Monday, October 30, 2006

Canada always seems to be willing to pump money into the health system

Kind of opposite of what happens here, where reimbursement continues to be cut. An an aside, $170/hr for an ER doc translates into over $350,000 per year assuming a 40-hour work week. Not sure what they're complaining about.


Comments:
Though in fairness, most ER docs do not work a 40-hour work week. Rotating schedules, administrative time and the like bring the average down to about 1500 hour a year. And practice expense lowers the take-home pay even more.

Not that we're starving. But I can tell you that most ER docs I know are not making 350K, or anywhere near it.
 
1. That is $350 Canadian

2. The group I work with is paid commission only and therefore see the "self-pay" patients for free. Or rather, they are paying their overhead while they are seeing the free patients, so they are having to take money out of their pocket to see those people. Assume they are receiving 80% of medicare and their collection rate is 80% that brings them down to 64% of medicare on their paying patients. Assume further that their mix is 70/30 paying/nonpaying. That is 64% X .7=44.8%. That is before paying overhead. That sucks. And the poor ER guys get sued like they are drunken drivers.

When I was in medical school ER sounded like a pretty cool thing to do. I'm so glad I didn't do that. (no offense guys).
b
 
That $350 Canadian includes a near-guarantee that you won't have to put up with the bullshit anal-rape lawsuits you deal with in American ER's. Plus the cost of living is lower in Canada. Just the fact that I won't have a bullseye on my back with all these asshole lawyers raping me is why i'm leaving the US to work as an ER doc in Canada as soon as I can get the credentialing straight. Then I'll be able to treat patients, not lawyers.
 
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