Comments on: Why physician charity care is declining http://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-71703 Anonymous Wed, 14 Feb 2007 05:14:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-71703 I forgot, "I'm bottom of the barrel for my 6 physical." I forgot, “I’m bottom of the barrel for my 6 physical.”

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-71702 Anonymous Wed, 14 Feb 2007 04:51:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-71702 I'll tell you all what. I am U.S. born and attending a foreign medical school because I had a stomach ache the day of the MCAT and got a 6 on the physical part and a 12 and 13 on the verbal/Bio. Anyways, I've aced everyone of my courses so far and rarely miss a question on the USMLE practice exams. So what if I was educated in the Carribean? Some pricks with 4.0's in music compared to my heavy undergrad science expertise are not anymore qualified than I am... I’ll tell you all what. I am U.S. born and attending a foreign medical school because I had a stomach ache the day of the MCAT and got a 6 on the physical part and a 12 and 13 on the verbal/Bio. Anyways, I’ve aced everyone of my courses so far and rarely miss a question on the USMLE practice exams. So what if I was educated in the Carribean? Some pricks with 4.0′s in music compared to my heavy undergrad science expertise are not anymore qualified than I am…

]]> By: Criminallopathhttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70573 Criminallopath Thu, 18 Jan 2007 20:16:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70573 The validity of my points does not rest upon your inability to understand them. The few minutes that I spend here apparently takes more skin off of your back than mine. The validity of my points does not rest upon your inability to understand them. The few minutes that I spend here apparently takes more skin off of your back than mine.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70567 Anonymous Thu, 18 Jan 2007 17:11:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70567 Medical School admission is not overly restrictive. Judging from the quality of students I see now, it is not restrictive enough.<br/><br/>If someone goes to Tijuana tech, passes licensure examinations (which btw are harder than what US grads must pass), completes a residency, has English language skills that are tolerable for patients, MORE POWER TO THEM. <br/><br/>Again, you have no point despite countless hours trying to make it on Kevin's Blog. Medical School admission is not overly restrictive. Judging from the quality of students I see now, it is not restrictive enough.

If someone goes to Tijuana tech, passes licensure examinations (which btw are harder than what US grads must pass), completes a residency, has English language skills that are tolerable for patients, MORE POWER TO THEM.

Again, you have no point despite countless hours trying to make it on Kevin’s Blog.

]]> By: Criminallopathhttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70557 Criminallopath Thu, 18 Jan 2007 07:50:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70557 Your juvenile insults aside and your inability to form a logical argument aside (god help the students that apply to whatever school allows one such as yourself to be on the admissions board), complaining about the quality of American medical school applicants and having an overtly restrictive admission policy while allowing Tijuana Tech graduates to enter the US to practice the "art" of medicine is grossly contradictory. Domestic students that end up at the Tijuana Techs of the world are those that were eschewed by the domestic schools (the bottom of the barrel types) and yet, after receiving their training at schools that don't have a research arm (imagine that - another not needed burden) to speak of they are still allowed to enter this country and practice medicine after passing the boards and completing their residency. Apparently, counting integers (besides logic) is also a weak suit of yours. Look at the comment numbers and you can take your time to disprove your assertion. <br/><br/>BTW, I am all for increasing the number of residency slots by reworking the existing federal funding structure for health care to finance the expansion. Your juvenile insults aside and your inability to form a logical argument aside (god help the students that apply to whatever school allows one such as yourself to be on the admissions board), complaining about the quality of American medical school applicants and having an overtly restrictive admission policy while allowing Tijuana Tech graduates to enter the US to practice the “art” of medicine is grossly contradictory. Domestic students that end up at the Tijuana Techs of the world are those that were eschewed by the domestic schools (the bottom of the barrel types) and yet, after receiving their training at schools that don’t have a research arm (imagine that – another not needed burden) to speak of they are still allowed to enter this country and practice medicine after passing the boards and completing their residency. Apparently, counting integers (besides logic) is also a weak suit of yours. Look at the comment numbers and you can take your time to disprove your assertion.

BTW, I am all for increasing the number of residency slots by reworking the existing federal funding structure for health care to finance the expansion.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70551 Anonymous Thu, 18 Jan 2007 04:29:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70551 Criminal,<br/><br/>Of course I would be for revoking licensure for clearly "substandard doctor" including those from "Tijuana tech" if they were substandard.<br/><br/>So what is your point? Oh I forgot, you don't have one. That is why usually no one bothers to comment on your stupid postings. Criminal,

Of course I would be for revoking licensure for clearly “substandard doctor” including those from “Tijuana tech” if they were substandard.

