Study: ObamaCare will make doctor shortage 50% worse by 2015

posted at 1:36 pm on October 1, 2010 by Ed Morrissey

More good news on what we found out about ObamaCare after its passage comes from two different sources today.  First, a new study by the Association of American Medical Colleges and reported by Reuters shows that the bill will have a big impact on an expected shortage of physicians over the next few years — by amplifying it:

The U.S. healthcare reform law will worsen a shortage of physicians as millions of newly insured patients seek care, the Association of American Medical Colleges said on Thursday.

The group’s Center for Workforce Studies released new estimates that showed shortages would be 50 percent worse in 2015 than forecast.

“While previous projections showed a baseline shortage of 39,600 doctors in 2015, current estimates bring that number closer to 63,000, with a worsening of shortages through 2025,” the group said in a statement.

The artificial cap on reimbursements — a form of price-fixing — will be the main culprit.  With education becoming more and more expensive, physicians need to recoup their investment in it from plying their trade.  Unfortunately, government reimbursement schedules will force payments down through the entire industry, making specializations in areas that have Medicare or Medicaid implications much less attractive.  Those who can choose specialties will be more likely to go into cosmetic surgery, Lasik, and other areas where third-party payer structures are not an issue.

Speaking of third-party payers, another insurance company has called it quits ahead of the ObamaCare mandates.  Six more Iowa companies may follow suit soon, too.  Principal also cut 1500 jobs in Iowa, a rather sensitive state for those wishing to win re-election to the White House:

Principal Financial Group said Thursday that it will leave the medical insurance business, further reducing competition among health insurers in Iowa.

Principal will transfer the renewal rights for its health insurance customers in Iowa and 30 other states to UnitedHealthcare over the next 36 months. …

The decision means the disappearance of the third-largest health insurer in Iowa at a time when half a dozen other small insurers have told the Iowa Insurance Division that they also plan to quit selling health insurance in Iowa.

The health insurance industry is consolidating, Voss said, driven by a combination of market forces and increased government regulation.

The problem for policyholders is that United will have different offerings than those provided by Principal.  While they cannot be denied on the basis of pre-existing conditions, United will have the right to set its own terms for this risk pool, and given the upcoming mandates, those terms are likely to be less friendly than those offered by Principal.  In fact, it would have to be — otherwise, Principal wouldn’t have had to give up the business in the first place.

“Consolidation” means that smaller insurers will get squeezed out of the market.  Those insurers played significant roles in the health-insurance sector by offering plans to niche markets that suited their consumers better than one-size-fits-all plans offered by larger outfits.  As in most cases, heavy government intrusion boosts the biggest players in markets by eliminating their smaller competition, whose scale makes it difficult if not impossible to handle mandates and remain competitive.

Lost jobs.  Less choice. Shortages.  Higher costs.  Destruction of smaller businesses.  These are all the things that are in ObamaCare, and now that it’s been passed, everyone can find them … the hard way.

Update: Alan Colmes’ bloggers apparently can’t read.  They’re blaming me for blaming it on ObamaCare, but the very first line in the Reuters report lays the blame on ObamaCare.  Why?  Because, although we were aware that a doctor shortage was coming anyway, dumping 32 million people into Medicaid makes it worse, because of the increased demand.  It’s really not that difficult to figure out — but apparently they can’t do math, either.


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Comments

Who needs doctors when we have pain pills.

I predict another lefty troll free thread.

rbj on October 1, 2010 at 1:38 PM

By 2016 People will be going to Veterinarians begging for medical attention.

This ObamaCare is a national disgrace.

portlandon on October 1, 2010 at 1:39 PM

Repeal.

BuckeyeSam on October 1, 2010 at 1:39 PM

Count it!

lorien1973 on October 1, 2010 at 1:39 PM

Nice job America. We voted this joke into office, him a San Fran Nan and Dingy Harry, now we are paying for it.

Job #1 by the GOP in the House in January better be to defund this train wreck.

Job #1 in 2012 when President Palin is sworn in better be to repeal it.

Cookies Mom on October 1, 2010 at 1:41 PM

Look on the bright side.

At least we know what’s in the bill now, right?

Slublog on October 1, 2010 at 1:43 PM

A shortage of doctors will occur because the all the tonsil pirates and leg amputators will choose alternative careers in loan sharking.

Cicero43 on October 1, 2010 at 1:43 PM

If only people had paid attention to the model for ObamaCare and its ravaging of the Healthcare system in Massachusetts.

portlandon on October 1, 2010 at 1:43 PM

If you like your doctor, you can keep your doctor./
If you like your health insurance agent, too bad. He’s pulling a palletjack overnight at Walmart.

kingsjester on October 1, 2010 at 1:44 PM

commie Kare must be repealed.

tarpon on October 1, 2010 at 1:45 PM

Sweet!

