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If I were thinking of become a doctor witht eh years and money investment :I would think twice about poutting the time and money into another profession ;honesty.Many of our doctors now are foreign more and more . its been that way for decacdes now.They are drwn for the same reason;better pay and opportuntiy which is going away now.
If the bill is found to be unconstitutional by the SC, the problem goes away, doesn't it, or at least allows more time for doctors to be created in this country.
The problem "goes away" if we keep the poor from seeing a doctor? True if you're not poor, I guess.
Somebody must have redefined either "problem" or "goes away" while I wasn't looking. I hate when that happens.
There are more than enough doctors. The problem is that most of them are specialists where the big bucks are. The shortage is in General Practitioners where the big bucks aren't. Simple human greed.
Is it all greed ? my own General practitioner is an American and he enjoys being a doctor here for one big reason, no he makes less money, the majority of his money comes from the state, has never had to argue with an Insurance company about sending a patient to a specialist etc.
Yes, he has got stuck in a couple of times but he has this fearsome receptionist who is more than happy to give the unhelpful a hard time.
No thanks. I prefer my doctor to be American. We already have a glut of foreign workers in too many fields helping to undercut and contribute to the 9% unemployment rate
Why is it that the liberal solution always seems to be, "just bring in more immigrants!"?
If your an ED nurse, how much has your job added in paperwork, CYA medicine, etc since you've started. I've been on the job for 7 years now and we've doubled our workload with paperwork, testing, etc.
I've worked in the ER for 11 years. We've been using computerized charting for years now and I absolutely love it. You can see everybody's charting (docs, nurses, techs, etc) so that's cut down on chasing people down ("where's the chart for so and so?") and asking the proverbial "what's going on with X" and getting the most popular answer: "I don't know".
The computerized charting prompts you to assess/document a lot of things so it has improved my charting tremendously. Medicare doesn't pay for healthcare, it pays for good healthcare. So, you have to dot the I's and cross the T's. If the doc, nurse, hospital, etc. screws up, Medicare will not pay for substandard care. Good charting also improves reimbursement. So, my "paperwork" is way down.
In my ER, the clientele is up in years, so the acuity is extremely high. It is not unusual to get a pt c/o "weakness" who not only has bradycardia, and needs a pacemaker, but also has a lower GI bleed! Nothing beats a thorough head to toe exam by certain physician I work with whom a lot of nurses hate, but I adore.
As far as the CYA testing goes, it depends on the doctor (some do some don't), and it depends on me too. I've had quite a few female pts.,60+ who come in with "atypical chest pain". Too many times, a doc will think that pt has GERD or anxiety only to later hear the monitor go off with tombstones on the screen. So, I take those females with "atypical chest pains" (along with my assessment and "gut feeling") very seriously. I've covered quite a few docs' behinds. So, in my work place there really isn't a whole lot of CYA because of the high acuity.
What bothers me the most is that we're moving patients like cattle. I believe in good patient teaching, but the supervisors/managers are all about "moving them out" so, pt teaching nowadays is quite sorry.
What has gone waaay up is the volume of patients. It gets worse every year. My ER has undergone several expansions and reorganizations in ten years and it feels like it's a drop in the bucket each time it expands.
Also, the mental health cases as well as the "too stupid to live" diagnosis have increased dramatically.
The issue of 'greed' has nothing to do with the shortage of doctors in this country; it's the crushing mountain of debt which most medical students face upon graduation.
I'm a doctor. I graduated medical school in 1981, 30 years-ago. The biggest differences in patient care between then and now are that medicine is now seen as a business, the costs to treat are much higher now, there are more people to treat (including a huge increase in the elderly), and the expectations of medicine by patients to cure every ill are unreasoned.
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I agree
