Posted on Sep 8, 2019
America's aging population is leading to a doctor shortage crisis
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And having insurance is no help if you don't have anyone to see you. What do we do? Ration care? Import doctors? Thoughts??
America's aging population is leading to a doctor shortage crisis
Posted from cnbc.com
Medicine
Insurance
Posted >1 y ago
Responses: 17
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Thank you, my friend Lt Col Charlie Brown for posting what seems to be a chicken-little position.
The best way to reverse the medical doctor and nurse shortage is by repealing the Affordable Care Act and significantly reducing the overwhelming paperwork/reporting and bureaucratic requirements of unnecessary and overly redundant oversight by non-professionals.
Before the ACA and its bureaucratic requirements, most doctors could afford to insured and uninsured patients who paid in cash or kind in remote areas.
FYI Sgt (Join to see)SFC (Join to see)cmsgt-rickey-denicke
SGT Forrest FitzrandolphLTC (Join to see)Sgt John H.
PVT Mark ZehnerSGT Robert R.SGT (Join to see) SGT Steve McFarlandCol Carl WhickerSGT Mark AndersonSSG Michael NollSFC Jack Championaa John ZodunCpl James R. " Jim" Gossett Jr SPC Jon O.SP5 Jeannie CarleSPC Chris Bayner-Cwik
The best way to reverse the medical doctor and nurse shortage is by repealing the Affordable Care Act and significantly reducing the overwhelming paperwork/reporting and bureaucratic requirements of unnecessary and overly redundant oversight by non-professionals.
Before the ACA and its bureaucratic requirements, most doctors could afford to insured and uninsured patients who paid in cash or kind in remote areas.
FYI Sgt (Join to see)SFC (Join to see)cmsgt-rickey-denicke
SGT Forrest FitzrandolphLTC (Join to see)Sgt John H.
PVT Mark ZehnerSGT Robert R.SGT (Join to see) SGT Steve McFarlandCol Carl WhickerSGT Mark AndersonSSG Michael NollSFC Jack Championaa John ZodunCpl James R. " Jim" Gossett Jr SPC Jon O.SP5 Jeannie CarleSPC Chris Bayner-Cwik
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LTC Stephen F.
FYI TSgt David L.COL Mikel J. Burroughs Lt Col John (Jack) Christensen Lt Col Charlie Brown LTC Greg Henning LTC Jeff Shearer Maj Bill Smith, Ph.D. Maj William W. 'Bill' Price Maj Marty Hogan CPT Scott Sharon CWO3 Dennis M. SFC Joe S. Davis Jr., MSM, DSL SSG William Jones SGT (Join to see) SGT John " Mac " McConnell SP5 Mark Kuzinski PO1 H Gene Lawrence PO2 Kevin Parker PO3 Bob McCord
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LTC Stephen F.
FYI MSgt Robert C Aldi CMSgt (Join to see) SGT (Join to see) PO1 H Gene Lawrence PO2 Kevin Parker PO3 Bob McCord SGT Philip Roncari PO3 Phyllis Maynard CWO3 Dennis M. SFC William Farrell TSgt Joe C. SGT (Join to see) LTC Wayne Brandon LTC (Join to see) Lt Col John (Jack) Christensen Maj Robert Thornton CPT Scott Sharon SSG William Jones SSG Donald H "Don" Bates PO3 William Hetrick
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Lt Col Charlie Brown
I agree LTC Stephen F. I also think the view of making more residency programs available will be a big help. Even repealing ACA won't fix the problem of the physicians themselves retiring out of the system due to age.
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We need to make the medical profession simpler to get into and to work in. The state regulations, requirements, and Federal government regulation make being a doctor harder than ever. More of those coming up seem to choose law over medicine. To be a good doctor these days you need to go through college, medical school, perhaps a specialty school/training then a residency.
Then if you want a practice you must also learn how to run your own business, finance, cash flow, hiring, managing people, running an office/business and all of the tax, employment, safety and regulatory requirements that come with running a business too.