/crr6

Good Lt on October 1, 2010 at 1:45 PM

Obama sits at his desk. Fingers clasped as Bo tears up the faulty rug on the oval office floor, and thinks to himself…Muwhahahahahahaha. All according to plan. Soon….I will be God, and I will say who lives….and who dies!

capejasmine on October 1, 2010 at 1:46 PM

Obamunistcare must be repealed. All of its destructive tendrils have yet to hatch.

dogsoldier on October 1, 2010 at 1:46 PM

Obama Says Lawyers and Union Workers Stand Ready to Fill Health Care Gap Left by Doctors Who Leave Medicine Over ObamaCare

Mervis Winter on October 1, 2010 at 1:41 PM

LOL.

Splinter? : AMPUTATION
Swelling? : AMPUTATION
Rash? : AMPUTATION

portlandon on October 1, 2010 at 1:47 PM

All together now…

DUUUUHHHHH!!!

Only the truly stupid didn’t see this coming.

CantCureStupid on October 1, 2010 at 1:48 PM

I don’t give a hoot about Iowa. They love liberals so they can suffer the consequences. If they think I’m a racist for not liking Obama and his socialist plans, then they have nothing to worry about. He’ll be taking great care of those folks.

BillCarson on October 1, 2010 at 1:50 PM

Splinter? : AMPUTATION
Swelling? : AMPUTATION
Rash? : AMPUTATION

portlandon on October 1, 2010 at 1:47 PM

Democrat pols in November : AMPUTATION
Obamugabe 2012 : AMPUTATION

esnap on October 1, 2010 at 1:50 PM

we’ll do what Britain has done….import ‘asians’ ie muslims…so when you’re about to get operated on they yell ALLAH AKBAR!!!

and for dentists, they’ll just give us a pair of PLIARS!!!!

right4life on October 1, 2010 at 1:51 PM

Splinter? : AMPUTATION SHOOT
Swelling? : AMPUTATION SHOOT
Rash? : AMPUTATION SHOOT

portlandon on October 1, 2010 at 1:47 PM

The future of Obamacare, especially for those who don’t “get with the program.”

Cicero43 on October 1, 2010 at 1:51 PM

Obama Says Lawyers and Union Workers Stand Ready to Fill Health Care Gap Left by Doctors Who Leave Medicine Over ObamaCare

Mervis Winter on October 1, 2010 at 1:41 PM
LOL.

Splinter? : AMPUTATION
Swelling? : AMPUTATION
Rash? : AMPUTATION

portlandon on October 1, 2010 at 1:47 PM

We’re back to the days of the Civil War I guess…

PatriotRider on October 1, 2010 at 1:52 PM

I KNEW that correspondence course in witch doctoring would come in handy one day.

I’ll be selling dog-crap poultices and eye-of-newt arthritis remedies like crazy, I’m going to be rich.

Bishop on October 1, 2010 at 1:53 PM

It figures. There was no real discussion on how to address the present shortage of healthcare professionals, never mind the future.

Dark-Star on October 1, 2010 at 1:53 PM

Nice pic Ed….looks like that SEIU worker is about to amputate that nice lady’ s leg….

PatriotRider on October 1, 2010 at 1:55 PM

“I always said I would be willing to lose one election cycle if it meant that the nation could finally have what its been dreaming about for the last 60 years.”

-crr6

Bishop on October 1, 2010 at 1:55 PM

The obvious solution is to open the borders to anyone with a ‘medical degree’. Another reason for amnesty!

slickwillie2001 on October 1, 2010 at 1:58 PM

Oh, quit whining you wingnuts.

Just take some painkillers and it will be all better. Listen to your President.

Good Lt on October 1, 2010 at 2:02 PM

Unfortunately, government reimbursement schedules will has been forceing payments down through the entire industry,

This is more like it,according to all of the conversations I have been having with Drs, nurses, & PA’s over the years.

The health insurance industry is consolidating, Voss said, driven by a combination of market forces and increased government regulation.

This has been happening in ALL kinds of industries, like AGRICULTURE.
Look at cattle feeding operations: get big or get out bcs who can afford a government approved Confined Animal Feeding Operation permit when compliance is a MINIMUM of about $50,000 PER facility?

