Dude, you don't seem to understand something

what do you consider "fair" compensation?

I'm talking about paying someone (fully loaded) about 50k...which gives the employee/office manager about 30k...no health benefits thought about in that equation. Thats just about double the poverty line. (don't forget that there's almost 10% goes to gov and there are other costs associated with employment. Or are you trying to tell me that you can pay a quality office manager 15k us because your system is so much better than ours?

Even if my math is off by 10k it doesn't help the equation. You are still talking about a doc needing to mill through 40-50 patients a day to make as much as he/she is paying the office manager to run the office. The office manager has invested a high school education. The doc, 10 years of post graduate. Having them paid equal sounds fair, I guess?

---

Ok, to reality

Now while those rates are, thankfully, not currently representative of the average...it is the office visit rate for medicaid and a lot of state run plans...and it certainly does emphasize that the government run programs place very low value on medical services...so low in some cases that it is not a sustainable model. (or it could be that they know the docs will make it up on charging much more than necessary on privately insured or uninsured patients)

Is it any wonder in a situation like this that there is every reason to over diagnose? If you can't make a living keeping your patients healthy (incurring just wellness visits at 20 per)..then you better make sure they catch something...

And your fine system has the whole wait time issue, which sounds a bit like there aren't enough doctors to meet an "on demand" model (which the folks down here consider "rationing" because we currently have an on demand model).

Over 60% of the country doesn't like what was done here...thats more than there are Republicans...so you can't blame all this discussion on folks like the teabaggers or the "dittoheads". Real, normal, everyday american democrats don't like it either.

Post #324,525 by jake123 4/12/10 3:40:15 PM Reply	Dude, you don't seem to understand something One thing that no lawyer in Canada has to do is to buy health insurance for themselves or their employees. Our insurance rates are a lot lower than yours too. They can do very very well with that level of remuneration, thank you. You're the people living in a broken system, not us.
Post #324,531 by Ashton 4/12/10 4:01:54 PM Reply	..and it is Our Nature to Fight that Fact with every Disney -Land fantasy which shall proclaim We Be Numbah One!!! Forever ..even as the last broken ox-cart wheel runs out of grease just as the underfed ox expires. {sigh} There is no cure for hubris except humiliation. ______________________________________________________________________________________________________________________________________________________ I could almost see voting for Palin in 2012 on the grounds that this sorry ratfucking excuse for a republic, this savage, smirking, predatory empire deserves her. Bring on the Rapture, motherfuckers! -- via RC
Post #324,536 by beepster 4/12/10 5:32:31 PM Reply	would you care to actually say something on topic? Heaven forbid... I will choose a path that's clear. I will choose freewill.
Post #324,535 by beepster 4/12/10 5:31:53 PM Reply	Don't I? what do you consider "fair" compensation? I'm talking about paying someone (fully loaded) about 50k...which gives the employee/office manager about 30k...no health benefits thought about in that equation. Thats just about double the poverty line. (don't forget that there's almost 10% goes to gov and there are other costs associated with employment. Or are you trying to tell me that you can pay a quality office manager 15k us because your system is so much better than ours? Even if my math is off by 10k it doesn't help the equation. You are still talking about a doc needing to mill through 40-50 patients a day to make as much as he/she is paying the office manager to run the office. The office manager has invested a high school education. The doc, 10 years of post graduate. Having them paid equal sounds fair, I guess? --- Ok, to reality Now while those rates are, thankfully, not currently representative of the average...it is the office visit rate for medicaid and a lot of state run plans...and it certainly does emphasize that the government run programs place very low value on medical services...so low in some cases that it is not a sustainable model. (or it could be that they know the docs will make it up on charging much more than necessary on privately insured or uninsured patients) Is it any wonder in a situation like this that there is every reason to over diagnose? If you can't make a living keeping your patients healthy (incurring just wellness visits at 20 per)..then you better make sure they catch something... And your fine system has the whole wait time issue, which sounds a bit like there aren't enough doctors to meet an "on demand" model (which the folks down here consider "rationing" because we currently have an on demand model). Over 60% of the country doesn't like what was done here...thats more than there are Republicans...so you can't blame all this discussion on folks like the teabaggers or the "dittoheads". Real, normal, everyday american democrats don't like it either. I will choose a path that's clear. I will choose freewill.

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