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I agree that America has the best doctors in the world. We also have many bad ones. My son is a physician and I was a hospital executive, and you want to explain to me how doctors are paid?It doesn't matter if you are the best or worst physician in your hospital, you get paid what the reimbursement is for that procedure. There are examples where a hospital pays a big name doctor to join their staff for marketing purposes. These are few and far between.
Right but the heart surgeon makes a lot more money than the ER doctor. "The worst" physicians don't perform those procedures like heart and brain surgery, the best ones do. And they are compensated more.
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Originally Posted by villageidiot1
BTW, you don't understand what capitalism is.
Uh, yeah I do. I just used an example to explain certain aspects of it, for the second time.
cap·i·tal·ism
an economic and political system in which a country's trade and industry are controlled by private owners for profit, rather than by the state.
Obviously. So we punish the infants by not providing adequate prenatal care.
Providing adequate prenatal care has nothing to do with mothers making bad lifestyle choices. Medicaid already pays for half of all US births/year. Nearly all of those mothers are eligible for Medicaid and therefore prenatal care. (All pregnant women with incomes below 133% of the federal poverty level are eligible for Medicaid.) Way too many of them are still obese, live unhealthy lifestyles, etc., anyway. Hence, the higher than it should be infant mortality rate. Just waving a free health care wand doesn't suddenly make those who refuse to act responsibly somehow magically choose and implement a healthy lifestyle.
Right but the heart surgeon makes a lot more money than the ER doctor. "The worst" physicians don't perform those procedures like heart and brain surgery, the best ones do. And they are compensated more.
Uh, yeah I do. I just used an example to explain certain aspects of it, for the second time.
cap·i·tal·ism an economic and political system in which a country's trade and industry are controlled by private owners for profit, rather than by the state.
Your response shows you know nothing about physician practice. People in medical school make decisions about what field they want to specialize for many different reasons, and money is not one of the top ones. Medical school graduates go through a "match" process at the end of medical school to determine what and where they will do their residency. Residencies last anywhere from three to seven years. For example, a typical neurosurgery residency is seven years.
Beyond residency, a physician must then decide if they will do a fellowship. Fellowships are required for more complex specialties. The length of residencies and fellowships vary based on the complexity. A fellowship can last from one to four years. I've heard of physicians who do more than one fellowship.
The majority of physicians who make the most have sacrificed years of higher earnings to get specialized training. Some physician don't want to or can't afford that type of sacrifice. Some are interested in research, some aren't. Some want direct patient care, others don't. It is not a matter of the best physicians make the most money and the worst make the least. BTW, my son recently completed his fellowship.
Last edited by villageidiot1; 04-03-2020 at 01:00 PM..
To tag along on this solid point, also understand that if you account properly for just one variable - fatal injuries (not related to healthcare) - the US jumps to into the top 3 in life expectancy.
Also, many countries have vastly different measures for infant mortality and how they average infant deaths into the overall mortality stats, and properly controlled for along the very comprehensive measures the US uses, the US moves to #1 in the relative life expectancy rankings worldwide.
Using life expectancy as a measure of your healthcare system is, obviously, a very blunt tool. A much better statistic is disease/injury survival rates, which actually measures the outcomes that are dependent on the healthcare industry.
Your response shows you know nothing about physician practice. People in medical school make decisions about what field they want to specialize for many different reasons, and money is not one of the top ones. Medical school graduates go through a "match" process at the end of medical school to determine what and where they will do their residency. Residencies last anywhere from three to seven years. For example, a typical neurosurgery residency is seven years.
Beyond residency, a physician must then decide if they will do a fellowship. Fellowships are required for more complex specialties. The length of residencies and fellowships vary based on the complexity. A fellowship can last from one to four years. I've heard of physicians who do more than one fellowship.
The majority of physicians who make the most have sacrificed years of higher earnings to get specialized training. Some physician don't want to or can't afford that type of sacrifice. Some are interested in research, some aren't. Some want direct patient care, others don't. It is not a matter of the best physicians make the most money and the worst make the least. BTW, my son recently completed his fellowship.
Thanks, but I actually do know how it works; my sister is a step away from being an MD/PhD and she's not going into it for the money. I admire and respect the heck outta that but no, if I spend 20 years of my life in school I want the big big bucks.
Thanks, but I actually do know how it works; my sister is a step away from being an MD/PhD and she's not going into it for the money. I admire and respect the heck outta that but no, if I spend 20 years of my life in school I want the big big bucks.
The misconception is that these people are in school. My son spent much of his time in medical school, residency, and fellowship as an instructor to younger students. He was being paid during residency and fellowship. It wasn't a huge salary, but he was making more than his sister who is a public school teacher.
The misconception is that these people are in school. My son spent much of his time in medical school, residency, and fellowship as an instructor to younger students. He was being paid during residency and fellowship. It wasn't a huge salary, but he was making more than his sister who is a public school teacher.
She actually does that. She's working but she's learning too. She's researching...infectious diseases lol. She's not paid super well, but I don't believe she has any loans, or if she does they're minimal.
Don't most people graduate with like 200k of medical school debt?
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