So what is your point? Oh I forgot, you don’t have one. That is why usually no one bothers to comment on your stupid postings.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70547 Anonymous Thu, 18 Jan 2007 03:00:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70547 If you knew more about medicine Criminalpath you would know that the "shortage" of providers has more to do with residency positions than it does for admission to medical schools. You can put out 10x the medical students it doesn't matter. We don't have the infrastructure and residency positions to train them. We are putting out less residents now than we did 10 years ago partially because there is no funding for more positions since 1993. Only 21 cents of every healthcare dollar is spent on physician payment in our "egalitarian" system that we have set up. Man, you like that word. I have seen it no less than eight times on this site. It seems to me that your focus on how to solve this horrible system that doesn't give us the "quality" you would like for what we spend would be better spent on the 79 cents of every healthcare dollar we spend If you knew more about medicine Criminalpath you would know that the “shortage” of providers has more to do with residency positions than it does for admission to medical schools. You can put out 10x the medical students it doesn’t matter. We don’t have the infrastructure and residency positions to train them. We are putting out less residents now than we did 10 years ago partially because there is no funding for more positions since 1993. Only 21 cents of every healthcare dollar is spent on physician payment in our “egalitarian” system that we have set up. Man, you like that word. I have seen it no less than eight times on this site. It seems to me that your focus on how to solve this horrible system that doesn’t give us the “quality” you would like for what we spend would be better spent on the 79 cents of every healthcare dollar we spend

]]> By: Criminallopathhttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70545 Criminallopath Thu, 18 Jan 2007 01:16:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70545 Anonymous 7:52 - <br/><br/>One would hope that you put a bit more thought, work and objectivity into evaluating perspective students as you are into your responses here. If your issues is "substandard doctors" then you would have few problems with permanent revocation of licensure (comity on this issue) for these "substandard doctors?" Also, would you push to have all foreign trained providers that have been trained at the "Tijuana Techs" of the world removed from practice and stripped of their licensure? I say give it a few years and see how many of these "bottom of the barrel" students make it through the pass/fail/honors medical school grading system. Anonymous 7:52 –

One would hope that you put a bit more thought, work and objectivity into evaluating perspective students as you are into your responses here. If your issues is “substandard doctors” then you would have few problems with permanent revocation of licensure (comity on this issue) for these “substandard doctors?” Also, would you push to have all foreign trained providers that have been trained at the “Tijuana Techs” of the world removed from practice and stripped of their licensure? I say give it a few years and see how many of these “bottom of the barrel” students make it through the pass/fail/honors medical school grading system.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70542 Anonymous Thu, 18 Jan 2007 00:52:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70542 I am on the admissions committee of my medical school. Our school was asked to increase enrollment and the school said yes.<br/><br/>Against my protest WE ARE REALLY STARTING TO SCRAPE THE BOTTOM OF THE BARREL to fill the spots.<br/><br/>And Mr. Criminal wants more substandard doctors out there?????????<br/><br/>Criminalopath is a friggin idiot. I am on the admissions committee of my medical school. Our school was asked to increase enrollment and the school said yes.

Against my protest WE ARE REALLY STARTING TO SCRAPE THE BOTTOM OF THE BARREL to fill the spots.

And Mr. Criminal wants more substandard doctors out there?????????

Criminalopath is a friggin idiot.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/why-physician-charity-care-is.html#comment-70539 Anonymous Thu, 18 Jan 2007 00:36:00 +0000 http://clients.emmense.com/kevinmd/2007/01/why-physician-charity-care-is-declining.html#comment-70539 I agree that coverage needs to be improved to insure everyone against catastrophic medical expenses. The MA, MD, and CA plans will hopefully do this with their HDHPs.<br/><br/>As far as quality goes, medical error rates in hospitals are improving with adoption of new protocols, electronic medication orders, etc. There is good news from the ACS today revealing that cancer death rates are down for a second straight year. We may be turning the corner on cancer due to improved lifestyle changes, better screening, and more advanced treatments.<br/><br/><br/>http://caonline.amcancersoc.org/misc/cancerstats2007.pdf I agree that coverage needs to be improved to insure everyone against catastrophic medical expenses. The MA, MD, and CA plans will hopefully do this with their HDHPs.

As far as quality goes, medical error rates in hospitals are improving with adoption of new protocols, electronic medication orders, etc. There is good news from the ACS today revealing that cancer death rates are down for a second straight year. We may be turning the corner on cancer due to improved lifestyle changes, better screening, and more advanced treatments.

http://caonline.amcancersoc.org/misc/cancerstats2007.pdf

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