Wednesday, October 31, 2007
Forcing the medical sector to compete for patients
I agree that this would be a helpful approach. I don't see it happening anything soon.As physician shortages are projected to explode (in primary care anyways), it will be the patients increasingly competing for physicians. For every patient that leaves a primary care practice, 10 more will be in line waiting to sign up.
Comments:
Hold on... people want me to compete for the assumption of risk? I take on the responsibility for treating someone -- meaning the risk of liability -- and am inadequately compensated for that risk and I am the one who needs to compete???
Who is this quack?
How many good primary docs do you know, with open schedules?
Maybe Zagat can start rating the patients for us and we get to pick and chose who will be our patients.
Who is this quack?
How many good primary docs do you know, with open schedules?
Maybe Zagat can start rating the patients for us and we get to pick and chose who will be our patients.
Precisely. As long as physician schedules are as overbooked as they are, and primary care continues to be further in demand, any talk of "competition" for physician services is laughable.
Thanks,
Kevin
Thanks,
Kevin
More accurately, as long as dirty filthy guild monopolists physicians artificially depress the supply of doctors, we won't see adequate competition.
The problems with medicine are not demand (people want too much care); it's supply. Let more people become doctors--or import them from India.
The problems with medicine are not demand (people want too much care); it's supply. Let more people become doctors--or import them from India.
"The problems with medicine are not demand; it's supply."
From the patient side, sure. from a monetary side, you're barking mad. You seem to overlook why physicians are bailing on primary care. Not to burst your bubble, but FMGs don't want to do primary care in the US either.
If primary care is to recover its physicians, it must be attractive to physicians. Medicare and Medicaid have turned compensation into a joke, and you expect to see competition for peanuts. Not going to happen...
From the patient side, sure. from a monetary side, you're barking mad. You seem to overlook why physicians are bailing on primary care. Not to burst your bubble, but FMGs don't want to do primary care in the US either.
If primary care is to recover its physicians, it must be attractive to physicians. Medicare and Medicaid have turned compensation into a joke, and you expect to see competition for peanuts. Not going to happen...
At my medical center, the shortage of doctors has been filled by foreign born doctors trained in their in their home countries. I don't know why, but I'm not that comfortable with them.
"I don't know why, but I'm not that comfortable with them."
That's OK, remember you have the right to change health care practioners.
I don't trust anyone, including my own physician, who's always got her nose up her ass.
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That's OK, remember you have the right to change health care practioners.
I don't trust anyone, including my own physician, who's always got her nose up her ass.










