Comments on: My take: Heath Ledger, contracts, disease prevention http://www.kevinmd.com/blog/2008/02/my-take_06.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Michael Rack, MD http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83417 Michael Rack, MD Thu, 07 Feb 2008 15:23:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83417 "people who live longer, healthier lives, will earn more money over the course of that life and contribute to the health costs"<br/><br/>Not if these healthy long-living people retire early and start taking social security at age 62. “people who live longer, healthier lives, will earn more money over the course of that life and contribute to the health costs”

Not if these healthy long-living people retire early and start taking social security at age 62.

]]> By: Kristie McNealy http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83410 Kristie McNealy Thu, 07 Feb 2008 03:35:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83410 Wow, wouldn't expect so many people to get riled up by someone suggesting people negotiate their contracts. There's a good chance the answer will be no, but if they want you bad enough, there might be some way office A can step up and offer something to prevent themselves from losing you to office B. Wow, wouldn’t expect so many people to get riled up by someone suggesting people negotiate their contracts. There’s a good chance the answer will be no, but if they want you bad enough, there might be some way office A can step up and offer something to prevent themselves from losing you to office B.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83407 Anonymous Thu, 07 Feb 2008 02:05:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83407 My first post was attempt to be brief, but great job just throwing out an attack there. <br/>My long point is this, know the ins and outs of your contract intimately and last time I checked there was a nationwide shortage. You are the commodity. I don't see alot of docs out there begging for jobs or hoping to pay a physician for the privilege of taking over his practice when he retires. Those days are long gone. And I do agree both sides want something that is mutually beneficial and as always it depends on how bad each side wants it. It's better to come to an agreement rather than to become the competition. The days of older partners getting rich off of the labor of younger partners has died off. It still exists in some parts of the country, but for the most part it has gone the way of the Dodo. My first post was attempt to be brief, but great job just throwing out an attack there.
My long point is this, know the ins and outs of your contract intimately and last time I checked there was a nationwide shortage. You are the commodity. I don’t see alot of docs out there begging for jobs or hoping to pay a physician for the privilege of taking over his practice when he retires. Those days are long gone. And I do agree both sides want something that is mutually beneficial and as always it depends on how bad each side wants it. It’s better to come to an agreement rather than to become the competition. The days of older partners getting rich off of the labor of younger partners has died off. It still exists in some parts of the country, but for the most part it has gone the way of the Dodo.

]]> By: paul G, MS2 http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83406 paul G, MS2 Thu, 07 Feb 2008 01:56:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83406 "My take: I wonder what she thinks of the recent study that debunks the myth that preventing obesity and smoking saves money. The bottom line is that healthier people live longer, costing more in the long run."<br/><br/>-people who live longer, healthier lives, will earn more money over the course of that life and contribute to the health costs. I don't think you can really say that it's cheaper for society to have productive members dying off prematurely, especially given the huge investment put into their education/upbringing/job training and experience. “My take: I wonder what she thinks of the recent study that debunks the myth that preventing obesity and smoking saves money. The bottom line is that healthier people live longer, costing more in the long run.”

-people who live longer, healthier lives, will earn more money over the course of that life and contribute to the health costs. I don’t think you can really say that it’s cheaper for society to have productive members dying off prematurely, especially given the huge investment put into their education/upbringing/job training and experience.

]]> By: Rositta http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83405 Rositta Thu, 07 Feb 2008 01:55:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83405 What the heck happened to personal responsibility? I too take pain pills and sometimes get pills from different doctors. It's up to me to find out what interacts with what and consequence. I know it's easy to take too much so if I get a migraine I write down the time I took a pill and make certain 4 hours have passed before I take the next one. Doctors need to talk to their patients and explain the danger...ciao What the heck happened to personal responsibility? I too take pain pills and sometimes get pills from different doctors. It’s up to me to find out what interacts with what and consequence. I know it’s easy to take too much so if I get a migraine I write down the time I took a pill and make certain 4 hours have passed before I take the next one. Doctors need to talk to their patients and explain the danger…ciao

]]> By: GingerB http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83401 GingerB Thu, 07 Feb 2008 00:53:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83401 I do not look for the Democrats to highlight that universal coverage will cost more money. It may be "mentioned" but they will certainly devote 10 times as many words to the coverage aspect than to the financial. <br/><br/>Everybody knows it will cost a fortune and nobody wants to pay.<br/><br/>I think this fellow hits it on the head. Don't pick someone based on health care. The whole thing has to go through the Congressional wringer.<br/><br/>http://healthpolicyandmarket.blogspot.com/2007/11/when-it-comes-to-health-care-policy-it.html I do not look for the Democrats to highlight that universal coverage will cost more money. It may be “mentioned” but they will certainly devote 10 times as many words to the coverage aspect than to the financial.

