Wednesday, March 24, 2010

Healthcare Reform - I Hate It

I will try to not start a riot but:

I hope it fails in the courts.

I believe all Americans have the right to health coverage but it is NOT the family docs who should have to shoulder the burden of what has been passed into legislation.

And they are.

The general population of America feels like doctors are far too wealthy and that the doctors are the reason for healthcare being so expensive.

I can assure you, family docs, the one most of you see, are not the reason for the rising costs... but they are the ones to get hurt first.

The specialists will see a decline in their payments and their costs will go up.

10 years from now, when healthcare in the U.S. has gone the way of Canada where you wait for 4 weeks to get a cancer biopsy, you will see the ramifications about what this bill does.

Meanwhile, the CEOs of the largest insurance companies: UHG, et al will still be raking in billions.

Pharmaceutical companies will still be raking in billions.

Doctors will flee practicing medicine because

1) they can't afford the malprac insurance

2) they can't afford to spend another 3 hours a day on their already 14 hour days trying to get paperwork done

3) people will die regardless because Granny won't be paid for by the government and the health insurance won't cover Granny's expenses either... the care will be decided by a board... Do you want to trust your elderly parents' care to the decisions of people who's sole purpose is to save money?

Last, you may be questioning the payments made to doctors:

The medical education right now, in the U.S., averages about $175,000 for MED SCHOOL, not for undergrad work. Upon graduating the med school student is in residency (enslaved) being paid about $35,000 per year and expected to start paying back that $175,000 PLUS whatever undergraduate loans were taken out. Many new physicians start owing about $225,000+ in student loans.

A new family practitioner makes about $135,000 a year. That sounds like a lot of money to many. I can assure you, it is in many cases but not when you have to pay exorbitant malprac insurance. And time wise?

If you make $1000 per check and work 45 hours a week, you make roughly $22/hr.

The physicians I know, the family practice docs, make about $2500 a week at 80 hours to make roughly $31/hr.

I hate this piece of legislation. I hate that this piece of legislation will push many awesome docs out of practice because they are simply fed up already. What they, and me, went and are going into practice for, is not to push paper, not to answer and fill out dictation, not to have realms of paper on the desk but to be with patients.

If you thought the 15 min doctor visit was bad, it will get worse.

I can assure you, its not about the money. It's about the lack of a life working 80 hours a week already.

(cross posted to


K said...

Canada isn't as bad as what the US will turn into -- in Canada the government pays for everyone's healthcare and lawsuits are way less than in the USA.

In the USA, the consumer mentality will drive patients to flock ERs and this will overburden the underpaid physicians who will now be more likely to make mistakes and get sued.

See the difference?

A Doc 2 Be said...

Oh, I get it.

My ex bf is from Canada and I heard first hand how his kids (Alberta) were taken care of (or not).

A friend of mine - Winterpeg, CA - had breast cancer at 35, survived the first time, only to get it again and prayed she could somehow get to a US clinic to get treated and live.

She died.

My uncle lived in B.C. for decades with his Canadian wife before finally recognizing the healthcare providers were not different but timing to get into see one was.

Another friend - PEI - just fell down a flight of stairs and had to wait 3 weeks to see a physician about the very dark, very large bruise on his backside, right about his kidney.

And I want to make perfectly clear:

Canadian born, raised, and educated physicians are equally as smart as, and as hardworking as, US educated physicians.

This is NOT about physician quality, it is only about capability of the system itself.

And I agree.

It will be far worse in 10 years in the U.S. than Canada would ever dream.

As for the overburdened physicians, you will see many more DNP, PA and others taking over ER care (I think) as physicians start saying no, f'ing way.

Elizabeth said...

I think you need some first hand experience wih the Canadian health care system..
I have never seen anyone here in Canada NOT get the care they needed and No one here goes bankrupt or looses their home because they don't have health insurance. No one heere is told their child can't have a bone marrow transplant because they can't afford it.
We have to wait longer for more routine things but when an issue is serious you get the care you need.
Different provinces have different methods of collecting the tax for health care but most collect a tax on everyday items you buy in a store from TV's to toys.

I honestly can't make heads or tails out of all the stories I hear about what your president signed for a health care package but I sure hope everyone can get the care they need...