Private practice does not make you an excellent doctor, working for a hospital does not make you a bad one.
There are good And bad docs in both settings.
There are good And bad docs in both settings.
Painful Cuts Coming to Pain...Elections Have Consequences
- Thread starter drusso
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How many HOPDs have been shut down for pills-for-shots operations? Genuinely curious.
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Lee Health pays $12.7 million to resolve self-reported claims violations with federal government
Lee Health says it "self-disclosed" potential errors with claims from 2011 to 2018 and that "there are no financial impacts to patients."
www.news-press.com
Providence to pay $22.7M to settle unnecessary spine surgery allegations
Providence Health & Services Washington will pay $22.7 million to resolve allegations it defrauded federal health programs with unnecessary spine surgeries.
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud - KFF Health News
Investigators allege a Texas company that arranges spine surgery and other medical care for people injured in car crashes accepted bribes in violation of 1960s-era racketeering law.
khn.org
Dallas hospital owner pleads guilty to bribing spine surgeons in $200M healthcare fraud scheme: 9 things to know
As the trial against Dallas-based Forest Park Medical Center approaches, the hospital's co-founder and manager Alan Beauchamp agreed to plead guilty to bribing physicians to perform high volume and lucrative surgeries, according to The Dallas Morning News.
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If you don't know the business from the bottom up, you don't know s hit.
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There's nothing really unique about HOPD settings. Administrators can shield docs from their HOPD's $$$$ obsession but don't fool yourself into thinking you've got the high road.
It's always about money to some extent. It could be greed or maybe it's just to keep the lights on.
It's always about money to some extent. It could be greed or maybe it's just to keep the lights on.
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Agreed! Again, I never said working in private practice makes one an excellent doctor. As you said, there are excellent ones in both settings.
My entire point is if one is working on Kaiser/VA/academics and is excellent there is no significant and meaningful additional financial reward. In private practice however, the income ceiling is much higher and excellence may be matched with higher income.
I personally evaluate those in academics as excellent with how many people they’ve mentored, quality of manuscripts, way they treat trainees, advance the field at conferences, educate other departments about pain, and work on policy at the local and national level.
We need both private practice and non private practice.
Why is this controversial?
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It's controversial because it's the truth. It's also not politically correct to ascribe success to individual effort and diligence. Instead, the theology of the Left and the Church of the Woke revolves around the "You did not build that" doctrine. All fruits of individual success are to be collectively shared.
Do you have a successful private practice? That's not "excellence;" that's just a coincidence. If you're from certain racial/ethnic/socioeconomic/gender groups, your excellence and success is not to be celebrated at all. Instead, it is to be ridiculed, confiscated, and ultimately redistributed to the less privileged, more oppressed, and more deserving.
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You forgot to mention my favorite ones:Lee Health pays $12.7 million to resolve self-reported claims violations with federal government
Lee Health says it "self-disclosed" potential errors with claims from 2011 to 2018 and that "there are no financial impacts to patients."www.news-press.com
Providence to pay $22.7M to settle unnecessary spine surgery allegations
Providence Health & Services Washington will pay $22.7 million to resolve allegations it defrauded federal health programs with unnecessary spine surgeries.www.beckersspine.com
Federal Investigation Into Spine Surgeries Uses Mob Laws to Target Health Care Fraud - KFF Health News
Investigators allege a Texas company that arranges spine surgery and other medical care for people injured in car crashes accepted bribes in violation of 1960s-era racketeering law.
Dallas hospital owner pleads guilty to bribing spine surgeons in $200M healthcare fraud scheme: 9 things to know
As the trial against Dallas-based Forest Park Medical Center approaches, the hospital's co-founder and manager Alan Beauchamp agreed to plead guilty to bribing physicians to perform high volume and lucrative surgeries, according to The Dallas Morning News.
Bringing in homeless people to trade procedures for a meal and a warm room. Once the claims are generated, toss them in an ambulance and dump them right out again on the street.
3 hospitals accused of using homeless for fraud
On a Sunday afternoon two years ago, five homeless people being dropped off on Los Angeles' skid row by an ambulance caught the attention of police officers.
www.latimes.com
Fraud ring alleged at Chicago hospital
A health-care fraud ring lured hundreds of patients into Edgewater Medical Center on the North Side for unnecessary tests and procedures that were paid for by government and private insurers, feder…
www.chicagotribune.com
...but I agree that there are definitely plenty of bad rotten apples in private practice. Probably even me, lol.
Frankly anyone who supports Ayn Rands philosophical ideas/objectivism has no business being a physician. Y’all would make great car salesmen though.
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As silly as a newbie here telling drusso he has no business being a doctor.
We believe in freedom of expression and freedom of speech. And sarcasm. Lots of sarcasm. If you disagree you should do so comedically, passive aggressively, or intelligently.
