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Discussion in 'Political Issues' started by snerd, Jun 17, 2012.
Read it and weep...............
Thinking of getting a masters in Hospital Administration. Obamacare will cause an explosion in those jobs. It's probably not going to be pleasant to be on the "Managed" end. There are a lot of physicians I know, some of them third generation physicians, that are advising their kids to go into other fields.
My wife is an RN. MANY of the physicians she works with are seriously contemplating hanging it up.
so many things hinge on this disaster being overturned, the announcement cant come soon enough
One more 'unintended consequence' of hopium and unicorns ....
Yup. Imagine that. Government regulation causing an explosion in overhead.
Sure. It'll get cheaper that way.
I guess the remaining 17 percent are the dedicated bureaucratic socialists...
There is a certain % of physicians who are as you describe, no doubt.
Those are three SEPARATE office staffs in the facility I work in. Funny thing is, I'm not seeing any processes improved, systems redesigned or quality management. From my perspective, it seems like they develop a plan, then hold onto it for dear life until FORCED to implement it. I think they think that if they implement it, they will lose their plan, and have to come up with another. We have one clinic so cramped for space, that it's not uncommon to see Doctors searching for a room to see patients in. I've actually had to see patients in the admin office behind the clerk's desk because there was simply no where else to see them. So we came up with a plan, move a physical exam clinic off the same floor to pre-fab buildings, and expand the clinic into that space. That was the plan FOUR YEARS ago. The physical exam clinic moved off the floor 3 months ago, and my clinic has not been able to occupy the empty space yet, because they don't have enough desks and computers.......
I've never seen an organization drive at 90 miles an hour while looking in the rear view mirror before. ......
Doc -- I sincerely believe that perpetuation of the bureaucracy is the raison d'etre for the majority of upper-level managers currently occupying their federal offices. It's all about empire-building, and justifying the personnel for a bigger budget which, in turn, justifies more personnel. It's the classic vicious cycle.
I know of one such federal manager who toured the countryside enlisting support from potential customers for a software system that would cure all their processing ills. The problem is, he spoke in such a way as to convince people that the system actually existed. It only existed as a cloudy notion in his political mind, and a couple of PowerPoint slideshows. And it didn't matter to him if that system would ever exist. He built an entire office, staffed with some pretty high-level personnel, around this mythical system.
Now -- just extrapolate this type of behavior across the entire spectrum of the government...
If only I had the scalpel, I know where to cut the budget.
Doctors are already quitting or going into a concierge type of service.
Wait, Royal Pains is a real thing?
I don't know what Royal Pains is but here is a wiki page about concierge medicine.
Concierge medicine is a stellar example of how inexpensively and efficiently day to day healthcare can be administered in the absence of Medicare and medical financing (traditional insurance).
Yep, that's pretty much it. Of course, being television, they made sure it takes place in the Hamptons where everyone is loaded, implying this kind of care is only for the rich and famous. You regular schmucks get to wait in line at the new BMF (Bureau of Medical Frustration.)
The system is already being "managed" by insurance companies. It's a major headache for doctors' offices to contend with the multiple entities. Consolidating into a single-payer system would bring about a reduction of overhead.
Too bad so many people can't afford it.
So after they quit, where will they go to make a comparable income?
Where I live, so many people are on Medicare that doctors are already well-adjusted.
Oh, I know exactly what a single payer government run system looks like. Outside of the military, it's an open invitation to fraud.
I could tell you stories that would make your hair stand on end, about managers manipulating reports to get larger bonuses, and even the OIG doesn't care. Patient consults left without results, well over a thousand of them, from multiple medical specialties that are over 2 years old. Noting urgent, just things like radiation oncology, breast biopsies and cardiac caths.
Trust me, you don't want to go there.