NYTimes article about OB anesthesiologist errors

[Lashler9054]

So your thought is if Medicare/Medicaid paid physicians more White people would actively try get on it and /or lower reimbursement because racism?

I don't follow

my thought is that if medicare/medicaid paid physicians more, people would revolt. they would see themselves as hardworking taxpayers paying for better care for lazy people not pulling themselves up by their bootstraps. so, they would elect officials that would lower medicaid funding. this is similar to repealing ACA. that is most likely scenario. There wouldn’t be any racist buzzwords but think of who is on medicaid now.

if medicare/medicaid pays more, you will get better facilities, higher pay, and better providers in areas with higher medicare/aid mix. Those cush ASCs that take private insurance now would prioritize medicare/aid. people who don’t have it would try to get it

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[PpfSuxTube]

Kind of a sobering document. They really hammered him about documentation. Not defending his care at all but they can hang all of us on “documentation”. Especially those still using paper records….

He had epic though!!
Honestly this guy sounds like he didn't have any anesthesia training whatsoever

A 34 cm epidural...
What the...

 

[Drwine]

Very true.

Pay physicians more to work and you will get a higher quality physician.

It's a basic premise that the government and hospital admin refuses to entertain.

Who else is going to work in a crappy hospital with crap infrastructure unless you have no other options?

The other thing this shows is that physicians are not replaceable widgets. Most are well trained but some docs are more skilled than others. It would behoove a health system etc to hang onto these better skilled docs instead of antagonizing them and thinking you can just replace them with another warm body.

In US medical schools there is variability from the best to worst students but where he came from the variability between the best to worst is magnified many times and it is not just true in medicine but in other fields.

 

[anbuitachi]

He had epic though!!
Honestly this guy sounds like he didn't have any anesthesia training whatsoever

A 34 cm epidural...
What the...

he documented 10cm in his procedure note. autopsy they found it at 34cm... it mustve migrated during the CPR... =\

In US medical schools there is variability from the best to worst students but where he came from the variability between the best to worst is magnified many times and it is not just true in medicine but in other fields.

huge variability. USA honestly has a low threshold for foreign grads to practice medicine compared to other countries. they accept MD from everywhere, even if the 'MD' is a just a bachelors major in their home country.

someone can easily do a study looking at previous lawsuits/fraud etc and compare where they graduated. but seems like no one will bc its a "taboo" topic.

 

[dannyboy1]

he documented 10cm in his procedure note. autopsy they found it at 34cm... it mustve migrated during the CPR... =\

huge variability. USA honestly has a low threshold for foreign grads to practice medicine compared to other countries. they accept MD from everywhere, even if the 'MD' is a just a bachelors major in their home country.

someone can easily do a study looking at previous lawsuits/fraud etc and compare where they graduated. but seems like no one will bc its a "taboo" topic.

Guy was in his 60’s. Makes no difference at that point where he went to med school. Should have learned in residency

 

[anbuitachi]

Guy was in his 60’s. Makes no difference at that point where he went to med school. Should have learned in residency

MD school weeds out a lot of incompetence. not everyone learn equally from residency