Column: This is what happens when you take Ayn Rand seriously
The core of Ayn Rand's philosophy is that unfettered self-interest is good and altruism is destructive. So what if we indeed allowed ourselves to be blinded to all but our own self-interest?
www.pbs.org
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A physician completely opposed to ayn rand doesn’t belong in private practice.
You might want to consider a university position or practicing in a socialized medicine country.
An experienced physician with the British national health service is paid 100-105K per year. Does that better align with your world perspective?
Personally I don’t feel that income level is worth the sacrifice in years, stress, debt, and your twenties, required to become a specialist physician.
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Which dispute about Objectivism do you think has the best merit? We invite you to the next book club, where we examine each criticism.
Probably the most controversial parts of Objectivism are these five claims:
(1) Reality is objective.
(2) One should always follow reason and never think or act contrary to reason. (I take this to be the meaning of "Reason is absolute.")
(3) Moral principles are also objective and can be known through reason.
(4) Every person should always be selfish.
(5) Capitalism is the only just economic system.
It is in holding to these five propositions that Rand's philosophy most contrasts with the prevailing philosophical attitudes of our culture. Our current intellectual culture is shot through with collectivism, irrationalism, and subjectivism.
This is bound to make my disagreement with Objectivism seem small, at least to most non-Objectivists: I agree with 1, 2, 3, and 5. In fact, I regard each of those propositions as either self-evident or else provable beyond any reasonable doubt through philosophical argument and (in the case of #5) historical evidence. I would even go so far as to say that the continuing resistance to these facts is due essentially to evasion. And I regard #1 as so obvious as to be beneath a philosopher to argue.
Thus far the Objectivists and I are in agreement. But that is not enough to constitute a whole philosophy.
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Just out of curiosity, which book of Ayn Rand did you not like? I'm interested in hearing more about why you feel that way.
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yes, and i agree... for the most part.
but i was confident that someone would comment how it was.
when we treat patients, we are doing excellence in medicine.
when docs run an office practice, that is excellence in $$$.
can you be excellent as a physician and that gives good referrals and that ultimately makes money? yes, but that is still excellence in medicine and the money is a secondary benefit.
Do you have to pay for college and medical school in England? Does a med school grad have any debt over there?
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Seriously. F biden. And all the libtards. SO GLAD Pelosi is GONE! And I hope AOC loses her position as well. Down with them all.
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We have a "fiduciary duty". Thats the bs they feed us and just expect us to eat $6it perpetually. What do you suggest? A union?
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Must suck to be this bitter.
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What percentage of your portfolios are going into the Donald Trump NFTs he announced yesterday?
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Too late, all sold out.
You enjoy getting raped by govt as long as they say nice things? Sounds like he doesn’t. Me neither.
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Bit of a non sequitur there. I've never heard anyone above the age of 22, yet alone a physician, use the term "libtard."
That’s cause most 22 year olds are programmed to think the way liberals do..especially the castrated men. The youth will make wonderful prototypes for ultimate AI takeover. Especially “this is what the male robot is supposed to say and think and do..”
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If it makes you feel better, your grandparents and parents thought your generation sucked, too. Being disappointed in "the youth" if a tradition as old as time. The practice literally pre-dates Christianity.
Yup totally agree..we are moving closer and closer to becoming selected against. If you look at the data out there on the high infertility rates globally in men..nature is trying to tell us..it’s the end of the line peeps
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Yeah but never before have 22y/o's been infantized to this extent. Colleges now have "safe zones" where the children can remain safe from anything that may trigger them. They're basically day care centers now.
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One of my favorite quotes:
"The children now love luxury; they have bad manners, contempt for authority; they show disrespect for elders and love chatter in place of exercise. Children are now tyrants, not the servants of their households. They no longer rise when elders enter the room. They contradict their parents, chatter before company, gobble up dainties at the table, cross their legs, and tyrannize their teachers."
-Socrates 470 bc
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99.9% of the four billion species on Earth have gone extinct. Odds are definitely not in our favor.
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We are not allowed to cross our legs now? Wtf socrates?!?
Seriously though, why would a society based on productivity really want to deal with humans and their susceptibility to illness and lost production when the great majority of our jobs are based on what you can do today. You think your patients really care whos gonna do their shot? I bet you can convince even the older patients to have Elroy do your shot. There is a ton of waste in healthcare and a lot of it is based on human need…oh my kid is sick, oh my parent is sick, oh my kid broke his arm jumping up like an dingus, lost production. Can’t a robot spew out “well madam you’ve tried PT and nsaids, and your mri shoes a disc herniation so let’s inject it.” And that robot won’t have to worry about Tripledemic. It will just be ready to do a precise injection without needing Dunkin’ Donuts in the morning… and the story goes on and on.
