WSJ: Doctors More Likely to Be Democrats Now...

[drusso]

I've certainly experienced this shift in my lifetime and practice career...and have seen the shift happen in Pain Medicine too.

Doctors, Once GOP Stalwarts, Now More Likely to Be Democrats

The historic shift, driven by changes in the business of medicine and women entering the profession, comes with the overall movement of college-educated people to the Democratic Party. The realignment is changing where physicians live and work, how they treat patients and how they influence the...

www.wsj.com

"Doctors used to be America’s quintessential Republicans. During the 20th century, most were high-earning men who owned their own practices. They liked Republicans’ support for curbing medical malpractice lawsuits and limiting government’s role in health care."

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[deleted941485]

They were quintessential republicans because they owned the practice and made good money.

Now they make less, sold their practice or more likely are pretty much forced to work for someone else and now all these poor pissed off minorities and women that probably have lots of debt are making their way through the medical education system and will never experience any of the good professional and personal rewards of being a physician. So naturally they vote democrat, to pay off their loans, punish the male hierarchy, and secure equal pay (which is the cruelest joke that will be played on them going forward). They busted through the glass ceiling into the promised land only problem is its filled with frustration, angst, lack of power, and endless nonsense. Sorry guys and gals its been drained dry im so sorry.

OR Doctors just dont like Trump: I know plenty of stalwart repubs that just don't like him on any level so theres that too

 

[hyperalgesia]

This doesn't surprise me at all. Docs nowadays are some of the most complacent and malleable people I know.

I think they basically have Stockholm Syndrome toward the government and insurance companies.

 

[Doctodd]

fake news....not sure how anyone can support the most corrupt politicians on our planet. I guess if i could get a gig on a Ukrainian Energy Company Board like the Pelosi and Kerry and Biden and Romney kids, i might be persuaded to change my mind.

 

[Ducttape]

fake news....not sure how anyone can support the most corrupt politicians on our planet.

yes... exactly. so why are you still supporting Trump?

 

[pmrmd]

fake news....not sure how anyone can support the most corrupt politicians on our planet.

yes... exactly. so why are you still supporting Trump?

Because Trump is less corrupt than Democrats, obviously.


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[Baron Samedi]

Republicans have someone convinced half the population that poor people are taking all the money.

 

[SSdoc33]

Because Trump is less corrupt than Democrats, obviously.


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SMH

so, 2 weeks ago, i legitimately did believed that trump was the most likely candidate to win in 2020. now, im not so sure. its a toss up. is it about time to start looking into nikki haley's health care stances?

 

[pmrmd]

SMH

so, 2 weeks ago, i legitimately did believed that trump was the most likely candidate to win in 2020. now, im not so sure. its a toss up. is it about time to start looking into nikki haley's health care stances?

If Democrats has a viable candidate, maybe. We have A) a previous VP running on the tails of a donothing predecessor, B) a senator that lied to advance her career and thinks a federal program is the answer to all ills, and C) an aged socialist curmudgeon hypocrite that needed and benefitted from a cardiovascular procedure through the healthcare system he despises.

With respect to the original topic we should all lament that physicians have become the marionettes of hospital MBAs instead of devolving into Trump bashing. Maybe you are self-employed and maybe you aren’t but we all should see the profession has been undermined by government, especially since 2008.


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[Dusn]

Trump Seeks Proposals on Medicare Pay for NPs, PAs

An executive order signed Thursday adds to an expanding reconsideration of how Medicare pays different kinds of healthcare professionals.

www.medscape.com

And Trump just signed an executive order stating that medicare reimbursement for physicians, NPs and PAs should be the same and that the requirement of physician supervision for NPs and PAs should be removed. Thoughts?

 

[SSdoc33]

If Democrats has a viable candidate, maybe. We have A) a previous VP running on the tails of a donothing predecessor, B) a senator that lied to advance her career and thinks a federal program is the answer to all ills, and C) an aged socialist curmudgeon hypocrite that needed and benefitted from a cardiovascular procedure through the healthcare system he despises.

With respect to the original topic we should all lament that physicians have become the marionettes of hospital MBAs instead of devolving into Trump bashing. Maybe you are self-employed and maybe you aren’t but we all should see the profession has been undermined by government, especially since 2008.


