what are we coming to? - page 2
This is a repeat of topic in "Managed Care" section: I'd like to hear how nurses feel about our system of health care delivery in the U.S. And from nurses who live elsewhere, how do you feel about... Read More
Feb 9, '05Occupation: travel Specialty: 16 year(s) of experience in ICU,CCU,Trauma, neuro, geriatrics, telem ; Joined: Jul '04; Posts: 971; Likes: 349If doctors no longer make the money they have in the past, will we have a doctors shortage? I can't imagine working as a nurse with no doctor to write orders. Will we function for a while on "protocol" like paramedics do? One doc for 8,000 nurses etc? How will this change our health care system watch dogs? Will facilities be cited for not following the old rules of docs signing verbal or standing orders within 24 hours? Lots of things to consider with changing to a new health care system. If this was a small town of 10,000 or less it would be simple, but this is the United States of America.
Yes I would like to see better coverage for everyone, I would also like to see Much better preventive medicine for all aspects of health, mental and physical.
We are accepting a variety of approaches to health now, many things that in the past were laughed at.
We are a young country and learning fast. We have become a world power in a very short time, maybe it is time to look within our own nation and heal some of our own problems.
Feb 9, '05Occupation: Remote Data Review Consultant Specialty: 22 year(s) of experience in OB, Telephone Triage, Chart Review/Code ; Joined: Jan '03; Posts: 771; Likes: 77I don't see where paying taxes to cover "free" healthcare would be so bad as where I paid $200/month for healthcare insurance charges and still pay copays, and still get letters from insurance companies asking me questions, or not having any health insurance coverage between jobs because I can't afford $400/month for COBRA, or not having any COBRA or health insurance and receiving a bill in excess of $15,000 for a 4-day stay in the hospital (w/o surgery) that was serious enough to require hospitalization!
I would gladly pay taxes for "free" healthcare because I sure am losing money this way!!!! AND, I can't believe that healthcare charges are placed on a Credit Record...AS IF!
Feb 9, '05Occupation: Clinical Nurse Educator Specialty: 9 year(s) of experience in Neuro Critical Care ; From: US ; Joined: Apr '02; Posts: 578; Likes: 66The last hospital I worked at it was cheaper to get insurance on my own than use their company. Where I am now cost about $100/mo for just me with copays and dedcutibles. I would love a free system but don't ever see it happening. Healthcare is in a crisis but it isn't just insurance or lack of, it is also malpractice lawsuits in the millions. So much to fix and so little time.
Feb 9, '05Joined: Apr '02; Posts: 38,750; Likes: 16,271capping law suits is a must in the future........
but I don't see that happening too soon, either.
Feb 9, '05Joined: Oct '04; Posts: 661; Likes: 41Quote from glogThere was an article recently, I think it was in JAMA, about how much the average debt of a medical student has gone up in the last decade or two. And it has gone up tremendously. Have physicians' salaries gone up. No, they have gone down. Pressures from HMO-type organizations and other insurance companies have cut into reimbursement to physicians. Recently, one group of anesthesiologists was kicked out of a hospital because they stopped accepting insurance--they required their fee upfront -- and then the pt could later try and get reimbursed from the insurance company. Only, slight problem. What the insurance companies reimburse is substantially less than what the anethesiologists' fee is. I've heard this has happened in other specialties as well.An average salary is probably in the range of 80,000. That is opposed for example to MDs in NYC making about half a million a year in private practice. In Italy, nobody goes into medicine to make money. It is a calling. If you want to make money there you have to pick another profession.
What has happened, as well, is that Internal Medicine/Family Practice has dropped in popularity (I guess after they dropped the incentives for people to go into those specialities). IM/FP docs make, oh, 120-150K a year. And they are paying back their medical school loans. I know software engineers that make that kind of money, don't have nearly the responsibility and didn't undertake nearly as long to be educated and start earning an income.
There are, to be sure, some docs that do well. I heard of one doc in our area who agreed to take care of your medical care for a year for $10,000. You be able to be seen immediately, because he would only have 1000 patients. Well, do the math. That doc is making 10 million a year (of course, gross; now, after he pays his office staff and office and malpractice and so on, who knows?). I don't have that kind of money to pay a doc for a year of health care; but, apparently there was definitely some interest. I don't know what came of it.
The docs who make a lot of money (brain surgeons, pediatric heart surgeons, etc.) also have huge malpractice bills and have gone to school for a long, long time. Think about it: 4 years of college, 4 years of medical school, 5 years for a surgery residency, another 3 years for a fellowhip. That means you are 34 before you even can start to pay off your school loans (which, in the meantime, have been accumulating interest.)
Feb 9, '05Occupation: disabled right now Specialty: 19 year(s) of experience in Geriatric, LTC, PC, home care, pediatric ; Joined: Jan '05; Posts: 91; Likes: 5If you think it is hard to get adequate care with an HMO, or other insurer of the same ilk, try being on workman's comp. in PA. (But that is for another thread.)