Badger40 on October 1, 2010 at 2:03 PM

“…So the Dalai Lama tells me, ‘When you die, on your deathbed, you will receive Total Consciousness…so I’ve got THAT going for me, which is nice.”

ornery_independent on October 1, 2010 at 2:05 PM

He’s pulling a palletjack overnight at Walmart.

kingsjester on October 1, 2010 at 1:44 PM

Our Walmart in Dickinson needs overnighters bad- they’re paying $2 more per hour & I think this Walmart starts you out at about $9-10/hr, plus benefits.

Badger40 on October 1, 2010 at 2:06 PM

we’ll do what Britain has done….import ‘asians’ ie muslims…so when you’re about to get operated on they yell ALLAH AKBAR!!!

and for dentists, they’ll just give us a pair of PLIARS!!!!

right4life on October 1, 2010 at 1:51 PM

The UK initially generally imported doctors from India. They weren’t generally Muslims.

Jimbo3 on October 1, 2010 at 2:06 PM

I can’t believe their stupidity in passing the whole enchilada at once. Obama is the best thing for the GOP in decades. Sure, he started a revolution–but against him!

PattyJ on October 1, 2010 at 2:08 PM

The health insurance industry is consolidating, Voss said, driven by a combination of market forces and increased government regulation.

This has been happening in ALL kinds of industries, like AGRICULTURE.
Look at cattle feeding operations: get big or get out bcs who can afford a government approved Confined Animal Feeding Operation permit when compliance is a MINIMUM of about $50,000 PER facility?

Badger40 on October 1, 2010 at 2:03 PM

Nothing that fascist governments and businesses love better than megacorps. They are, after all, a statist construct (as we are seeing in the insurance industry today, Big Bank and, yes, BigAg to name a few).

I read somewhere that there are a lot of US physicians moving to Belize.

Rae on October 1, 2010 at 2:11 PM

“We need to pass this bill so the American people will know what’s in it.”

I hope they run that quote in future California campaigns over and over again.

shick on October 1, 2010 at 2:11 PM

Badger40 on October 1, 2010 at 2:06 PM

I’ve done it, stocking dairy at 42, between jobs.

kingsjester on October 1, 2010 at 2:15 PM

“…So the Dalai Lama tells me, ‘When you die, on your deathbed, you will receive Total Consciousness…‘so I’ve got THAT going for me, which is nice.”

ornery_independent on October 1, 2010 at 2:05 PM

ROFLMAO!!!

I can either laugh, or cry. I figure…I’ve done enough crying. If it weren’t for some comments, to help me thru the day, I’d look like the Mojave right now.

capejasmine on October 1, 2010 at 2:15 PM

“If you like your insurance company….you can keep your insurance company.”

Barry said so.

GarandFan on October 1, 2010 at 2:16 PM

“The United States already was struggling with a critical physician shortage and the problem will only be exacerbated as 32 million Americans acquire health care coverage, and an additional 36 million people enter Medicare.”

–Looks like the article says the reason for the shortage is increased demand.

And isn’t Blue Cross/Blue Shield already doing its bit to negotiate better pricing with hospitals and doctors. That’s not government-run.

Jimbo3 on October 1, 2010 at 2:17 PM

The UK initially generally imported doctors from India. They weren’t generally Muslims.

Jimbo3 on October 1, 2010 at 2:06 PM

Are you sure you didn’t mean to say “They weren’t initially generally Muslims?”

LOL

fossten on October 1, 2010 at 2:17 PM

With education becoming more and more expensive, physicians need to recoup their investment in it from plying their trade

Well it’s about time those greedy bastards got their comeuppance. Damned overpaid doctors. Who do they think they are, Lawyers? And besides that, Ed, education costs for medical school will plummet when the Federal Bureaucrats take over all the medical schools. Then they can use Affirmative Action to select med school applicants, use tax-payer dollars to pay for the educations, and completely dictate who gets treatment and who doesn’t. Which won’t matter, because in a Soviet-style economy you’ll no longer have any say in your selection of goods OR services. Big Brother will be making ALL of your choices.

Golly, it sounds just like … Heaven!

(Not that Socialists could recognize Heaven or Hell.)

oldleprechaun on October 1, 2010 at 2:25 PM

Look. All we have to do is tell the insurance company staff people they have to stay in business and pay for other people’s health care. I really don’t see what the big deal is here?

j_galt on October 1, 2010 at 2:26 PM

I read somewhere that there are a lot of US physicians moving to Belize.

Rae on October 1, 2010 at 2:11 PM

Same here. I need to do some research over the weekend. Also hearing about Costa Rica. As the quality of health care deteriorates I’m sure Americans will go elsewhere (as they already have been) to obtain quality care at better prices. There must surely be some venture capital types working on establishing hospitals and clinics in Central American countries closer to home than New Delhi and Singapore. Someone should buy a retired ocean liner or military ship and turn it into a floating hospital, maybe several.