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way to take the high road.....

i do agree with your overall points that the leading democratic candidates have major major flaws, and that there is too much administrative BS in medicine.

 

[deleted480308]

Trump Seeks Proposals on Medicare Pay for NPs, PAs

An executive order signed Thursday adds to an expanding reconsideration of how Medicare pays different kinds of healthcare professionals.

www.medscape.com

And Trump just signed an executive order stating that medicare reimbursement for physicians, NPs and PAs should be the same and that the requirement of physician supervision for NPs and PAs should be removed. Thoughts?

If they don’t have to be supervised, then they have to produce on their own two feet alone in terms of outcomes. They will be crushed under their own ambition

 

[Dusn]

If they don’t have to be supervised, then they have to produce on their own two feet alone in terms of outcomes. They will be crushed under their own ambition

My experience has been that the mid levels (or optoms in my specialty) will see the patient, bill and then consult a specialist and order every test in the book. It’s hard to miss much with that approach. They also only have to answer to their own medical board and what is considered reasonable standard of care for a mid level (not a physician)

Unfortunately, regardless, this unnecessary executive order will lead to physician reimbursements declining to the level of the mid levels and further undermining of our profession and training.

 

[SSdoc33]

If they don’t have to be supervised, then they have to produce on their own two feet alone in terms of outcomes. They will be crushed under their own ambition

are you so indoctrinated that you even can't criticize this ludicrous policy?

 

[deleted480308]

are you so indoctrinated that you even can't criticize this ludicrous policy?

I’ve been so hard on midlevel independence here that mods have messaged me about it. I don’t think they are qualified.

I don’t like the govt declaring some interchangeable quality between us at all. I would prefer a non-licensed by govt free market approach, but if the govt is going to take up professional licensing in medicine I oppose them pretending a midlevel is trained enough to be equivalent. That being said, when everyone starts believing we all get paid the same, no one will put up with midlevel independence. The whole point of them now is that they save money for the employer

 

[Baron Samedi]

It used to be that to be a doctor you could just say you were a doctor.

Then it used to be that to be a doctor you had to follow around another doctor for a bit.

Then it used to be that to be a doctor you had to go to a college and get a degree.

Then it used to be that to be a doctor you had to go to a special school and get a special degree.

Then it used to be that to be a doctor you had to go do an internship after that special school.

Then it used to be that to be a doctor you has to go do additional special training after that internship lasting between 2-7 years depending on what specific aspect of medicine you wanted to practice.

Now we have decided little of that matters and going to school for a couple years is enough.

I think we will see some issues going forward.

 

[Ducttape]

Because Trump is less corrupt than Democrats, obviously.

fixed it for you.

regarding NP and PAs:
the most amusing aspect of this, I have found, is that you ask an NP or PA if they wouldn't mind being seen at the pain clinic by a similarly trained individual and the answer to a person is "absolutely not. im here to see the doctor."

 

[Doctodd]

If the money the politicians’ family members are making is true, without any experience whatsoever, anyone can totally see why Trump wanted to be president.

Which brings me back to the fact that despite all the smoke and mirrors and propaganda news, politicians become rich from politics.

 

[Doctodd]

SMH

so, 2 weeks ago, i legitimately did believed that trump was the most likely candidate to win in 2020. now, im not so sure. its a toss up. is it about time to start looking into nikki haley's health care stances?

Based on what?

 

[geauxg8rs]

medical schools today are trying to fill their classes with idealized democrats. Not the case decades ago

 

[Gauss]

this thread will self destruct in... 5...4...

 

[Agast]

Ah yes, I remember my medical school personal statement well:

“Ever since I was a little girl, I knew I wanted to be a doctor so that I could help people. But only rich people with good insurance. The rest of you can **** off.”

 

[hyperalgesia]

SMH

so, 2 weeks ago, i legitimately did believed that trump was the most likely candidate to win in 2020. now, im not so sure. its a toss up. is it about time to start looking into nikki haley's health care stances?

This impeachment move is Mueller Lite. You'll be happier when you stop falling for this BS.

Dems could beat Trump if they had a good candidate.

It's a good year for a 3rd party candidate like Bloomberg.