Everybody knows it will cost a fortune and nobody wants to pay.

I think this fellow hits it on the head. Don’t pick someone based on health care. The whole thing has to go through the Congressional wringer.

http://healthpolicyandmarket.blogspot.com/2007/11/when-it-comes-to-health-care-policy-it.html

]]> By: Anonymous http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83400 Anonymous Wed, 06 Feb 2008 23:30:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83400 what is the definition of negotiable? certainly everything can be discussed. i don't think 'it doesn't hurt to ask, worst they can say is no' qualifies as negotiable. i agree it doesn't hurt to ask, but that in no way implies that there is some way you can get a different response.<br/><br/>anon4:20<br/>how old are you, 12? :)<br/>of course you can walk out the door. technically, you can always walk out the door. you can sign a contract and not show up too. you can violate your contract, so what does it matter? you have the power to leave, they have the power to not offer you a job. but if you are meeting, theoretically you are trying to find out if you can mutually benefit.<br/><br/>experience definitely helps in these matters. you can certainly probe concerning issues but, in the end, most practices have a personality that may or may not fit you. the practice personality may be of more importance to you than the individual personalities of the partners, many of whom may be terrific individuals. <br/>ymmv what is the definition of negotiable? certainly everything can be discussed. i don’t think ‘it doesn’t hurt to ask, worst they can say is no’ qualifies as negotiable. i agree it doesn’t hurt to ask, but that in no way implies that there is some way you can get a different response.

anon4:20
how old are you, 12? :)
of course you can walk out the door. technically, you can always walk out the door. you can sign a contract and not show up too. you can violate your contract, so what does it matter? you have the power to leave, they have the power to not offer you a job. but if you are meeting, theoretically you are trying to find out if you can mutually benefit.

experience definitely helps in these matters. you can certainly probe concerning issues but, in the end, most practices have a personality that may or may not fit you. the practice personality may be of more importance to you than the individual personalities of the partners, many of whom may be terrific individuals.
ymmv

]]> By: DR. MARY JOHNSON http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83399 DR. MARY JOHNSON Wed, 06 Feb 2008 23:06:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83399 "Everything is negotiable"<br/><br/>Another reason my blog should be on your roll (not to mention standard reading for residents in training/public service).<br/><br/>Because my naive friend, (1) you put too much faith in the general integrity of attorneys (including/especially those representing physicians) and (2) everything is most certainly NOT negotiable.<br/><br/>Of course, since my take is not your take, I expect you'll "moderate" this comment out. “Everything is negotiable”

Another reason my blog should be on your roll (not to mention standard reading for residents in training/public service).

Because my naive friend, (1) you put too much faith in the general integrity of attorneys (including/especially those representing physicians) and (2) everything is most certainly NOT negotiable.

Of course, since my take is not your take, I expect you’ll “moderate” this comment out.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83397 Anonymous Wed, 06 Feb 2008 22:06:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83397 And don't sign restrictive covenants! These are recent additions by older doctors simply to keep younger doctors "in place". Lawyers don't use them when hiring a new associate as they think it undermines client-attorney relationships. However, older doctors are very quick to throw the doctor-patient relationship out the window. If we all refused to sign restrictive covenants, they will simply go away.<br/><br/>Underpaid in New York And don’t sign restrictive covenants! These are recent additions by older doctors simply to keep younger doctors “in place”. Lawyers don’t use them when hiring a new associate as they think it undermines client-attorney relationships. However, older doctors are very quick to throw the doctor-patient relationship out the window. If we all refused to sign restrictive covenants, they will simply go away.

Underpaid in New York

]]> By: Anonymous http://www.kevinmd.com/blog/2008/02/my-take_06.html/comment-page-1#comment-83396 Anonymous Wed, 06 Feb 2008 21:20:00 +0000 http://clients.emmense.com/kevinmd/2008/02/my-take-heath-ledger-contracts-disease-prevention.html#comment-83396 I disagree 4:06, it depends on how bad they want you.<br/>Kevin is right, you have the power by taking your little black bag and walking out the door. I disagree 4:06, it depends on how bad they want you.
Kevin is right, you have the power by taking your little black bag and walking out the door.

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