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Saw this posted by my rheumatologist former nurse on IG. For those in the echo chamber, she is South American.
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Very expensive day cares, too.
can we put a cap on Godwin at which point the thread gets shut down? or at least has a "godwin" dislaimer on it?
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Too bad that you’re offended by the truth.
So you try to shut down any discussion that isn’t what you believe??? Typical liberal MO
No one suppresses free speech like democrats.
I will laugh out loud in the future whenever I hear a liberal say that they support free speech
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Aren't you the big Elon fan? How's his "free speech platform" working out? Didn't he just ban a bunch of journalists?
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What always cracks me up is the left/media's complete misuse of the term, "fascism". Fascism, by definition, implies prioritization of the State over the individual. You can't have fascism in a society where individualism reigns supreme. It's true that racism is often a component of fascism but it's not the critical component, nor are the terms interchangeable. A "racist" government is not necessarily a "fascist" government.
Nowadays, we have a bunch of liberals running around saying they're fighting fascism on behalf of the State. It's pretty hilarious when you think about it. But it's a shame what has happened to the once-promising brains of these people.
Nowadays, we have a bunch of liberals running around saying they're fighting fascism on behalf of the State. It's pretty hilarious when you think about it. But it's a shame what has happened to the once-promising brains of these people.
But let back on the my pillow guy
Eyeroll.
If you look back in this thread, this the second or third time someone has alluded to hitler.
Godwins law.
Im not trying to 'suppress' anyone FFS
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It was a 2 day suspension. Maybe it was an overreaction from Musk but overall, I think he's improving Twitter.
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I like that Twitter gives you direct access to sources, rather than "reporters" presenting what they want you to hear.
Actually, it wouldn't be a bad thing if there were zero reporters on Twitter.
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What’s really telling is what’s been revealed in the Twitter files. The FBI and CDC worked directly with Twitter employees to ban accounts of individuals they deemed were a threat to their narrative. Other individuals who didn’t toe the line were also shadow banned including anyone who questioned Fauci, masks and lockdowns. Everyone should be very concerned with this recent information.
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dont get me started.....the scary part is that every big tech company is the same, and some are bigger. Google, etc. Twitter banned Trump but not Muslim extremists preaching violence and war. The big networks still arent covering it.
Musk bought himself a democrat superpac. He's smart to be afraid of assassination.
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Exactly. Who’s been pimping socialized medicine for the past two decades? Sure as heck wasn’t the republicans… they tried to squash it
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As physicians, we are in a protected market. If you consider how well most of us would be doing in other industries, you have to ask yourself why physicians and patients are constantly dissatisfied with the business aspect of healthcare.
If it weren't for the political sabotage that occurred with the introduction of Medicare and the widespread imposition of healthcare insurance into our system - all consequences of the outrageous "healthcare is a right" movement - patients would have more choices to receive high quality care at a competitive price and hospitals would be competing for business.
If it weren't for the political sabotage that occurred with the introduction of Medicare and the widespread imposition of healthcare insurance into our system - all consequences of the outrageous "healthcare is a right" movement - patients would have more choices to receive high quality care at a competitive price and hospitals would be competing for business.
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you do not remember nor have you chosen to look at history of "healthcare" prior to Medicare, particularly for the elderly.
www.ncbi.nlm.nih.gov
if course, i am not that old to know first hand what it was like prior to Medicare, but when i was a teen, it was common knowledge that Medicare made such a big difference to the lives of the elderly.
here is another interesting read.
www.ncbi.nlm.nih.gov
oh yes, and Medicare was a bipartisan program with roughly 50% of the house Republicans voting for it.
www.senate.gov
Medicare: 35 Years of Service
www.ncbi.nlm.nih.gov
if course, i am not that old to know first hand what it was like prior to Medicare, but when i was a teen, it was common knowledge that Medicare made such a big difference to the lives of the elderly.
here is another interesting read.
Health Care in the Early 1960s
www.ncbi.nlm.nih.gov
oh yes, and Medicare was a bipartisan program with roughly 50% of the house Republicans voting for it.
U.S. Senate: Medicare Signed into Law
1964: Medicare Signed Into Law -- July 30, 1965
somebody said this recently... i cant remember who it was........
"The other thing that annoys me to no end about ssdoc's claims is that not everyone views "success" in the same way.
Someone who decides to be a mother and raise children is not a "low achiever" or some kind of victim of our society's "inequity". It's a rather despicable view imo."
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This comment about "making it" is obviously coming from and directed to those of us who share similar aspirations, ie successful, prosperous business practices.
I would condemn you or anyone else who imposes those aspirations on the stay at home moms or other non-CEOs who have balanced and fulfilling lives.
