Physicians Are Talking About: The Million Med March on Washington - page 4

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  1. by   RNinChicago
    Quote from Terry Wynkoop
    You have to be kidding me! I guess I can use the phrse as well, I am mad as hell and just not going to take it any more. We are one of the only industries that provide everything for our consumers (physicians - especially surgeons) at on cost and and do not require them to use our facilities. Maybe it is time the they paied their way.
    I resent the elitist attitutde this physcian presents in this article. Hospitals and nurses are struggling to keep their heads abouve water and he ahs the guts to say don't attempt to fix the system.
    If the physicians feel they are worth more than $5.00 then let them share in the expenses they create

    I hope you are not serious.... Physicians don't go into medicine to create extra work for nurses and increase costs of healthcare.

    How much are you paying for malpractice? $80,000? $300,000?

    Do you worry about getting sued because you haven't called in the right consultant or because you haven't ordered every test under the sun? These expectations have been set by our patients and the legal system. You should be supporting Tort Reform.

    Have you taken a decrease in pay over the last 12-15 years? The docs have. (Insurance companies pay by formulas based on a percentage of Medicare - it's not just Medicare that has decreased.)

    Physicians don't make as much as you think. With increased malpractice & overhead and decreased reimbursement, the profit margin has narrowed.
  2. by   RNinChicago
    Quote from Areenn
    If they really do it , good for them. It's been a long time coming. Those of you here who don't understand. Go buy the book Code Green, and read it. Then maybe you can understand. This is not about us and them. Doctors and nurses are all in this together,, and well all be worse off if this so called reform passes, and our patients too. The only ones who will profit are the same ones sitting in offices with million dollar a year salaries now, and the us gov. Do you actually know what the Ceo of your hospital made this year? If you don't find out. Especially if you work for a not for profit. I can bet the CEO's of all the major PPO and HMO that are left, and the major health care chains make the same. Physican's are not the "bad guys". Why don't you sit down and talk to one. They are disillusioned, exhausted, and as overworked as we are. Sure they make more. They went to school longer and learned more. But these days they are just as much overworked, employees of the uncaring administrations as we are. Stop feeding into the us and them, that's the powers that be's game to keep us divided and weaker. Physicans and nurses are a team. It's the rest of them we need to worry about and that are causing all our problems. Nursing unions need to get behind this million med march and make it happen, and have the Phyiscans go fight for all of us: Doc's , nurses, and patients before it's too late.
    Well said. We all need to stand up and support each other in this...
  3. by   RNinChicago
    Quote from OriolesMagic
    95% of doctors could care less about nurses. They demonstrate this every day in their attitude toward us as their paid slaves. For people that don't know their are huge amounts of people trying to get into medical school. Some top schools get thousands of applications, so the US won't run out of doctors. The US doesn't have the "best healthcare in the world", not in the top 30. I bet for every 100 doctors that cry "I'm going to quit", only 1 of them does.

    And the US/state governments pay for most of doctor's educations. Their education would cost $100k/year otherwise, so they already got a free ride.

    Not shedding any tears for rich doctors, waiting for this electronic documentation when a lot of the most incompetent ones will be forced to quit/retire.

    I'm disappointed in your post.

    I don't know one nurse who feels she/he is a "slave" to doctors. Aren't we all here for the patients?

    The government doesn't pay for "most" of medical education. Most students take out loans that they pay back tirelessly for years.

    Not sure how "rich" is classified? With increased malpractice & general overhead expenses and a significant reduction in reimbursements, profit margins are down. Doctors make 50 percent less today than they did in 1997.... Has your income been cut in half?

    I'm sorry your working relationship with doctors has been poor. There are some good docs out there.
    Last edit by RNinChicago on Oct 2, '09 : Reason: error
  4. by   RNinChicago
    Quote from lamazeteacher
    Many physicians definitely make $1,000,000++++/year. Find the spouse of one who is getting divorced (as I did), and he/she'll tell you what doctors make - or get a divorce attorney to tell you. In 1973 my OB made $800,000 net from his practise, his wife told me. And he complained mightily about the cost of his malpractise insurance ($100,000) premium.
    Huh? 1973 was 36 years ago!

    That reimbursement era died years ago.... What does he make today?

    (Malpractice for OBs is now a minimum of $200,000.)
  5. by   herring_RN
    I think physicians who provide direct care are worth WAY more than insurance executives.

    Family practice physician -

    Health insurance CEO -
  6. by   mbreaz1
    Quote from dgenthusiast
    Sure, utlizing midlevels will help. But giving midlevels full independence is a completely irrational way to go about it. You can't compensate for a 7+ year long, rigorous medical training by getting an NP/DNP in 2-3 years with a significant portion of the courses being clinically useless. That's just dangerous to patients then.

    This obviously poses no danger to patients. They like it and it works. NPs have enough education to provide for health care needs independently and already do in a number of states. It is already happenning and working just fine. That doesn't seem irrational to anyone else.
  7. by   mbreaz1
    Quote from herring_RN
    I think physicians who provide direct care are worth WAY more than insurance executives.

    Family practice physician -

    Health insurance CEO -

    What a ludicrous comparison. I get so sick of people saying that a doctor providing patient care should make more than a CEO. Nobody bothers to mention that a CEO spent years making the climb to the position and maybe even started out at the bottom of the organization. Nor do they mention that the CEO is responsible for the entire organization. I don't argue that either one is unimportant, but the jobs are totally different. I hear physicians argue that they deserve the money because they spent 7 years in school. Let's give the CEO a little credit for the years spent in school and the 20 or more year climb to the position.
  8. by   mbreaz1
    Quote from lamazeteacher
    please examine the following very carefully.

    "the mandate as stated on the million med march website includes the following points:[color=#00bfff]
    • we must abolish third-party payers or prevent a single-payer system for office visits and medical services; these services are costly to the patient, physician, and society as a whole. hmmmm if 3rd party payers (insurance companies) are eliminated, and single-payer system is also eschuwed, who pays, and how are the payments made? by patients?
    [color=#00bfff]it seems to me that doctors want to be the sole determiners of their performance and monetary worth - and that of others. their humility dose sure needs an increase!

    i would agree with the million meders statement about abloishing third-party payers and preventing single payer for office visits if they are willing to open themselves up for competition from independent practicing nurse practitioners so that people can get more reasonable prices for these services. this is a huge issue when it comes to healthcare reform. physicians realize that single payer gives the consumer leverage over them as does increased competition. this is why they favor no real reform in the way that they are paid for their services. they don't want the comsumer to have leverage over them. if the consumer had any real leverage, they wouldn't enjoy the luxury that they now have. they are afraid of competition from independent nurse practitioners for the same reason, it creates competition and the physicians know that they will lose out in a competitive environment.
  9. by   lamazeteacher
    Quote from rninchicago
    huh? 1973 was 36 years ago! exactly!
    Quote from rninchicago
    that reimbursement era died years ago.... what does he make today? only the irs may know what he wants them to know..... his wife who was my friend, isn't where i live any more, and she certainly doesn't work in his office any more, so i have no way of finding out that way! but you can imagine with the increased costs of medical care and office costs, what it might be. anyone know an actuary?

    (malpractice for obs is now a minimum of $200,000.)
    i'm sure he's complaining even more now, to patients, friends, and whoever will listen to him.