What is your HIGHEST Educational level?

[LarThaL]

Originally Posted by SirSpeedy

What are the providers thoughts on healthcare reform?

The solution to the US healthcare situation/reform is actually VERY SIMPLE. Yes, you read correctly. It is VERY SIMPLE. It requires making only ONE DECISION. Once that decison is made, EVERYTHING ELSE will fall into place, I guarantee it. Until, this one decision is made, nothing will ever be resolved.

The decision is this:

Is health care in the US going to be a capitalistic enterprise, like any other profit driven industry, or is it a basic right of all citizens? Answer this one question, and the remainder of the path will define itself.

It can be both, but you still need firm boundries. For instance, a certain level of basic care can be available through the government, but beyond that you need to pay out of pocket or through private inusrance plans. Again, you are left with one thing to decide....WHERE IS THIS BOUNDRY?

However, until you determine the capitalistic enterprise vs. basic right distinction, be it all, nothing or some very specific point in between, nothing will ever be resolved.

There is also no right answer to this question. You just have to pick a way and commit to it. The problem with a lot of policy making in the US is that we are such a heterogenous society and we are trying to be all things to all people. The US has been around for 226 years. It's time to determine the "American Way", and go with it. All cultures will have to sacrifice a little of their individuality, but any successful enterprise, including building a new country, requires cohesiveness in beliefs. So, the US needs to take the good aspects of all cultures from the melting pot that it is, and commit to one way of doing things. This will be the new "American Way", but it will also require people to be able to give up some of their cultural individuality. I am still not certain why people find this concept so hard.

[HeartMD]

Originally Posted by VVG

The solution to the US healthcare situation/reform is actually VERY SIMPLE. Yes, you read correctly. It is VERY SIMPLE. It requires making only ONE DECISION. Once decison is made, EVERYTHING ELSE will fall into place, I guarantee it. Until, this one decision is made, nothing will ever be resolved.

The decision is this:

Is health care in the US going to be a capitalistic enterprise, like any other profit driven industry, or is it a basic right of all citizens? Answer this one question, and the remainder of the path will define itself.

It can be both, but you still need firm boundries. For instance, a certain level of basic care can be available through the government, but beyond that you need to pay out of pocket or through private inusrance plans. Again, you are left with one thing to decide....WHERE IS THIS BOUNDRY?

However, until you determine the capitalistic enterprise vs. basic right distinction, be it all, nothing or some very specific point in between, nothing will ever be resolved.

There is also no right answer to this question. You just have to pick a way and commit to it. The problem with a lot of policy making in the US is that we are such a heterogenous society and we are trying to be all things to all people. The US has been around for 226 years. It's time to determine the "American Way", and go with it. All cultures will have to sacrifice a little of their individuality, but any successful enterprise, including building a new country, requires cohesiveness in beliefs. So, the US needs to take the good aspects of all cultures from the melting pot that it is, and commit to one way of doing things. This will be the new "American Way", but it will also require people to be able to give up some of their cultural individuality. I am still not certain why people find this concept so hard.

+1
very well put.

[esquire]

i finished junior high. pretty pleased with myself. my m3 was my graduation gift.

[DrJay71]

Originally Posted by CardSurge

Agree.

The anesthesiologists, radiologists, cardiologists, perfusionists, etc that I work with are some of the best and brightest individuals I know and in their field. I have the utmost respect for them. That being said, they can collectively do about ~3% of my job and skillset. Partly due to the fact that my training is 2 times that of a fellow-trained anesthesiologist or cardiologist. We face some of the most stressful situations of any profession (excluding active military) on a routine basis.

Let's stop bashing and just enjoy the fact that we can all usually get out of our (flagrant) speeding tickets.

I'm an IR and have just as much training as you do. If you can do ~3% of what I can do, that would be something to brag about. Get off your high horse now

[pedrobot]

[doc19]

Originally Posted by VVG

The solution to the US healthcare situation/reform is actually VERY SIMPLE. Yes, you read correctly. It is VERY SIMPLE. It requires making only ONE DECISION. Once that decison is made, EVERYTHING ELSE will fall into place, I guarantee it. Until, this one decision is made, nothing will ever be resolved.

The decision is this:

Is health care in the US going to be a capitalistic enterprise, like any other profit driven industry, or is it a basic right of all citizens? Answer this one question, and the remainder of the path will define itself.

You are absolutely spot on.

As an IM chief resident I went balsy and gave my grand rounds on "how to fix the health care system." My fix was to get rid of all insurance companies and require everyone to pay out of pocket. I don't actually believe this to an an actual fix, but more to highlight the issue with our Hodge-podge of medical services we call a system. And it is exactly what you pointed out, that we treat it both as a business and as a right. We expect acute care hospitals to provide emergency care regardless of insurance status but we throw up a fit that the Affordable Care Act has an insurance mandate - that line of logic absolutely makes no sense.

I will go one step further though... if we deemed health-care as a right, I do not believe it will be a true fix either. Every major country that has universal coverage (be it through a single payer system or mix of different insurance options) still has an issue of rising costs. Everyone's costs are rising. Outside of the outlandish plan of getting rid of health insurance I haven't been able to come up with a plan to stem the rising cost of health care.

I consider this tread to be officially jacked...


PS I guess surgeons learn their skill set at the cost of forgetting basic physiology based on the consultations I've had to deal with... I joke! I joke!

[Bimmer Freeeek!]

A med student friend posted this on her facebook and I thought it was appropriate to repost it here.

[robb7979]

Originally Posted by CardSurge

Just listing the extent of my kidney knowledge. We usually just give lasix until they go deaf.

Lol. "just" anesthesia here, not sarcastically. MD at 25. been considering a card fellowship,but not digging the idea of less money for the duration.

I'm not a uro, but I always thought it was age+BUN for a lasix dose?

If you get the reference, you win the Internet.

In all seriousness, thanks to those of you who have expressed appreciation for what we do. Yes, often times we are brash, conceited, and bossy. Don't you want that doc working for you? I want mine with a huge expensive watch on his wrist, an expensive car in the lot, and an attitude that hes a step lower than god.

[PetitPimousse]

I mean come on people, we all know orthos are the coolest MDs!

[ForensicM3]

The bickering between doctors in this thread seems indicative of the bullshit thrust upon us by "the system" some keep referencing. Stay active, eat right, and stay away from these people. Unless, of course, you really need them.

[saeyedoc]

Originally Posted by PetitPimousse

I mean come on people, we all know orthos are the coolest MDs!

Strong as a bull and twice as smart!

[PetitPimousse]

Originally Posted by saeyedoc

Strong as a bull and twice as smart!

[ObviousMan]

BA in Geology, been working in the oil industry for almost 29 years. The E90 is my second M3.

[roastbeef]

very interesting, great thread.

edit- no M yet, but i'm a high school graduate with some college.