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Old 08-20-2019, 06:32 PM
 
Location: planet earth
8,620 posts, read 5,607,399 times
Reputation: 19639

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Doctors are overrated.

They die early.

If a person is smart, they will avoid doctors and hospitals as much as is humanly possible.

When I was a child, people who became doctors were truly compassionate beings who cared about people (the little black bag and making house calls - I actually remember my doctor doing this!) - now, it's just all big business and insurance - nothing about real people and caring about their whole beings - just their "parts."

It's sickening. Literally.

 
Old 08-20-2019, 06:38 PM
 
2,138 posts, read 1,258,545 times
Reputation: 3236
I live in Metro Vancouver, where many are without a family doctor and have to go to the nearest "walk-in" clinics in their neighborhoods. The attached news will reflect the current situation here, and the plan to recruit more nurse practitioners to see patients.
https://www.cheknews.ca/critical-con...ortage-577918/


In BC (British Columbia), "doctors have a 50-patient cap. After 50 patients, they get paid 50 per cent of their payment fee (about C$30/2) until they reach 65 patients, after which they receive no payment at all." Thus, clinics close early once they reach the maximum influx of patients.


Oddly, lately I have seen advertisements of at least a dozen medical-aesthetic clinics, some operated by family practitioners and some by foreign doctors (unlicensed) .
 
Old 08-20-2019, 07:21 PM
 
2,479 posts, read 2,200,750 times
Reputation: 2276
Default The Russians ...

Quote:
Originally Posted by jaminhealth View Post
https://www.newsmax.com/us/doctor-sh.../19/id/877710/

Just hearing a commentary on NPR as I'm typing.

I've been working on being my own doctor for decades and one needs to think about that more and more.



... don't have a doctor shortage. They use physician assistants to handle most of the stuff we use PCP (primary care or family doctors) for.
 
Old 08-20-2019, 07:30 PM
 
Location: Southern California
29,267 posts, read 16,619,492 times
Reputation: 18902
Quote:
Originally Posted by Mistermobile View Post
... don't have a doctor shortage. They use physician assistants to handle most of the stuff we use PCP (primary care or family doctors) for.
From what I've heard PA's are used in the U.S. too. I've never had one as I only see my doctor once a year and I believe she can handle my visit to her. I visit Dr. Google often.
 
Old 08-20-2019, 07:36 PM
 
9,952 posts, read 6,606,113 times
Reputation: 19655
Quote:
Originally Posted by Mistermobile View Post
... don't have a doctor shortage. They use physician assistants to handle most of the stuff we use PCP (primary care or family doctors) for.
People in the US use NPs and PAs for primary care, particularly in underserved areas where they don’t have many physicians. In many states, NPs and PAs can practice independently without a protocol with a physician.
 
Old 08-21-2019, 01:48 AM
 
Location: Tucson/Nogales
23,132 posts, read 28,869,286 times
Reputation: 32478
I'm not too worried, as I've already sampled enough medical tourism, and one of the reasons for my move to Tucson was proximity to Mexico.

As the fertility rate keeps dropping, and more people taking better care of themselves, it's understandable we won't need as many Doctors.
 
Old 08-21-2019, 04:31 AM
 
Location: SW Florida
14,871 posts, read 12,016,604 times
Reputation: 24656
Quote:
Originally Posted by RamenAddict View Post
People in the US use NPs and PAs for primary care, particularly in underserved areas where they don’t have many physicians. In many states, NPs and PAs can practice independently without a protocol with a physician.
NPs can, PAs are supposed to work under the supervision of a doctor. Though I suspect in many areas this supervision may be minimal to nonexistent.
 
Old 08-21-2019, 05:18 AM
 
9,952 posts, read 6,606,113 times
Reputation: 19655
Quote:
Originally Posted by Travelassie View Post
NPs can, PAs are supposed to work under the supervision of a doctor. Though I suspect in many areas this supervision may be minimal to nonexistent.
Regulation is on a state-by-state basis. Some states require it for neither, some require it for both.

https://www.ama-assn.org/sites/ama-a...e-practice.pdf

By and large, the vast majority of states still require a protocol. Those that don’t tend to have many underserved areas. I know that it is hard to keep physicians in New Mexico, for example. In Illinois, many doctors are happy to work in Chicago and surrounding suburbs, but people outside that area may find they are driving significant distances to see a provider. That said, I still think it is far more common for PAs to work with a supervising physician in these states. From what I’ve seen, PAs tend to specialize, and it just wouldn’t make sense to see a PA without having the option to see the physician if your condition was more serious. I’ve seen PAs at many types of specialists, but have ended up seeing the physician on more than one occasion. It makes much more sense from a practical standpoint to have a physician on site.
 
Old 08-21-2019, 06:10 AM
 
31,676 posts, read 26,614,936 times
Reputation: 24526
Medical schools used to attract the brighest and best college graduates this nation had to offer. More to the point becoming a doctor was seen as a passport to a position of status and wealth. That is slowly changing as young people find other careers more attractive, higher paying, and without the drama along with substantial investment in time and money going to med school/becoming a physician entails.

First was the lure of Wall Street, the whole "Gordon Gecko" lifestyle etc.... Now even that sector is finding it hard to compete for talent with the next big thing; tech.

Kids coming out of high school or college look at Mark Zuckerberg, Peter Theil, Larry Page and dozens if not scores of others who have not only made huge fortunes in tech, but in a very short time have become "power brokers" with just as much influence as Wall Street guys had back in the 1980's, and 1990's.

None of this even begins to touch other issues such as Boomers aging, retiring and dying, along with slow population growth. Meaning on one had older doctors are dying/leaving their practices; but you don't have a huge number of young people coming into the profession to replace/pick-up the slack.

Some of this is the USA medical profession's fault. For decades the AMA and other professional bodies have fought to keep foreign doctors out of USA, control number of residency slots, opening of new medical school programs, etc... All with one goal, to keep supply of doctors "managed" and prevent any sort of glut from lowering prices.

https://www.mprnews.org/story/2015/0...rained-doctors

https://residentsmedical.com/the-bia...cal-graduates/

United States actually trains large numbers of foregin medical residents; but after their post graduate work is complete most will not be allowed to remain in USA.
 
Old 08-21-2019, 06:14 AM
 
Location: northern New England
5,427 posts, read 3,990,335 times
Reputation: 21253
Quote:
Originally Posted by Travelassie View Post
NPs can, PAs are supposed to work under the supervision of a doctor. Though I suspect in many areas this supervision may be minimal to nonexistent.
I think this is the future. When I moved to the area 25 years ago and became a patient at the large medical center, I was told for my GYN appts, I could see a male MD right away or wait 3 months to see a female NP. I chose the latter, and have had F NP's since then. They have all been excellent.


In some areas there is even a push to have dental assistants do minor work that dentists do now, like simple fillings.
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