It will inevitably be faster, cheaper and far preferable to travel a bit than to sit in a waiting room while some bureaucratic figures out whether or not you can receive treatment as you watch illegals delivering anchor babies in the corridors.

Welcome to Barry’s world. Third rate all the way, baby!

Cody1991 on October 1, 2010 at 2:29 PM

I read somewhere that there are a lot of US physicians moving to Belize.

Rae on October 1, 2010 at 2:11 PM

Funny you should mention that bcs I heard a few weeks ago from a friend that Belize was touted as the place to retire on Social Security benefits bcs you could live like a king there on so little $$$.
That is, if you can actually get there safely 1st without being kidnapped & sold for ransom.

kingsjester on October 1, 2010 at 2:15 PM

+10

That’s not government-run.

Jimbo3 on October 1, 2010 at 2:17 PM

Are you forgetting that the govt is running the pricing show?
Remember that the Federal govt, with it’s health insurance ‘programs’ like Medicair, Medicaid, or state type programs like SCHIPs (?-or are they Fed ran?) are SETTING the PRICE for services already.
So it doesn’t matter what the he!! BCBS negotiates bcs the hospitals & clinics are already running off of what the govt is saying it’s going to pay for services.

Badger40 on October 1, 2010 at 2:30 PM

Are you sure you didn’t mean to say “They weren’t initially generally Muslims?” LOL

fossten on October 1, 2010 at 2:17 PM

Wasn’t one of the British subway/bus bomb plots led by immigrant doctors from ‘South Asia’ as they call it there?

slickwillie2001 on October 1, 2010 at 2:32 PM

It will inevitably be faster, cheaper and far preferable to travel a bit than to sit in a waiting room while some bureaucratic figures out whether or not you can receive treatment as you watch illegals delivering anchor babies in the corridors.

Welcome to Barry’s world. Third rate all the way, baby!

Cody1991 on October 1, 2010 at 2:29 PM

I know some missionaries that travel to S. America on a yearly basis.
She was telling me that health care in these kinds of places does not mean that you get fedor clothed or even get your butt wiped.
That’s for the family to either do themselves, or pay someone else to do for the patient.
The hospital is not there to cater to the patient, only to TREAT their problem.
These missionaries go down & help people out by staying with sick kids & such in the hospital to take care of their needs while the family works.

Badger40 on October 1, 2010 at 2:33 PM

Then they can use Affirmative Action to select med school applicants, use tax-payer dollars to pay for the educations,

oldleprechaun on October 1, 2010 at 2:25 PM

Already has been happening.
For instance, I know a white woman trying to get one of the medical seats at NDSU & I know there’s either 1 or 2 chairs open ONLY to Native Americans.
If those seats never get filled, then they leave them empty, rather than filling them with an already qualified individual wanting to go to medical school.
It’s not just the bad pay that’s causing Dr shortages.

Badger40 on October 1, 2010 at 2:36 PM

I don’t give a hoot about Iowa. They love liberals so they can suffer the consequences. If they think I’m a racist for not liking Obama and his socialist plans, then they have nothing to worry about. He’ll be taking great care of those folks.

BillCarson on October 1, 2010 at 1:50 PM

Well Bill, its’ not just about Iowa! I live here, like it, and knew this would happen. Not all of us are liberals! We have our University towns but the west is very conservative. Fact is Des Moines is headquarters to possibly the largest group of health insurers in the world and this will affect everyone as companies drop their health portfolios, costs will increase, choices will become fewer and there will either be corporate monoplies or eventually a Govt takeover of the entire industry. This was by design!
We must rid ourselves of Harkin in the next election cycle!
Democrats lied and our Healthcare Died!
Repeal and Impeach!

dhunter on October 1, 2010 at 2:39 PM

Look. All we have to do is tell the insurance company staff people they have to stay in business and pay for other people’s health care. I really don’t see what the big deal is here?

j_galt on October 1, 2010 at 2:26 PM

Oh is that all they need to do? Well, gosh darn it. I didn’t realize that the only thing to keep a company from going under is to tell them to keep doing it. I didn’t realize that profit vs. loss and all that has anything to do with keeping a company afloat.
Man, they should have started that up with all those companies that have been going out of business over the past couple of years.

mjk on October 1, 2010 at 2:39 PM

The government has been subsidizing health insurance via the tax code for a couple of generations… and what is the iron law of subsidies? Prices become unconnected to actual cost, therefore those purchasing it place less value on the subsidized item as they only pay the net price, not the full cost. Thus it is overused and undervalued, and the good or service is not sustainable at the subsidized price point, which creates shortfalls in supply as new entrants to the market face an artificially created price point that don’t cover their costs.

