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	<title>Comments on: Young doctors in debt</title>
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	<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html</link>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81859</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 24 Nov 2007 03:07:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81859</guid>
		<description>Koko,&lt;br/&gt;&lt;br/&gt;Your comments on this blog continually miss the mark.  A DO has the same potential to make the same as an MD.  I am a partner with a multispecialty clinic.  There is no pay differential between MD and DO in any of the specialties.&lt;br/&gt;&lt;br/&gt;But yes they were dumb choices</description>
		<content:encoded><![CDATA[<p>Koko,</p>
<p>Your comments on this blog continually miss the mark.  A DO has the same potential to make the same as an MD.  I am a partner with a multispecialty clinic.  There is no pay differential between MD and DO in any of the specialties.</p>
<p>But yes they were dumb choices</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81856</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 22 Nov 2007 23:03:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81856</guid>
		<description>is it true that md&#039;s make more than do&#039;s?  or just because there are more do&#039;s in primary care than md&#039;s?&lt;br/&gt;&lt;br/&gt;why would they live on the northside of chicago to go to loyola and christ?</description>
		<content:encoded><![CDATA[<p>is it true that md&#8217;s make more than do&#8217;s?  or just because there are more do&#8217;s in primary care than md&#8217;s?</p>
<p>why would they live on the northside of chicago to go to loyola and christ?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81852</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 21 Nov 2007 16:49:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81852</guid>
		<description>just for the record, I went to the University of Bologna for $200.00/year. The only cost was living expenses and learning Italian. If one wants to do it less expensively one can find a way.</description>
		<content:encoded><![CDATA[<p>just for the record, I went to the University of Bologna for $200.00/year. The only cost was living expenses and learning Italian. If one wants to do it less expensively one can find a way.</p>
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		<title>By: KoKo</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81848</link>
		<dc:creator>KoKo</dc:creator>
		<pubDate>Tue, 20 Nov 2007 23:01:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81848</guid>
		<description>The husband made the mistake of not going to the University Illinois and becoming an MD after he was accepted by that School instead of becoming a DO. Far greater earning potential with the MD degree.&lt;br/&gt;&lt;br/&gt;U of I was only $9000/year while the DO College was $29000/year.&lt;br/&gt;&lt;br/&gt;Another mistake was buying a dumpy condo in a poor market, when they would have been better off renting a small apartment on the Northside of Chicago.</description>
		<content:encoded><![CDATA[<p>The husband made the mistake of not going to the University Illinois and becoming an MD after he was accepted by that School instead of becoming a DO. Far greater earning potential with the MD degree.</p>
<p>U of I was only $9000/year while the DO College was $29000/year.</p>
<p>Another mistake was buying a dumpy condo in a poor market, when they would have been better off renting a small apartment on the Northside of Chicago.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81843</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 20 Nov 2007 04:06:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81843</guid>
		<description>The first comment was probably in response to Kevin&#039;s subtitle:  why medical student&#039;s don&#039;t choose primary care.&lt;br/&gt;&lt;br/&gt;He chose to make a point about debt forcing (encouraging?) people not to choose primary care by linking to a story where the person chose primary care?  Ironical.</description>
		<content:encoded><![CDATA[<p>The first comment was probably in response to Kevin&#8217;s subtitle:  why medical student&#8217;s don&#8217;t choose primary care.</p>
<p>He chose to make a point about debt forcing (encouraging?) people not to choose primary care by linking to a story where the person chose primary care?  Ironical.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81842</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 20 Nov 2007 03:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81842</guid>
		<description>Happyman when did I EVER say that this situation is okay.  I was merely replying to the first anonymous who said &quot;of course they chose pediatrics...&quot;.  I was merely stating that there are more spots in these professions than there are in others so this makes sense.  I didn&#039;t say anything about money.  SOOOOOOOOO... it looks like your insecure Happy self owes me an apology.</description>
		<content:encoded><![CDATA[<p>Happyman when did I EVER say that this situation is okay.  I was merely replying to the first anonymous who said &#8220;of course they chose pediatrics&#8230;&#8221;.  I was merely stating that there are more spots in these professions than there are in others so this makes sense.  I didn&#8217;t say anything about money.  SOOOOOOOOO&#8230; it looks like your insecure Happy self owes me an apology.</p>
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		<title>By: Happyman</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81841</link>
		<dc:creator>Happyman</dc:creator>