Then if you want a practice you must also learn how to run your own business, finance, cash flow, hiring, managing people, running an office/business and all of the tax, employment, safety and regulatory requirements that come with running a business too.
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SMSgt Lawrence McCarter
Another problem is unwarranted lawsuits which before Doctor can even make a dime in private practice He has to spend more on malpractice insurance then some people have on income. Are there valid cases, Yes but lawsuits has become an industry in and of itself.
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Cpl Jeff N.
SMSgt Lawrence McCarter - Completely agree. Malpractice insurance for Doctors is a major expense to their practice.
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I have definitely seen the changes in Health Care. I use the VA 90% of the time. If we lose a Dr. for some reason or another, it takes the forever to replace them or the sub with PA.
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Sgt Vance Bonds
I see this too. Many of the doctors have huge patient loads. Many vets who are rude and entitled treat doctors and staff like crap with no consequence. I was interviewed in 2015 by a joint congressional panel for patient rights and other issues in rural areas. These were some of the reasons it was hard to recruit and retain physicians. The law currently is a patient can threaten to kill staff and they will still be seen. Security or police will be present but they will be seen. Even if they continue the abuse. In extreme cases they may be required to go to the larger Regional Hospital but they will still be seen. Less than 5% of these patients have TBI etc to explain the behavior. According to then Senator McCain staff, the rest were merely rude, mean, entitled and demanding jerks. I've witnessed this here out in Reno. I've seen a VET try to slap a women behind a counter because he was a half hour late for an appointment and now had to wait. He didn't like that.
Physicians have circles and this information gets around. In private practice these people are kicked out of the office never to return. Not in the VA.
Me....I think if there's no medical reason for this behavior, give them an insurance card and let them find a physician who would take the abuse. Either straighten up or leave. 100% of my care is VA unless I need an outside referral for my spine. I never see bad behavior in a private office. I personally know two of my physicians. They say that the paperwork for the VA is becoming overwhelming. Much much more than standard documentation. Regulations, timetables, procedures and the general bureaucracy kicks many good doctors back to the outside.
In conversations they told me that if malpractice insurance wasn't so outrageous and they wanted the stress of running a business again, they'd leave tomorrow.
Sad. We need these physicians but we will be the ones who run them out.
My wife is looking for another job now. After almost three years, she and the people she works with are burned out.
Sorry to ramble.
Physicians have circles and this information gets around. In private practice these people are kicked out of the office never to return. Not in the VA.
Me....I think if there's no medical reason for this behavior, give them an insurance card and let them find a physician who would take the abuse. Either straighten up or leave. 100% of my care is VA unless I need an outside referral for my spine. I never see bad behavior in a private office. I personally know two of my physicians. They say that the paperwork for the VA is becoming overwhelming. Much much more than standard documentation. Regulations, timetables, procedures and the general bureaucracy kicks many good doctors back to the outside.
In conversations they told me that if malpractice insurance wasn't so outrageous and they wanted the stress of running a business again, they'd leave tomorrow.
Sad. We need these physicians but we will be the ones who run them out.
My wife is looking for another job now. After almost three years, she and the people she works with are burned out.
Sorry to ramble.
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Cpl James R. " Jim" Gossett Jr
Sgt Vance Bonds - No problem Sarge. If I could type, I'd ramble also.
I have been lucky enough to use outside Dr's. as well. I know that sometimes they too are discussed with the VA, slow payment is a lot of it. OK I don't want to ramble, my tyoing finger ie getting sore....
I have been lucky enough to use outside Dr's. as well. I know that sometimes they too are discussed with the VA, slow payment is a lot of it. OK I don't want to ramble, my tyoing finger ie getting sore....
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Sgt Vance Bonds
Cpl James R. " Jim" Gossett Jr Yes. Payment is also an issue. Take care. See ya around RP
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