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Old 01-23-2014, 09:34 AM
 
20,793 posts, read 61,314,203 times
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Quote:
Originally Posted by 85dumbo View Post
Enjoy the future of medicine where your doctor will probably be a substandard foreign medical grad or not-even-a-doctor- nurse practitioner or physicians assistant (Noctor, as we like to call it).

Good luck attracting anyone intelligent to go into medicine if you take away the compensation. No one with 1/2 a brain will go to school/residency for 20 years, incur a 400k debt to only get paid 100k a year.

Atlas is Shrugging.

 
Old 01-23-2014, 09:36 AM
 
Location: Manhattan
25,368 posts, read 37,084,455 times
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Quote:

where your doctor will probably be a substandard foreign medical grad
Most are now, except those who are ready to retire and were trained in American schools 40 years ago and who have learned nothing new since then except what was provided to them in the advertising brochures they were given by the daily onslaught of pharmaceutical company reps.

There are a lot of really rotten doctors who have graduated from American medical schools. Too bad their salaries are not tied to their worth. I think to get rid of a doctor he needs to kill at least 100 of his patients or defraud Medicare for at least $50 million.

Atlas finally got smart and shrugged off Ayn Rand.
 
Old 01-23-2014, 09:40 AM
 
Location: Florida
23,795 posts, read 13,265,578 times
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Quote:
Originally Posted by golfgal View Post
Feel free to go to school for 12+ years after high school, garner the experience and expertise that the dr's have, or manage of staff of how many 1000's of employees like the CEO of the hospital does and then you too can make that kind of money.

Or you can learn how to dribble a basketball well and earn $50,000,000/year....
The CEO is not a doctor--she is a nurse. I did not realize nurses had to go to 12 years of college.
 
Old 01-23-2014, 09:51 AM
 
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Quote:
Originally Posted by Enigma777 View Post
The CEO is not a doctor--she is a nurse. I did not realize nurses had to go to 12 years of college.
So--she is still responsible for 1000's of employees....her salary is not out of line with with her position...

She likely has advanced degrees or years of experience to justify getting that position...feel free to go to school, get the same degrees/experience and you too can make that salary...
 
Old 01-23-2014, 11:08 AM
 
5,125 posts, read 4,972,569 times
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Quote:
Originally Posted by golfgal View Post
So--she is still responsible for 1000's of employees....her salary is not out of line with with her position...

She likely has advanced degrees or years of experience to justify getting that position...feel free to go to school, get the same degrees/experience and you too can make that salary...

If the # of employees is an important factor in determining the ceo's compensation , how much is the US president's/nyc mayor's/state/governor's salary worth? And how much are they paid in reality?

Comparing health care ceo's compensation with that of a corp ceo's does not make sense. health care service is funded largely by tax money and is equivalent to other feral or local civil service agencies. Companies/financial institutes operate on their own and generate profits and contribute tax $ to support federal programs that fund the health care service. Paying health care ceo's millions of dollars is comparable to filling up the pockets of ceos of charity organizations with tons of donation money before distributing the money to ppl in need.

Medical ceos raking up big money should seek positions in the industry instead of living off patients and tax payers who have no say when it comes to pay for their medical bills.
 
Old 01-23-2014, 11:13 AM
 
48,502 posts, read 96,867,563 times
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Quote:
Originally Posted by leoliu View Post
If the # of employees is an important factor in determining the ceo's compensation , how much is the US president's/nyc mayor's/state/governor's salary worth? And how much are they paid in reality?

Comparing health care ceo's compensation with that of a corp ceo's does not make sense. health care service is funded largely by tax money and is equivalent to other feral or local civil service agencies. Companies/financial institutes operate on their own and generate profits and contribute tax $ to support federal programs that fund the health care service. Paying health care ceo's millions of dollars is comparable to filling up the pockets of ceos of charity organizations with tons of donation money before distributing the money to ppl in need.

Medical ceos raking up big money should seek positions in the industry instead of living off patients and tax payers who have no say when it comes to pay for their medical bills.
If they were a private CEO most would have been fired long ago for poor performance for investors.
 