Yes the government has been involved in the large scale on this for decades. The result of playing political games with health insurance is now obvious, and the game was rigged to get this way.

Who is The Mark in this game?

You are.

Unless you support it without analysis, then you are a Rube.

ajacksonian on October 1, 2010 at 2:42 PM

Repeal, yes. But take our country back. There’s nowhere else to go. It’s here or nowhere that the stand is taken.

J.E. Dyer on October 1, 2010 at 2:44 PM

The public will soon learn that euthanasia doesn’t mean growing up in Beijing.”

In ObamaCare doctors will be about as needed as special prosecutors for the many lawless acts of protected sleazy Eric Holder as long as the Dims can run interference for him.

viking01 on October 1, 2010 at 2:46 PM

ObamaCare: There are no Doctors, so just wrap whatever your healthcare problem is in a poultice, take a pain pill and wait to die.

portlandon on October 1, 2010 at 2:48 PM

Badger40 on October 1, 2010 at 2:33 PM

Badger, yes, that’s one reason we have so many illegals coming here. They can get health care.

What I’m talking about are hospitals and clinics that are, or may be, set up for those of us with additional insurance policies who will travel elsewhere for superior services. If, if, O’care becomes a reality, it will happen. Enterprising people will always find a way around the problem.

Cody1991 on October 1, 2010 at 2:51 PM

Just great. I will be eligible for Medicare in 2023. By then I’ll probably never get to see an actual M.D. >:-(

I’ve already had trouble getting to see an M.D. for an annual physical, and so have my kids. Every practice is hiring more nurse practitioners and physician’s assistants to do these “routine” office visits. But these visits are often the only time people see a medical professional, and nurses and PAs simply do not have the training and expertise to spot problems that an M.D. can detect. My father was an M.D. and I will not settle for less.

rockmom on October 1, 2010 at 2:55 PM

The government has been subsidizing health insurance via the tax code for a couple of generations… and what is the iron law of subsidies? Prices become unconnected to actual cost, therefore those purchasing it place less value on the subsidized item as they only pay the net price, not the full cost. Thus it is overused and undervalued, and the good or service is not sustainable at the subsidized price point, which creates shortfalls in supply as new entrants to the market face an artificially created price point that don’t cover their costs.

Yes the government has been involved in the large scale on this for decades. The result of playing political games with health insurance is now obvious, and the game was rigged to get this way.

Who is The Mark in this game?

You are.

Unless you support it without analysis, then you are a Rube.

Actually, it is the rule of OPM – other people’s money. Anytime a product or service is paid for with other people’s money, people will consume too much of it and will not care about its price. Leaving payment for anything but catastrophic health care costs to ANY third party – private insurer or government – is a recipe for disaster.

The same people who have $1000 deductibles on their car insurance to save money on premiums don’t want to pay $100 for an annual physical.

rockmom on October 1, 2010 at 2:59 PM

Principal Financial Group said Thursday that it will leave the medical insurance business, further reducing competition among health insurers in Iowa.
Principal will transfer the renewal rights for its health insurance customers in Iowa and 30 other states to UnitedHealthcare over the next 36 months. …
The decision means the disappearance of the third-largest health insurer in Iowa at a time when half a dozen other small insurers have told the Iowa Insurance Division that they also plan to quit selling health insurance in Iowa.
The health insurance industry is consolidating, Voss said, driven by a combination of market forces and increased government regulation.

K Sebelius finds this kind of unwarranted fearmongering unacceptable.

Midas on October 1, 2010 at 3:02 PM

Don’t forget all the older doctors who, rather than deal with all the BS, will hang up their shingles and retire.

All this legislative red tape and getting between them and their patients will kill whatever healthcare we still have.

Mommynator on October 1, 2010 at 3:02 PM

nurses and PAs simply do not have the training and expertise to spot problems that an M.D. can detect. My father was an M.D. and I will not settle for less.

rockmom on October 1, 2010 at 2:55 PM

I agree. We have a PA at our small town clinic & she knows SQUAT compared to the traveling Dr that visits 2X/week. I wait for that person to come before making an important appt.

The same people who have $1000 deductibles on their car insurance to save money on premiums don’t want to pay $100 for an annual physical.

rockmom on October 1, 2010 at 2:59 PM

Isn’t that funny? We all feel we are almost entitled to posh care, but I for instance, do not buy collision insurance in a state where it’s expensive bcs my care isn’t worth it to insure.
My healt ins deductible is still about $500/yr & I often never get past that.
Why do I need to constantly go to the Dr for something like a cold or the flu?
If I had to pay for my health ins instead of my employer, I wouldn’t find it worth it. I’d rather have a savings account or something.
There’s no way most people spend over the $1000/MONTH that a family policy will cost you.

