U.S. producing 'abysmally low' number of primary care doctors

Discussion in 'Too Hot for Swamp Gas' started by mocgator, Jun 17, 2013.

  1. Row6
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    Row6 New Member

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    From another angle, our medical system needs general contractors riding herd on the subcontractors - the specialists. From a personal level I have witnessed many times the disorganization and lack of communication with patients because there is no one in charge. it's like building your own house and dealing with the plumber and roofer on your own, each one telling you what they are doing and you not knowing if they are talking to each other - often they aren't in a hospital setting. The model is basic and easy, and the only reason it probably hasn't been implemented is because in medicine the subs make more and have higher status than the generals (g.p.s).
  2. Gatorrick22
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    Gatorrick22 Well-Known Member

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    This might all be true, but Obama-tax will exacerbate the problem. I wonder what kind of doctor my son will end-up being?
  3. sappanama
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    sappanama VIP Member

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    Not exactly, the key is reimbursing them fairly, volume works only at the very lowest end of the scale, after that patient care suffers because the visit is to short. Charging has no effect with the current reimbursement system because the reimbursement is based off Medicare allows led, you could literally charge a 1000 dollars a visit and you are still going to get 47.26 a month later. Reducing costs isn't happening because staff wants a raise, diagnostic equipment isn't getting cheaper, insurance is going up ( not just malpractice), electricity, everything, now they throw in EMR which is very expensive especially for a solo or small group slows us down and further depersonalizes the encounter, giving you a 5 page note that hits bureaucratic bullet points but does nothing for patient safety or treatment.

    Lastly, the statement that pcp's are in majority private practice is incorrect IMO, as a whole greater than 50% of practices are employed.
    http://www.mcmsonline.com/sites/default/files/imagecache/large/ifa_upload/graphic-two.png
    I think a greater % of pcp's are employed than specialists. Many specialist practices are approaching 50%, cardio as an example, and surgical practices are headed there, especially in smaller and less affluent areas
  4. gatordowneast
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    gatordowneast Well-Known Member

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    Uhh, me thinks what Moc is trying to ask is "HOW IN THE HELL ARE WE GOING TO ADD 40 M MORE TO THE HEALTH CARE SYSTEM WITH NO NEW PRIMARY CARE PHYSICIANS AND A DECLINING PIPELINE?"

    Moc, is this on target?
  5. mocgator
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    mocgator Well-Known Member

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    Of course. There will be shortages of the provision of health care. There will be rationing. When you price control and supply control AND drastically increase demand this will happen. It is unavoidable.

    No one is blinder than he who will not see.
  6. shelbygt350
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    shelbygt350 Well-Known Member

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    Easy solution.

    Import anybody from any Middle Eastern or Asian country who has some kind of document stating that they are doctors. Put them on Fed Govt Unionized employ (paid by taxpayers) as doctors for starting pay of $150,000/yr + benefits. Problem solved.

    Next?
  7. reformedgator
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    reformedgator Premium Member

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    Will that mean non-doctors will have to have the same kind of high insurance that doctors are forced to acquire & will non doctors be able to afford it?
  8. dynogator
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    dynogator Well-Known Member

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    You articulate it better. You should be his spinner. Honestly, I think he was just taking shots at Obama, as is his custom. I saw no evidence of analysis in his original post, just a trend that he blames Obama for, without context or balance.
  9. RealDeal
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    RealDeal New Member

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    The solution is simple: expand the number and size of medical schools and offer financial incentives for needed areas of medicine. Will the AMA allow this? Of course not---they want the supply of doctors low and the fees high. The model is not efficient--artificially constrained by the trade association.
  10. rivergator
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    rivergator Well-Known Member

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    Actually, Moc didn't say anything close to that. You'd think that if that were his point, he might have.
    Otherwise, what exactly are you saying: That there are currently 40 million people receiving no health care and we shouldn't let them?
  11. The_Graygator
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    The_Graygator Well-Known Member

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    That response sounds like the liberal mainstream media and Obama himself, who blames everyone else for this failures. Huh, go figure... lol

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