 

[lobelsteve]

This impeachment move is Mueller Lite. You'll be happier when you stop falling for this BS.

Dems could beat Trump if they had a good candidate.

It's a good year for a 3rd party candidate like Bloomberg.

Or Starbucks guy

 

[Dusn]

I'd go with Justin Amash if he ran on the Republican side. Unfortunately so many Republicans get off on Trump that no one sensible has a chance. I'll probably go with Biden. For me, "a do-nothing" is a positive, not a negative characteristic in a politician.

 

[geauxg8rs]

I'd go with Justin Amash if he ran on the Republican side. Unfortunately so many Republicans get off on Trump that no one sensible has a chance. I'll probably go with Biden. For me, "a do-nothing" is a positive, not a negative characteristic in a politician.

In this sense as a conservative I like one party president and opposing party in congressional control. Gridlock is good.

 

[deleted941485]

In this sense as a conservative I like one party president and opposing party in congressional control. Gridlock is good.

Honestly I’m tired of presidents and politicians with a “vision” for the country.It always sounded like a joke and there so many ways in which they invariably end up lightening my pockets.

 

[Doctodd]

Honestly I’m tired of presidents and politicians with a “vision” for the country.It always sounded like a joke and there so many ways in which they invariably end up lightening my pockets.

Unless you were double dipping your deductions in a northeast state, our current tax plan has filled everyone else’s pockets. Plus no more Obamacare fine.

 

[deleted941485]

Unless you were double dipping your deductions in a northeast state, our current tax plan has filled everyone else’s pockets. Plus no more Obamacare fine.

Meh. That’s a pretty broad accusation to make plenty of above board individuals still get screwed on it but bear it.

Anyway whatever I saved in taxes went right out the door when my hospital renegotiated my contract so in a way it really hasn’t been a shower of prosperity.

 

[SSdoc33]

re: pulling troops out of syria

"As I have stated strongly before, and just to reiterate, if Turkey does anything that I, in my great and unmatched wisdom, consider to be off limits, I will totally destroy and obliterate the Economy of Turkey (I’ve done before!). They must, with Europe and others, watch over... "


this is your golden calf? wake the eff up.


how long until we find out that this latest trump move was done after he cut a deal with turkey to somehow benefit himself financially or politically? trump has proven time and time again that he does what is in his best interest, rather than what is in the best interest of the country.

 

[Dusn]

The tax plan decreased taxes by increasing our debt. Trump's like an irresponsible teenager with his first credit card.

During a recession it is reasonable to increase spending and cut taxes to stimulate the economy. In the economic boom that Trump inherited, you need to do the opposite: save up so that you have a reserve for the next recession. Unfortunately Trump has just proven for all future politicians that cutting taxes and increasing spending and debt = popularity. Free money for everyone!

 

[bronx43]

The tax plan decreased taxes by increasing our debt. Trump's like an irresponsible teenager with his first credit card.

During a recession it is reasonable to increase spending and cut taxes to stimulate the economy. In the economic boom that Trump inherited, you need to do the opposite: save up so that you have a reserve for the next recession. Unfortunately Trump has just proven for all future politicians that cutting taxes and increasing spending and debt = popularity. Free money for everyone!

Don’t you worry. Increased stimulus is bipartisan at this point. No matter who wins in 2020 or 2024, unbridled spending will occur at the federal level.

 

[Dusn]

Yup. Except the democrats seem a little slow and haven't figured out what Trump's just shown them: you don't need to increase taxes to increase spending. Imagine how popular Bernie would be if he promised all the free stuff he promises AND lowered everyone's taxes! Trump would have to counter with.... no taxes, a negative interest rate, and free hamberders for everyone!

 

[Ducttape]

Trump is reportedly not worried about a massive US debt crisis as he'll be out of office by then

US debt stands at about $21 trillion, and the federal government is expected to add $1.34 trillion this year — its most since 2010.

www.businessinsider.com

 

[hyperalgesia]

Trump is reportedly not worried about a massive US debt crisis as he'll be out of office by then

US debt stands at about $21 trillion, and the federal government is expected to add $1.34 trillion this year — its most since 2010.

www.businessinsider.com

Liberals feel like social programs are worth more debt. Conservatives feel that way about the military.