Badger40 on October 1, 2010 at 3:08 PM

care

CAR

Badger40 on October 1, 2010 at 3:09 PM

Ever wonder why there are so many paki docs in GB?

they are threatening our autonomy

autonomy is a perishable skill

Sonosam on October 1, 2010 at 3:45 PM

The UK initially generally imported doctors from India.

They weren’t generally Muslims.

Jimbo3 on October 1, 2010 at 2:06 PM
Are you sure you didn’t mean to say “They weren’t initially generally Muslims?”

LOL

fossten on October 1, 2010 at 2:17 PM

No. I meant what I wrote. Most of the Muslims in India went to Pakistan when the partition of India happened in the late 1940s.

Jimbo3 on October 1, 2010 at 3:53 PM

But I thought the Obamacare bill set aside $10 billion solely for the education of doctors, black doctors that is. So Obamacare is also essentially affirmative action for doctors. No wonder you won’t be able to keep or chose your own doctor in future; you must go to a doctor who got his degree solely on the basis of the color of his, or her, skin.

Whew, that’s a relief!

Dhuka on October 1, 2010 at 4:06 PM

But I thought the Obamacare bill set aside $10 billion solely for the education of doctors, black doctors that is

Dhuka

Sorta being a bit of a shiphead, ain’t ya, Dhuka.

audiculous on October 1, 2010 at 4:21 PM

Since the money for an education in medicine will be doled based on race means they will guarantee to get diminished returns

that’s all

excellence isn’t considered

Sonosam on October 1, 2010 at 4:29 PM

To ensure an adequate physician workforce, Congress needs to lift a 1997 freeze on Medicare supported residency positions, the AAMC recommended.

from the Modern Healthcare story about the AAMC report.

————————————————————

There are large numbers of Americans trying to get an MD and being turned away.

What Milton Friedman described as “strongest trade union in the United States” has insured that the number of MDs trained in the US is less than half of the qualified aspirants for training and that the salaries for MDs in the US is twice that paid to comparably skilled doctors in Europe.

audiculous on October 1, 2010 at 4:38 PM

————————————————————

There are large numbers of Americans trying to get an MD and being turned away.

What Milton Friedman described as “strongest trade union in the United States” has insured that the number of MDs trained in the US is less than half of the qualified aspirants for training and that the salaries for MDs in the US is twice that paid to comparably skilled doctors in Europe.

audiculous on October 1, 2010 at 4:38 PM

My understanding is that another big bottleneck is a requirement to have a US residency for all doctors with foreign degrees.

“Licensure and certification. To practice medicine as a physician, all States, the District of Columbia, and U.S. territories require licensing. All physicians and surgeons practicing in the United States must pass the United States Medical Licensing Examination (USMLE). To be eligible to take the USMLE in its entirety, physicians must graduate from an accredited medical school. Although physicians licensed in one State usually can get a license to practice in another without further examination, some States limit reciprocity. Graduates of foreign medical schools generally can qualify for licensure after passing an examination and completing a U.S. residency. For specific information on licensing in a given State, contact that State’s medical board.”

http://www.bls.gov/oco/ocos074.htm

Jimbo3 on October 1, 2010 at 4:48 PM

I vote for medical marijuana for all — then who cares?

Doctors have a pretty tough job. Even before Obamacare, the medical profession was probably the most regulated business in the US. On top of that, while accountants can hang out shingles and take or decline whoever they want and charge what they want — usually what the market will bear — doctors have overwhelmingly been subsumed into insurance companies as employees (or independant contractors). What once was an independant profession has essentially become an employment position.

Financially, doctors get — where I live — about $19 from governemnt medicaid to help adjust a patient’s blood sugar, and then have to document in a computer program rather than in private paper files, whether it takes 15 minutes or 45 minutes to satisfy the patient and perform acceptable government-mandated documentation.

Now when you’ve got a receptionist/scheduling clerk, a nurse, a medical tech or an x-ray tech, a monthly building rent, a electric bill, basic lab and medical supplies, and a limited-duty afterhours housekeeper, how is a doctor able to pay himself a salary, let alone pay salaries for his 3 or 4 staffmembers on $100 of co-payments and reimbursements for each hour worked?

Since the government reimbursement is so low, they have to rely on private insurance reimbursement, or else charge the patients cash at time of service.