Old 01-23-2014, 11:31 AM
 
20,793 posts, read 61,314,203 times
Reputation: 10695
Quote:
Originally Posted by leoliu View Post
If the # of employees is an important factor in determining the ceo's compensation , how much is the US president's/nyc mayor's/state/governor's salary worth? And how much are they paid in reality?

Comparing health care ceo's compensation with that of a corp ceo's does not make sense. health care service is funded largely by tax money and is equivalent to other feral or local civil service agencies. Companies/financial institutes operate on their own and generate profits and contribute tax $ to support federal programs that fund the health care service. Paying health care ceo's millions of dollars is comparable to filling up the pockets of ceos of charity organizations with tons of donation money before distributing the money to ppl in need.

Medical ceos raking up big money should seek positions in the industry instead of living off patients and tax payers who have no say when it comes to pay for their medical bills.
Really---maybe county hospitals but most hospitals are not funded through government dollars or tax dollars....well, I guess the VA would be too..

Patients have every say in their medical bills by not using providers that charge too much...
 
Old 01-23-2014, 11:32 AM
 
5,125 posts, read 4,972,569 times
Reputation: 4974
Quote:
Originally Posted by 85dumbo View Post
Enjoy the future of medicine where your doctor will probably be a substandard foreign medical grad or not-even-a-doctor- nurse practitioner or physicians assistant (Noctor, as we like to call it).

Good luck attracting anyone intelligent to go into medicine if you take away the compensation. No one with 1/2 a brain will go to school/residency for 20 years, incur a 400k debt to only get paid 100k a year.

Atlas is Shrugging.

Nurse practitioner or physicians assistant is already everywhere in medical services both in hospitals and private practices. It is ironic that introducing NP/PA were to reduce health care burden, but it dose not really because patients get billed the same amount even if they were managed most of the time by a NP/PA. So having these alternative medical staff is really all for the benefit of the provider, not a bit for our patients.

I have purposefully refused to talk to a PA/NP during a few hospital visits since I knew I would pay for the rate for seeing a doctor anyway. As an educated consumer, I encourage you all not to accept being seen by a NP/PA but paying for a full doctor's price.
 
Old 01-23-2014, 11:45 AM
 
5,125 posts, read 4,972,569 times
Reputation: 4974
Quote:
Originally Posted by 85dumbo View Post
Good luck attracting anyone intelligent to go into medicine if you take away the compensation. No one with 1/2 a brain will go to school/residency for 20 years, incur a 400k debt to only get paid 100k a year.

Atlas is Shrugging.
Oh, it is my opinion that the US medical education is an over kill by all means in comparison to elsewhere in the world where medical students are recruited directly from high schools. The selection criteria is high, but I do not believe that it necessarily succeeded in selecting all qualified future doctors. It is more like a marathonic competition---who ever can endure it will have the chance of winning out. On the contrary, the lengthy training system has actually discouraged a lot of smart students from pursuing medicine. UK does much better with their medical education.
Besides all the 20+ years of training, a lot of them will follow standardized procedures and protocols in their future practices, something that can be easily mastered as evidenced by NP/PA's role in the medical service. And American doctors face the same medical conundrums as doctors elsewhere despite their extended training.
In short, it is a very inefficient medical system that leads to some of the existing problems in the health care system.
 
Old 01-23-2014, 12:16 PM
 
5,125 posts, read 4,972,569 times
Reputation: 4974
Quote:
Originally Posted by golfgal View Post
Really---maybe county hospitals but most hospitals are not funded through government dollars or tax dollars....well, I guess the VA would be too..

Patients have every say in their medical bills by not using providers that charge too much...
well, you conveniently ignored the fact that resident/fellow docs are all paid by medicare/medicaid money, and each receiving hospital gets additional money for each resident. thet are paid less than np/pa but are the major working horses in the hoospital. their free labor and the resulting profit are all disappearing into the ceo and other absurdly greedy mans pcokets.

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