Both recognize that cutting significant spending will decrease GDP and will be politically damaging.

Both recognize that the US prints the world's currency.

So here we are...

 

[Ducttape]

Other repub presidents with the exception of the current one were at least cognizant of the risks of debt. Reagan acknowledged it even while significantly increasing the deficit.

this current one doesnt care about the country or the problems that he will leave it with.

 

[Doctodd]

how long until we find out that this latest trump move was done after he cut a deal with turkey to somehow benefit himself financially or politically? trump has proven time and time again that he does what is in his best interest, rather than what is in the best interest of the country.

Might as well since all the Democrats do it.

Btw how come Democrats are against fossil fuels but every one of them has a family member on a Ukrainian energy company board?

 

[pmrmd]

Other repub presidents with the exception of the current one were at least cognizant of the risks of debt. Reagan acknowledged it even while significantly increasing the deficit.

this current one doesnt care about the country or the problems that he will leave it with.

Hopefully you aren’t suggesting the previous administration was more fiscally responsible or the next possible Democrat will be. How much is the debt service today on the 10t of debt added between 2009 and 2017? There didn’t seem to be a lot of caring then either.


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[Doctodd]

Other repub presidents with the exception of the current one were at least cognizant of the risks of debt. Reagan acknowledged it even while significantly increasing the deficit.

this current one doesnt care about the country or the problems that he will leave it with.

It’s always easy to spend other peoples money.

Trump was wealthy before he set foot in DC. The others were paupers and have all become multi-millionaires after their stints in DC.

We could go thru hundreds of politicians on both sides of the isle who made hundreds of millions of dollars once in DC. So far as I know, Trump is the ONLY one that has donated his salary to charity. $450,000 per year. What did Obumbler do with his salary? How much did Biden contribute to charity? How much did Hillary steal from charity via the Clinton Foundation? So please stop your whining about how he self enriches.

 

[epidural man]

If Democrats has a viable candidate, maybe. We have A) a previous VP running on the tails of a donothing predecessor, B) a senator that lied to advance her career and thinks a federal program is the answer to all ills, and C) an aged socialist curmudgeon hypocrite that needed and benefitted from a cardiovascular procedure through the healthcare system he despises.

With respect to the original topic we should all lament that physicians have become the marionettes of hospital MBAs instead of devolving into Trump bashing. Maybe you are self-employed and maybe you aren’t but we all should see the profession has been undermined by government, especially since 2008.


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Uh...they do. Andrew Yang. Even Tulsi sounds awesome.

 

[deleted480308]

Uh...they do. Andrew Yang. Even Tulsi sounds awesome.

Yang? You like him?

 

[Ducttape]

Hopefully you aren’t suggesting the previous administration was more fiscally responsible or the next possible Democrat will be. How much is the debt service today on the 10t of debt added between 2009 and 2017? There didn’t seem to be a lot of caring then either.


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the current administration has no intentions at all of fiscal responsibility. that is far worse than any other administration, ever.

doctodd as always misses the big picture, purposefully. so he donates $450,000 per year. how much is he benefitting from being president? Millions.

Trump's Biggest Potential Conflict Of Interest Is Hiding In Plain Sight

More than 150 Trump tenants--from foreign governments to big banks--throw the president's business some $175 million a year without an accounting of who they are or how much they pay. Until now.

www.forbes.com

Much of the yammering in this area surrounds Trump's hotels, especially the one in Washington, D.C., which has billed $268,000 in hotel rooms and catering to the Saudi government,

that's all small potatoes. The real money in the Trump empire comes from commercial tenants like the Chinese bank. Forbes estimates these tenants pay a collective $175 million a year or so to the president. And they do so anonymously.

and btw, Obama didn't donate his salary but he donated much more to charity during his time in office.

Does Trump Donate All of His Presidential Salary, While Obama Donated None?

An Internet meme made misleading comparisons between presidential donations and the sizes of the first ladies' staffs, calling the Trumps "givers" and the Obamas "takers."

www.snopes.com

Former president Barack Obama, on the other hand, did not convert his entire presidential salary into donations (nor did he promise to), but it’s false to say he donated “none” of it. According to Forbes, President Obama donated some $1.1 million (an amount representing 34% of the $3.2 million aggregate salary he received over eight years in office) to charitable causes during his term in office.

