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Silverbird
05-25-2010, 01:30 PM
http://www.msnbc.msn.com/id/37304991/ns/business-forbescom/
Surgeons come up first, but note insurance and education costs.
Next, of course, are CEOs

Bullitt
05-25-2010, 02:13 PM
This article made me wonder. If we're introducing the new healthcare bill, that means some 32 million uninsured will soon be hypochondriacs. We don't have enough doctors. Doctors are not a dime a dozen like 50% of the jobs in our service economy so I continue to wonder what is going to happen. Who will fill those high paying, higher education jobs in medicine?

I'm not trying to make a political point here, I'm just trying to look at this in pure supply and demand economics. The demand will increase, how will the supply of doctors possibly increase without sacrificing quality?

Silverbird
05-25-2010, 02:16 PM
Demand for Drs will rise anyway with the aging population.
Too expensive to become a Dr.
Nurses will take over more and more of the responsibility
There will be more sub-categories of nurses - sure to confuse the heck out of me when I go to the Dr.

That's my two pennies, may be zinc, but there you go.

CountryBoy
05-25-2010, 03:05 PM
Nurses will takeover more of the responsibilities and the 2 nursing schools in my town have lowered the requirements to enter the program and due to the increase in class size the perspective nurses are getting less lab and hospital work experience. Quality of care is also going to be a of concern, along with the reduction in doctor numbers.

Frixxxx
05-25-2010, 03:16 PM
I wonder how much the jobs in India will pay to be on hospital/doctor scheduling help desks?

Hello, thank you for calling Humana, my name is Narishima, I will be the one who guide you through scheduling process, can I have your govt provided ID number to process your request?

If no number, let me pass you to our registration office...please hold and have your Social Security number ready for HARENDRA, who will help you further!

:suspicious:

Silverbird
05-25-2010, 04:23 PM
Dr.'s needing office staffs - well it does feed into the need for them to get paid more. That spawned out of the need for a insurance/finance expert to handle medical transactions and the nurse having too many duties to be office staff too.

Steadygain
05-25-2010, 05:55 PM
Demand for Drs will rise anyway with the aging population.
Too expensive to become a Dr.

Well sweet friend - actually it's not too expensive at all. Gosh the harderst part by far is what I went through. The residentsy is nothing. But they have so many ways of getting it all for 'FREE' simply by working in an area of 'need' for a few years.

Nurses will take over more and more of the responsibility
There will be more sub-categories of nurses - sure to confuse the heck out of me when I go to the Dr.

At this point I have absolutely nothing to hide from anyone. We have Physician Assistants -- who go through all the core HARD training Doctors go through and they are fully licensed to work in all areas of medicine - from OB/GYN to geriactics. Mental Health, Surgery and everything else. They do everything the doctors do and largely way out do every doctor around.

Nurse Practioners -- are RNs that go back for the same training.

Both order tests, take in new patients, diagnose, prescribe, and function exactly as the doctors (if not ususally better)

If I may little Bird -- here's another note I got today and the Receptionists kept ranting and raving about how this patient expressed himself.

'He really thinks You are the MAN ! Said you are absolutely fabulous and really took time with him.'

They told me aside from the note above that he would a thousands times over have me as his 'Provider' instead of the doctor.

That's my two pennies, may be zinc, but there you go.

Well I'm always delighted with your 'two pennies' - but can assure you that many of 'us' who are NOT doctors -- we are the ones they see to straighten out the mess doctors create -- we are the ones that deal with the emergencies -- and I get these kind of notes all the time.

Doctors live for money -- on the whole you're just another number and don't expect any quality time and real connections and the sense of genuine committment -- when you seriously have an encounter with someone that gives you the BEST you'll want to stick with that.

Well -- on that I'll say goodnight to all you out there

and Silverbird -- Tweet tweet tweety tweet tweeet ;):):embarrest:

Bullitt
05-25-2010, 06:03 PM
Good points, but it still doesn't answer the question of specialists. Canadians have to wait 3 months to get an MRI on a sprained knee because there aren't enough doctors- so instead they show up in the US and get it done in a few weeks. (There are other problems in Canada not worth getting into, but basically it's a poster child for why you shouldn't raise taxes and nationalize healthcare.) The nurse answer is a good one. It doesn't require much additional education, but does pay well and can lead to bigger things in a career. Problem is, a nurse won't be able to diagnose or treat the problems of Alzheimers or Arthritis coming down the pipeline as baby boomers get older.

alevin
05-25-2010, 07:52 PM
NP's also still need a supervising physician, and can't admit someone to the hospital on their own say-so, or so I was told many years ago.

XL-entLady
05-25-2010, 10:44 PM
My primary care physician is a supervising physician with 3 PAs and a NP under him. I go to the same PA each month and Karen knows me well enough to remind me to wear my "white kneesocks" for a while when I forget for a few days. Because there are so many PAs in that office, she can spend several minutes visiting with me and picking up clues about how I'm doing in the conversation. And she knows who all my other doctors are, tells me she's going to tell the pain specialist "x" or pass "y" information on to my neurologist.

My former doctor spent 3 minutes with me and shoved me out the door on his way to the next patient. Love those NPs and PAs!