My obgyn doc cousin finally gave up her independent practice when after paying her nurse and desk person, and the huge ins premiums, she was taking home less than either of her people while spending a lot more time working than they did.

She took up going to auctions and yard and garage sales, buying various tchotchkes and selling them on ebay sorta part time, and was making more money while "working" about 1/4 as much with no headaches. After awhile she started working for a fat farm/spa sort of place as their resident doc for a salary 3d/wk, no worries, steady income, set her own schedule...

--R

On 5/10/16 4:44 PM, Dan Penoff via Mercedes wrote:
Been that way for years, buddy.

My neighbor in Wisconsin was a pediatrician who had to go into a clinical 
practice because there was no way she could make a living in a private 
practice.  Between the lousy payouts from the insurance companies and the cost 
of malpractice insurance, it’s impossible for a physician to make it on their 
own or in a small practice.

And that was in 1996.

Another friend of ours in the same area was (she’s now retired) an OB-GYN.  She 
did a lot of low income care, subsidized by Medicare. She told me more than 
once if she did it as a community service and couldn’t see how anyone could 
make a living on the lousy fees that were offered for services.

Dan

On May 10, 2016, at 4:30 PM, Andrew Strasfogel via Mercedes 
<mercedes@okiebenz.com> wrote:

Really?  I didn't know doctors were going broke treating patients.  My
sense is that they earn a decent living.

On Tue, May 10, 2016 at 4:07 PM, Buggered Benzmail via Mercedes <
mercedes@okiebenz.com> wrote:

Part of that problem is that many docs are realizing that it is impossible
to cover costs, much less make any money, serving up medicare as the
reimbursements are laughably low.  In rural areas, where there is a dearth
of medical care, you look at a lot of the docs and you will see names that
are not "historically American." These docs seem to have figured out how to
make a go of it, not necessarily by actually providing what they bill for.
I have related in the past the reimbursement for say, a visit to an
oncologist by a cancer patient, and no matter what your view of "health"
care insurance of the gummint type is, you can see it is unsustainable.

As reimbursements decline further due to Obamacare/medicare/singlepayer or
whatever other gummint scheme comes along, you will see no doc offering
services to holders of those plans, or long waiting times to get to the
docs who still do, for some reason.  Oh wait, that is already happening...

"If you like your doctor you can keep your doctor"

"If you like your health [medical] care plan, you can keep your plan"

--R

On 5/10/16 2:53 PM, clay via Mercedes wrote:

WE can all moan about some evil overlord death camp program, but the
reality is that the system is already moving toward providing less than
acceptable outcomes for all ages.  UK NIH has been plagued by crap service
and multiple studies that showed the infirm with co-morbid issues are more
prone to not be given care that would result in extended life spans.  That
is going on even now in the good old US of A.  My own mother is finding
that what used to be easy to book appointments are months out, the doctors
are fewer to be found, treatments are not covered or available, and the
common response is to purchase over the counter solutions and hope for the
best.

clay


On May 10, 2016, at 10:49 AM, G Mann via Mercedes wrote:

Yes, it's very important that we only use Politically Correct language to
lure the unsuspecting people into funding then volunteering for the
government run death camps...

Must not upset the masses with reality.. they might become hard to
control.. How could we run the collective farms and get industrial
production if they became upset or suspected we were going to reward
their
lifetime of labor with short death?

On Tue, May 10, 2016 at 10:11 AM, Andrew Strasfogel via Mercedes <
mercedes@okiebenz.com> wrote:

As long as these end of life discussions are characterized as Obama Death
Squads we won't get anywhere.

On Tue, May 10, 2016 at 12:43 PM, Curt Raymond via Mercedes <
mercedes@okiebenz.com> wrote:

Yup, we in the USA, aren't allowed to have any discussion of the end of
life so far too many people think granny is going to live forever.
Those
people sue their doc when granny dies and thus...
In a similar vein are the people who are surprised when the traffic
light
changes from green to red, a completely predictable action, just like
granny dying. In both cases we should be more surprised when they DON'T
happen than when they do.
-Curt

      From: G Mann <g2ma...@gmail.com>
To: Curt Raymond <curtlud...@yahoo.com>; Mercedes Discussion List <
mercedes@okiebenz.com>
Sent: Tuesday, May 10, 2016 12:41 PM
Subject: Re: [MBZ] fuel cans - spouts

On that note.. I have, in the past 2 months, had two friends who were
caring for their 95 & 97 yr old mothers. Each mother fell and suffered
compound fracture of the upper right arm, just below the shoulder

joint...

brittle bones, age, and osteoporosis, compounded by unstable stance and
fierce independence, in both cases.

One had full coverage insurance... the other something less .. both
were
refused treatment by doctors.. other than to stabilize the arm. Reasons
given did not match the injuries in either case... the underlying tone,
however was, "my medical malpractice insurance won't let me touch this
case" ....

That's what we have litigated ourselves into, folks...

As my Father often said, "You can't legislate common sense."
[The wisdom of 11 terms in House of Representatives.]


|  | Virus-free. www.avast.com  |


On Tue, May 10, 2016 at 9:29 AM, Curt Raymond via Mercedes <
mercedes@okiebenz.com> wrote:

Yes, absolutely yes!
Malpractice lawyers mean that doctors and hospitals absolutely can't

admit

their mistakes so they have to come up with convoluted systems to

"prevent

mistakes" which generally make things worse.
We have to learn to admit that the body is fantastically complicated
and
sometimes things happen. Are some medical errors preventable? Sure. If
granny goes in for surgery at 95 years old and dies its probably not
because of a preventable error and the family shouldn't get any money
for
it. Actually the doc that should get in trouble is the one that put her

in

surgery in the first place.
-Curt

      From: Andrew Strasfogel via Mercedes <mercedes@okiebenz.com>
To: Mercedes Discussion List <mercedes@okiebenz.com>
Cc: Andrew Strasfogel <astrasfo...@gmail.com>
Sent: Tuesday, May 10, 2016 12:25 PM
Subject: Re: [MBZ] fuel cans - spouts

Sure you want to do away with malpractice lawyers?  Third leading cause

of

death is medical errors.

On Tue, May 10, 2016 at 12:06 PM, Buggered Benzmail via Mercedes <
mercedes@okiebenz.com> wrote:

But I repeat myself...
--R

On 5/10/16 12:03 PM, G Mann via Mercedes wrote:

Southern Redneck Crackers
--
--BB


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--
--BB


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--
--BB


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