As Obamacare forces more and more insurance companies out of business and forces the remaining insurers to limit reimbursement, who is going to want to study for 12 years of college and residency to fill this position, especially when they take on 6-figure debt to get the job in the first place?

flicker on October 1, 2010 at 5:04 PM

As for the Paki connection, is medicine now one of the jobs Americans just won’t do?

flicker on October 1, 2010 at 5:15 PM

The same people who have $1000 deductibles on their car insurance to save money on premiums don’t want to pay $100 for an annual physical.

rockmom on October 1, 2010 at 2:59 PM

Yep. These people don’t want health insurance; they want pre-paid health care paid by someone else.

Missy on October 1, 2010 at 5:22 PM

And I’ve known many bad doctors. I’ve known only one good PA or NP. Medical school and residency is the only effective way to go, unless we institute 8- or 10-year apprenticeship programs and create journeyman and master positions.

flicker on October 1, 2010 at 5:27 PM

flicker on October 1, 2010 at 5:04 PM

A certain medical office manager informed me of this interesting tidbit:

If you see a non-English speaking patient, you have to provide a translator.
If you are seeing an uninsured, non-English speaking patient, you have to pay for the translator out of your pocket.
Ergo you are not only not making money, but you are paying for the privilege of seeing that patient.

Ahaha. Ahahaha. Ahahahahaha. Bwahahahahahahahaha.Ha….aha….ha…heh.

justltl on October 1, 2010 at 5:39 PM

Wasn’t one of the British subway/bus bomb plots led by immigrant doctors from ‘South Asia’ as they call it there?

slickwillie2001 on October 1, 2010 at 2:32 PM

It was the airport in Glasgow that had a failed truck bomb a few years ago.

Regarding the training of doctors, minority or otherwise. It doesn’t matter if the medical schools opened the gates tomorrow and allowed anyone who walked in to be admitted, you still need a minimum of 4 years of medical school and then at least a three year residency for even a GP, much less a specialist. Then of course after admission the person has to pass all the course work and pass the licensing requirements. Do people want doctors who flunk all the tests to be treating them. I don’t think so.
I took my son for a routine physical for school to a doc in the box, because I couldn’t get one scheduled with his pediatrician quick enough. He was a foreign doctor. I could not understand a word he said. Thank goodness I didn’t need anything other than a signature.

txmomof6 on October 1, 2010 at 5:45 PM

justltl on October 1, 2010 at 5:39 PM
Not to mention the fact that you can’t turn away that patient if he comes into the ER for EMTALA reasons.

txmomof6 on October 1, 2010 at 5:48 PM

BTW, that medical office is a medical specialty group that is the only one in a certain largish city that sees uninsured and Medicaid patients in their specialty. They have done this for many years for charitable and moral reasons.

Which makes the ‘forking-over-dough-to-pay-for-the- translator-scenario’ even more ‘special’ under the general rule of ‘No good deed goes unpunished’.

Here are some extra apostrophes if anyone needs them:
””””.
Don’t thank me- I’ve got plenty.

justltl on October 1, 2010 at 5:50 PM

Incidentally, if the Dems and Odumbo stay in power, I’ve decided to become a pirate- like Ragnor, or whatever his name was, in Atlas Shrugged.

Hopefully, there’ll be some health insurance carier still around that will cover pirates.

justltl on October 1, 2010 at 5:56 PM

“Aye, matey, now open wide and say ‘Arrrrgh’.”

Just practicing.

justltl on October 1, 2010 at 6:03 PM

He was a foreign doctor. I could not understand a word he said.

txmomof6

Was that because he was speaking a language foreign to your understanding or just because he was speaking of things that you’re not qualified to understand?

Texas Occupations Code CHAPTER 155. LICENSE TO PRACTICE MEDICINE
If you look to Subsection A
155.004
part (5)

you’ll have the opportunity, should you be able to fluently read in English, to note that the physician was requirement to demonstrate that he/she had that particular ability as well as all other requirements.

audiculous on October 1, 2010 at 6:24 PM

JIMBO you are a dupe and a water carrier. Attorney my arse.

CWforFreedom on October 1, 2010 at 6:24 PM

As Obamacare forces more and more insurance companies out of business and forces the remaining insurers to limit reimbursement, who is going to want to study for 12 years of college and residency to fill this position, especially when they take on 6-figure debt to get the job in the first place?

flicker on October 1, 2010 at 5:04 PM

Ask Jimbo3. He’ll probably just reply with a long comment about how it isn’t actually 12 years of college and residency, it’s really about 11 years, and it’s actually not 6-figure debt, because there are special government programs will help reduce it to high 5-figure debt blah blah blah blah…

As I said in the other thread…US health care is the Titanic, Obamacare is the iceberg, and Jimbo3 is busy explaining to us how pretty the green and blue colors are as the sunlight glints off the ice, when he’s not explaining how the cargo in the hold is a little off-balance and that’s why the ship is listing to the side.