		<pubDate>Tue, 20 Nov 2007 01:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81841</guid>
		<description>there are a LOT more cardiology spots than rheumatology spots - so by the logic of anon 4:47, rheumatologists should make much more money than cardiologists, right?&lt;br/&gt;&lt;br/&gt;The situation with pediatrics is appalling - to spend that many years training &amp; make less than most NPs &amp; PAs. Anyone who defends that, or justifies it with &quot;cardiology is competitive&quot; is just an idiot.&lt;br/&gt;&lt;br/&gt;And there are more cardiology fellowship spots than GI, pulmonary, rheumatology, heme/onc, and infectious disease spots COMBINED. So it&#039;s not simple supply &amp; demand, but rather it&#039;s more about certain specialty groups lobbying medicare for procedural reimbursement, etc. This affects overall income for a given specialty, &amp; eventually drives motivations for pursuing a specialty. That&#039;s why competition goes in cycles, with a delay of a few years after some medicare changes. &lt;br/&gt;&lt;br/&gt;For example, ophthalmology became intensely competitive about 15yrs ago, when medicare reimbursement for cataract surgery was big.  Then there was GI, with reimbursement for colonoscopy/egd, and now it&#039;s cardiology &amp; orthopedics.  &lt;br/&gt;&lt;br/&gt;It&#039;s all about money, always has been, and always will be (like most everything else).</description>
		<content:encoded><![CDATA[<p>there are a LOT more cardiology spots than rheumatology spots &#8211; so by the logic of anon 4:47, rheumatologists should make much more money than cardiologists, right?</p>
<p>The situation with pediatrics is appalling &#8211; to spend that many years training &#038; make less than most NPs &#038; PAs. Anyone who defends that, or justifies it with &#8220;cardiology is competitive&#8221; is just an idiot.</p>
<p>And there are more cardiology fellowship spots than GI, pulmonary, rheumatology, heme/onc, and infectious disease spots COMBINED. So it&#8217;s not simple supply &#038; demand, but rather it&#8217;s more about certain specialty groups lobbying medicare for procedural reimbursement, etc. This affects overall income for a given specialty, &#038; eventually drives motivations for pursuing a specialty. That&#8217;s why competition goes in cycles, with a delay of a few years after some medicare changes. </p>
<p>For example, ophthalmology became intensely competitive about 15yrs ago, when medicare reimbursement for cataract surgery was big.  Then there was GI, with reimbursement for colonoscopy/egd, and now it&#8217;s cardiology &#038; orthopedics.  </p>
<p>It&#8217;s all about money, always has been, and always will be (like most everything else).</p>
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		<title>By: Ty</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81840</link>
		<dc:creator>Ty</dc:creator>
		<pubDate>Tue, 20 Nov 2007 00:30:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81840</guid>
		<description>The reason why their combined debt is 700k instead of 450k or so is because they bought a house using a mortgage, which layered on top of their original debt.&lt;br/&gt;&lt;br/&gt;That also changes their repayment parameters, because the mortgage likely has a higher interest rate than their student loans (which sound as if they mostly used sub and unsub Stafford loans, not many private lenders).&lt;br/&gt;&lt;br/&gt;So: the number&#039;s misleading.&lt;br/&gt;&lt;br/&gt;But I attend a school with higher tuition than theirs, so I feel their pain. Reminds me to send some evil thoughts towards my state school, which saw fit to reject my attempt to avail myself of reasonably priced education.</description>
		<content:encoded><![CDATA[<p>The reason why their combined debt is 700k instead of 450k or so is because they bought a house using a mortgage, which layered on top of their original debt.</p>
<p>That also changes their repayment parameters, because the mortgage likely has a higher interest rate than their student loans (which sound as if they mostly used sub and unsub Stafford loans, not many private lenders).</p>
<p>So: the number&#8217;s misleading.</p>
<p>But I attend a school with higher tuition than theirs, so I feel their pain. Reminds me to send some evil thoughts towards my state school, which saw fit to reject my attempt to avail myself of reasonably priced education.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81835</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 19 Nov 2007 21:47:00 +0000</pubDate>
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		<description>Yes, that is because there are a lot more internal medicine, family medicine, pediatrics, etc. spots than orthopedic surgery or cardiology spots.  Not everyone can be a cardiologist.  It is competitive!</description>
		<content:encoded><![CDATA[<p>Yes, that is because there are a lot more internal medicine, family medicine, pediatrics, etc. spots than orthopedic surgery or cardiology spots.  Not everyone can be a cardiologist.  It is competitive!</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/11/young-doctors-in-debt.html/comment-page-1#comment-81834</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 19 Nov 2007 20:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/11/young-doctors-in-debt.html#comment-81834</guid>
		<description>of course, in the article cited, one of the two physicians chose pediatrics, which most people would consider primary care.</description>
		<content:encoded><![CDATA[<p>of course, in the article cited, one of the two physicians chose pediatrics, which most people would consider primary care.</p>
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