99Forever
(14,524 posts)... regardless of who they kill and main in the process.
RB TexLa
(17,003 posts)for a long time.
Vastly increase the medical school slots, open up visas for doctors.
When advertising for doctors surpasses advertising for attorneys on television we'll know we have a good start.
rurallib
(62,451 posts)some things need to be reread a couple of times to be digested thouroughly
libdem4life
(13,877 posts)issues...that don't require an MD. They get very good pay, as well. Maybe they are like Medics in the military? Don't know, but think this is a good trend.
The Regional Medical Center here, which has a full hospital on site, has 5 names on the door...4 PAs or similar and a Doctor of Osteopathy. Seems the MDs are in the hospital setting. The PA can prescribe initial medications. Coughs and colds and the flu and physical exams and other minor illnesses, or initially reading test results, don't need the MD or DO until it becomes or shows itself to be serious. Also, they take Medicare patients, and the co pay is $11.
Not sure how this works in the overall medical system, but believe that it is a good trend. The old model of MDs who must support a practice, is overrated and overpaid...I believe it is the model that is failing. Independent physician's groups have tried to out-organize the newer HMO/Medicare model that does not pay nearly as well.
Young MDs are strapped with huge student loans. One niece is an MD and it takes both her and her husband's income to meet the loan payment, and as an irony, the other is a Marketing Specialist ... with just a BA ... for Nabisco/WalMart. I was shocked to discover their incomes are similar.
Just some observations.
ChisolmTrailDem
(9,463 posts)that needs to be done. We need to find our lost identity and we're depending on the most disfunctional class of congressional and business "leaders" our history has known. Greed and childishness and malice and denial and apathy and outright sabotage are the rule of the day.
I watch an hour of "news" and it strikes me every single time how immature it all is, how profoundly childish and selfish. And it saddens me to know that all it will take to fix our problems is for our so-called leaders, both political and business, to just grow up and learn to share.
SMH
hue
(4,949 posts)There is a growing pool of Nurse Practitioners that are not physicians but are providing primary care for an increasing number of patients. Their scope of practice is widening and they are found in Quick Clinics (primarily to lessen the load in EDs and bring health care to the public) in shopping malls and street corners etc.
Keeping in mind they are the first to refute any one who claims they are practicing medicine they practice wellness in teaching wellness, doing physical assessments and screening, providing vaccinations and treating common afflictions while referring more complex cases to MDs and DOs (another group who is filling in the shortage of MDs.
http://www.pbs.org/newshour/bb/health/jan-june11/nurses_05-26.html
MDs from abroad bring quite a varied medical knowledge base. Some from India, for example, go directly into a pre-med or medical school secondary school (like a high school) after primary education. They do not have an undergraduate degree. Their medical school is much less expensive than med school in the U.S. and the Indian Gov. pays for many of the students. Entry to private med schools in some counties resort to corrupt practices such as wealthy families paying for their (usually) son's acceptance.
There are many new factors coming into play and some of them are quite welcome. Yes the AMA is another one of those "good ol' boys clubs" that are becoming obsolete. I'll end my post with an informative article with some good news:
"The nations universities are opening more medical schools as graduate medical education transforms to address the nations physician shortage.
The Association of American Medical Colleges (AAMC), which represents medical schools and teaching hospitals, said there are now 18 medical schools under development, which is the largest number of schools in various stages of development in decades. A dozen of them have preliminary accreditation or provisional accreditation, the association said."
http://www.forbes.com/sites/brucejapsen/2012/07/17/as-obamacare-looms-new-medical-schools-open-to-address-doctor-shortage/
FrodosPet
(5,169 posts)The more ready I am for the off switch.