Missy on October 1, 2010 at 7:48 PM

The problem with the shortage that no one has addressed is that medical residencies are funded via Medicare. Guess what was trimmed in Ocare?

Secondarily, if there aren’t enough residencies being funded, you can have a medical school in every town, but if there is no post-grad training, they are worthless to the patient population.

I am choosing to not go into clinical care for this reason and more…like 90hr weeks at $40k for 3-5 yrs. Not with $250k of debt on my plate thanks.

Sent from my iPad

JP1986UM on October 1, 2010 at 8:24 PM

audiculous
Pardon me for responding to your trenchant criticism so late but I had to go shoot a homeless person who was squatting on my lawn. Fortunately he was insured.
My point being, ship mate, that it is not the role of the Federal government to decide who can get a medical degree based solely on the color of their skin. That could almost be considered racism. Why not set aside $10 billion for Asians, Cherokees, or persons originally from Venezuela? Now if $10 billion were set aside for veterans, of whatever race, that I could go along with, having been a corpse man in the Navy but having no money to go to medical school.

Dhuka on October 1, 2010 at 8:36 PM

Dhuka,

why don’t you attempt to show that the feds are controlling “who can get a medical degree based solely on the color of their skin” rather than simply asserting it.

till you do that…

audiculous on October 1, 2010 at 9:24 PM

audiculous

It’s in the bill. Read the bill.

Out.

Dhuka on October 1, 2010 at 10:43 PM

Dhuka…. nope it’s not. nothing in the bill mandates that medical degrees will be awarded solely by race or pigmentation.

you’re way out and face down in the muck pit.

audiculous on October 1, 2010 at 10:57 PM

Was that because he was speaking a language foreign to your understanding or just because he was speaking of things that you’re not qualified to understand?
audiculous on October 1, 2010 at 6:24 PM

No he was speaking English. His accent was so thick that it was quite difficult to understand him without asking him to repeat himself multiple times. Are you actually disputing that this happened to me, or just being rude to a perfect stranger?

txmomof6 on October 1, 2010 at 11:11 PM

Hidden Deep Within ObamaCare, Racial Preferences

slickwillie2001 on October 1, 2010 at 11:32 PM

slickwillie2001

yes, thanks. there is a language in the bill that allows rather than requires, for grants to schools that would be designed to change the fact that 50% of med school grads are white males. yeah, it is an affirmative action deal, but it isn’t anything that is only for black doctors, which was Dhupa’s initial comment and it’s nothing like Dhupa’s second attempt either.

audiculous on October 1, 2010 at 11:53 PM

txmomof6, why, sweetheart, danged if it didn’t sound like you were being a bit rude about a perfect stranger attempting to provide some sort of assistance to your family.

audiculous on October 2, 2010 at 12:03 AM

audiculous ridiculous

Why sir I am beginning to doubt the sincerity of your protestations of intellectual superiority and I am starting to feel, no doubt, that your true wish is to coat others with the muck that resides within your own self. I doubt that in the short time we have had together that you have indeed perused said Obamacare document to ascertain whether or not what I say is indeed true.

I can read auras, you know, and when I touch my hand to the screen wherein you have posted an opinion, and your aura, kind sir, is goose turd green.
Oh darn there is another homeless person squatting in the yard. Let us hope that he too is covered by Obamacare.

cheers…and don’t give way to road rage…remember it is just not nice to be rude to strangers, perfect or not.

Dhuka on October 2, 2010 at 1:08 AM

Dhuka, don’t believe that I’ve posted positations of intellecktual supermajority, old corpse.

You’ll be damnably hard-pressed in a small place before you can back up the slurry you spread about black,black, black is the color of our dockers in that healthcare bill.

try it, Dhuka and see how verily far offsure you flounder.

you are making a choke of your own self.

audiculous on October 2, 2010 at 1:44 AM

Sandi Behrns, little woman, I take it YOU majored in Pre-Med, went on to med school, did a 3 year internship at so and so hospital, and is now willing to take a further pay cut to work more hours?

No? Don’t say, just a piece of 21st century Democrat trash, who majored in Poly Sci with a minor in Retard Studies, thereby contributing nothing to productive society? I’m shocked that another piece of leftist trash wouldn’t put their money where their mouth is.

MNHawk on October 2, 2010 at 11:19 AM