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07/03/2011

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Thanks for the cool badgees! When do we find out who the Petties nominees are???

Barry Gerald

First post. I'm a 77 year old retired neuroradiologist who never understood physics and yet in middle life learned to interpret CT and MR studies. Med schools agree with other posters and are de-emphasizing science.
A solution to the shortage of primary care physicians is to recognize the expertise of "physician assistants" who have ready access to diagnostic services. Physicians will be available when needed for referral and also routinely review case histories.
We could then reduce the number of physicians, provide good care and lower the cost.
This is, of course, already happening but should be encouraged dramatically.

Jack

Barry -- Yep! It does seem a team approach is and will replace docs as gods with underpaid nurses scurrying abound doing most of the work.

The military has long benefited from such an approach. When I was in, for most things we'd see a "medic" who was a draftee of six weeks training and real docs when the need presented. Not perfect but, as you say the trend toward physician assistants and nurse practitioners has got to be a part of any solution......... ie cost containment.

Jim

Jack,

The Insurance companies are gearing up to buy physician groups. That should work out really well!!!

Jim

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Bill Rogers

I dare anybody in this forum to become a primary care physician. Every honky tonk in this country feels entitled to attack anybody who has worked and study their heads off to get where they are and expect to have the same consideration.

Primary care physicians, especially family medicine, are overworked, underpaid and under recognized and are now expected to support pay cuts and extra work?????? give me a break!!! The national yearly salary for a family physician is 170,000 $ sounds like a lot right?...wrong!!!! take away taxes, malpractice insurances and legal issues, office expenses, and the ever so pleasing small print loop holes and you end up with less than your average bachelor degree educated corporate worker. Don't belive me? ask your local doc. And on top of this compare it with the national average for cardiology, or spine surgery which is over half a million dollars per year. talk about discrepancy. People are not gonna be happy until physicians are living in a trailer and collecting food stamps, but they still expect for them to take care of their most important thing which is their health 24 hours a day/7 days a wek. We are very close to saying "no more".

Jim

Amen to Bill Rogers. The difference between a car mechanic and a physician is that the physician has to make repairs while the unit is running.

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That was my thought,too.

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Does the scope of healthcare bills must deal with this issue? There must be greater problem in which lead to this scarcity on primary care physicians.

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WHAT do today's insurance parasites bring to the H/C party? Next to nothing, except an INefficient means of spreading risk across the patient base.

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Riots might be less common here because of the social and spatial distancing that protects people from marauders but also prevents people from forming organic communities with any semblance of a common social life that Europe continues to enjoy--at least for now.

Discount Herve Leger

Do you think that paying primary care physicians more will get better ones or do you agree with your recent WSJ article that paying judges more will not get better judges? After all, human nature is human nature.

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