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Leave the profession and do what? Work at the Olive Garden?
When we implemented single-payer, about half a century ago, we had the same "The sky is falling! Doctors will leave their profession!" hue and cry. It didn't happen.
But your government didn't regulate how many residency spots exist. The US government hasn't increased the funding for residency spots since 1998, so even though we have more medical students than ever before, we cannot add more doctors. That creates a system where doctors have more work to do than ever before, are being sued more than ever before, and suddenly ACA is dropped on their laps, exacerbating all of these problems. US/Canada isn't an apples to apples comparison when it comes to health care.
Yes, it's clearly a redistribution given that if someone is getting a
subsidy.....someone else is paying more.
You're already have someone paying more. Who do you think pays when people with no insurance show up at the ER, or when the hospital works out a deal to lower or eliminate your bill? They don't eat the cost.
Rand Corp. researchers, looking at 10 states, said in an Aug. 29 report that predictions of sharp increases in premiums were overstated. "Our analysis found no widespread trend toward sharply higher prices in the individual market," Christine Eibner, a Rand senior economist, said in a statement with the report.'
Let me guess, Rand Corp was granted an Obamacare exemption?
Leave the profession and do what? Work at the Olive Garden?
When we implemented single-payer, about half a century ago, we had the same "The sky is falling! Doctors will leave their profession!" hue and cry. It didn't happen.
Medical school in other countries heavily subsidize doctors education.
In the US many young docs are graduating with average debt near 200k and some are well over 400k in debt. Keep in mind most docs don't earn the "big bucks " until their early to mid 30s. Some "big bucks" are considered 80-90k a year for a young pediatrician or internal medicine doc in a major city. While some big bucks are much more around 300-400k.
Anyways within the past 3 years there has been a massive uptick in physician owned practices "selling their practices" to either investment banks like Goldman Sachs or to hospitals.
In the Orlando Florida area alone. Both the major primary care group and cardiology group each seperately sold themselves out to the 2 big hospital systems.
The vast majority of those docs took a one time payment. They are usually required to work 2-5 years. And most of the older docs will call it a day and retire. Whereas in the you routinely had docs working till their late 60s early 70s. Now these docs are going to retire in their late 50s and early 60s.
Medical school in other countries heavily subsidize doctors education.
In the US many young docs are graduating with average debt near 200k and some are well over 400k in debt. Keep in mind most docs don't earn the "big bucks " until their early to mid 30s. Some "big bucks" are considered 80-90k a year for a young pediatrician or internal medicine doc in a major city. While some big bucks are much more around 300-400k.
Anyways within the past 3 years there has been a massive uptick in physician owned practices "selling their practices" to either investment banks like Goldman Sachs or to hospitals.
In the Orlando Florida area alone. Both the major primary care group and cardiology group each seperately sold themselves out to the 2 big hospital systems.
The vast majority of those docs took a one time payment. They are usually required to work 2-5 years. And most of the older docs will call it a day and retire. Whereas in the you routinely had docs working till their late 60s early 70s. Now these docs are going to retire in their late 50s and early 60s.
So do THAT! Oh, you can't? Like everything else that works for the rest of the planet, but you can't do it?
Yes, it's clearly a redistribution given that if someone is getting a subsidy.....someone else is paying more.
You can bet your hind-end that the dems took a hard look at the demographics and voting patterns of those that are getting hit by this and based upon that market research, chose to wait until after 2012 to implement.
Basically, a whole bunch of younger voters that have typically voted Democrat (2008 in particular) are going to be the most impacted and they were worried about voter backlash.
There are a whole bunch of these younger people who like me are socially liberal but they are trying to get ahead in life, pay bills, maybe save for a house and start families. Unquestionably the democrats are afraid of a voter backlash from this segment....we will have to see if it comes to pass.
The Republican Party needs another Reagan just about now.
Those who do have "affordable" employer coverage quickly find that the employer doesn't have to subsidize their non working spouse and kids.
Nothing new here.
Employers have been free to subsidize group spouse /family coverage or not, all along. Some do and some do not. If they do, it's usually at a substantially lower subsidy rate than for the employee.
Medical school in other countries heavily subsidize doctors education.
Medicare subsidizes resident compensation. U.S. MDs make substantially more in the U.S. than their counterparts do in other nations. I would not lose sleep over this one.
MDs generally can qualify for 100+% mortgages because their income is a sure thing and unemployment is not a factor.
In the US many young docs are graduating with average debt near 200k and some are well over 400k in debt. Keep in mind most docs don't earn the "big bucks " until their early to mid 30s. Some "big bucks" are considered 80-90k a year for a young pediatrician or internal medicine doc in a major city. While some big bucks are much more around 300-400k.
Anyways within the past 3 years there has been a massive uptick in physician owned practices "selling their practices" to either investment banks like Goldman Sachs or to hospitals.
In the Orlando Florida area alone. Both the major primary care group and cardiology group each seperately sold themselves out to the 2 big hospital systems.
The vast majority of those docs took a one time payment. They are usually required to work 2-5 years. And most of the older docs will call it a day and retire. Whereas in the you routinely had docs working till their late 60s early 70s. Now these docs are going to retire in their late 50s and early 60s.
Hospital acquisition of medical practices first ramped up in the early-mid 90's. It was the thing to do and there were a lot of failures. This go around, hospitals are better prepared and have seasoned managed care operations and are targeting baby boom practices more likely to cash out.
Most MDS did not become MDS to go knee deep into accounting, marketing, technology, space planning, equipment acquisition and human resource management.
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