 

[pmrmd]

the current administration has no intentions at all of fiscal responsibility. that is far worse than any other administration, ever.

Debt by year:
2010: $1.3t
2011: $1.3t
2012: $1.1t

2018: $779b
2019: $896b
2020: $990b

The more recent numbers include paying for the larger debt incurred from those previous years that you say were more fiscally responsible.



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[SSdoc33]

Debt by year:
2010: $1.3t
2011: $1.3t
2012: $1.1t

2018: $779b
2019: $896b
2020: $990b

The more recent numbers include paying for the larger debt incurred from those previous years that you say were more fiscally responsible.



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what is wrong with your analysis? what was going on from 2010 to 2012? you are being purposefully obtuse here and purposefully disingenuous. if you want to have a real discussion, then be impartial about it

 

[paindoc007]

what is wrong with your analysis? what was going on from 2010 to 2012? you are being purposefully obtuse here and purposefully disingenuous. if you want to have a real discussion, then be impartial about it

Not the sharpest tool in the shed

 

[epidural man]

Yang? You like him?

Love him.

Read about the VERY EXTENSIVE list of his policies on his website. Then check out his interviews on Joe Rogan, Ben Shapiro, and Dave Rubin report.

All I hear about people say about him is - "Dude. He wants to give everyone free money." To which I reply - yeah...I'd much rather have MY MONEY then have the government have it. Give it back to me. I am ALL FOR THAT. If you're not that's fine and you think the government is super responsible with your money - great. But just make sure you call yourself what you are - a communist. (JK....)

Plus that is one of 1000 policies where he makes a ton of sense.

For example, he wants term limits on congress. I love that idea. We NEED that.

Do this...listen to those three interviews, then come back and tell me specific policies that you don't like. I don't agree with everything he stands for - but I really like his tag line...it's not right, or left. It's forward.

 

[Doctodd]

doctodd as always misses the big picture, purposefully. so he donates $450,000 per year. how much is he benefitting from being president? Millions.

you didnt address my question or acknowledge how politicians enter poor but leave rich.

As for Trump, he isnt pocketing a dime....pretty sure the emoluments rules made Trump remove himself from any profit from his businesses. The money goes into a trust. You still think he needs the money? So Obama had some nice write offs.....good for him.

Snopes is known to be left leaning. But from your link...."As for President Trump’s donating all of his presidential salary (as he promised to do during his campaign), to date that is an accurate statement."

 

[Ducttape]

no, you are wrong.

trump refused to follow the emolument rules. he refused to divest himself and have them go into a trust. you are posting Fake News.

no diversion, read my post again. you are posting more fake news. I posted that he did donate his salary but he is making millions more than the presidential salary.

 

[lonelobo]

As for Trump, he isnt pocketing a dime....pretty sure the emoluments rules made Trump remove himself from any profit from his businesses. The money goes into a trust. You still think he needs the money? So Obama had some nice write offs.....good for him.

U.S. Appeals Court Reinstates Emoluments Case Against Trump (Published 2019)

A panel of federal judges in New York said a lower court had erred in dismissing the suit and ordered that it be allowed to proceed.

www.nytimes.com

 

[deleted480308]

Love him.

Read about the VERY EXTENSIVE list of his policies on his website. Then check out his interviews on Joe Rogan, Ben Shapiro, and Dave Rubin report.

All I hear about people say about him is - "Dude. He wants to give everyone free money." To which I reply - yeah...I'd much rather have MY MONEY then have the government have it. Give it back to me. I am ALL FOR THAT. If you're not that's fine and you think the government is super responsible with your money - great. But just make sure you call yourself what you are - a communist. (JK....)

Plus that is one of 1000 policies where he makes a ton of sense.

For example, he wants term limits on congress. I love that idea. We NEED that.

Do this...listen to those three interviews, then come back and tell me specific policies that you don't like. I don't agree with everything he stands for - but I really like his tag line...it's not right, or left. It's forward.

I’ve already seen the joe rogan one, universal income is a horrible idea. Just straight up horrible.

I find the idea of term limits potentially useful but useless for a presidential candidate because congress would need to do it to themselves.