djAdvocate
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Post by djAdvocate on Jul 1, 2019 0:53:09 GMT -5
this might be a good time to point out a notable outlier in this debate: Australia.
Australia has, by most accounts, a healthcare system that is vastly superior to ours. they also have 2.5 doctors per 1000 people, much like the US's 2.3 per 1000 people.
however, they are FAR more rural than the US, having only 3.1 people per square mile, -vs- 35.
like i said, there is no end to the excuse making for people who really don't want the policies to change.
but there is nothing we can do that has not already been done. so really, there IS no excuse.
stop making them up.
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Deleted
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Post by Deleted on Jul 1, 2019 1:04:01 GMT -5
I was in Costa Rica for work a lot from 03-07 and my company had a Dentist onsite and employees could set appointments during their workday. I was told it is common with large employers there.
Just interesting seeing the healthcare differences in different countries.
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djAdvocate
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Post by djAdvocate on Jul 1, 2019 1:09:28 GMT -5
I was in Costa Rica for work a lot from 03-07 and my company had a Dentist onsite and employees could set appointments during their workday. I was told it is common with large employers there. Just interesting seeing the healthcare differences in different countries. when you reach retirement age in CR, your premium falls to $73/month.
not per day.
per month.
it is not a super impressive healthcare system, but it is incredibly well valued.
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Post by Deleted on Jul 1, 2019 10:59:10 GMT -5
Until the tuition is paid, then it's off to where the money is to be made.Even the offspring of the doctors in our rural area move away after their schooling is complete. Not enough patients for even a father/son, mother/daughter, or any combination of, doctors office. that is not how the program works. there is no "repayment program".
how it works in the CR system is the degree to which you are provided assistance is the degree to which you are required to serve for the rest of your professional career.
if you take 90% assistance, you spend 90% of your time working for the government. if you take 10% assistance, you spend 10% of your time working for the government.
if you are wealthy, you end up in private practice in CR. but if you do, you might not be able to charge as much as you like, because a government doctor basically charges nothing. you will have to compete with that. so unless you are getting a facelift or something that is not government funded, you are going to have a tough time.
In this country I can't see that there would be many students willing to take the time required for a medical degree at the higher % rates. The pay would be too low for what the job requires. I knew a younger man who was a doctor at our hospital, we call them hospitalists over here. He made about $250,000 a year and hated it because of all the long crazy hours he had to work. He saved heavily for a couple of years and bought a bowling alley. He's still there and seems quite happy. Is that the kind of thing that will happen as an unintended result ? I don't know, but being a doctor might not be the great job, as it's mostly portrayed.
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djAdvocate
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Post by djAdvocate on Jul 1, 2019 17:55:16 GMT -5
that is not how the program works. there is no "repayment program".
how it works in the CR system is the degree to which you are provided assistance is the degree to which you are required to serve for the rest of your professional career.
if you take 90% assistance, you spend 90% of your time working for the government. if you take 10% assistance, you spend 10% of your time working for the government.
if you are wealthy, you end up in private practice in CR. but if you do, you might not be able to charge as much as you like, because a government doctor basically charges nothing. you will have to compete with that. so unless you are getting a facelift or something that is not government funded, you are going to have a tough time.
In this country I can't see that there would be many students willing to take the time required for a medical degree at the higher % rates. The pay would be too low for what the job requires. are you saying the job is harder in the US than Costa Rica?
why? I mean, what is your basis for that?
NOTE: I would prefer that we limit our discussion to GENERAL PRACTITIONERS, as ALL of the best systems allow "specialty care" (generally elective) to be private, and it definitely pays better.
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Post by Deleted on Jul 2, 2019 12:28:37 GMT -5
In this country I can't see that there would be many students willing to take the time required for a medical degree at the higher % rates. The pay would be too low for what the job requires. are you saying the job is harder in the US than Costa Rica?
why? I mean, what is your basis for that?
NOTE: I would prefer that we limit our discussion to GENERAL PRACTITIONERS, as ALL of the best systems allow "specialty care" (generally elective) to be private, and it definitely pays better.
Standard of living, for a doctor, in the respective countries.
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steff
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Post by steff on Jul 2, 2019 13:18:50 GMT -5
Our rural hospital nearly killed me several years ago. their equipment was so outdated that they couldn't correctly diagnose what was wrong with me for MONTHS. It finally took my husband deciding to take me to a different emergency room in a different county (larger county) to find out I had been walking around with a self contained ruptured appendix for MONTHS. I was in surgery in less than an hour after walking into the 2nd emergency room. My surgeon called my appendix a "bag of death" & said had it ruptured while sitting in the er they couldn't have saved me.
We have good insurance, but our rural health care is not up to where it should be.
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djAdvocate
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Post by djAdvocate on Jul 2, 2019 15:30:18 GMT -5
are you saying the job is harder in the US than Costa Rica?
why? I mean, what is your basis for that?
NOTE: I would prefer that we limit our discussion to GENERAL PRACTITIONERS, as ALL of the best systems allow "specialty care" (generally elective) to be private, and it definitely pays better.
Standard of living, for a doctor, in the respective countries. interesting.
well, for me, as a patient, i don't give fuck one about a doctor's standard of living. i ONLY care about my care, and the cost of it.
so, if i can have good quality care at a reasonable cost, i am good. i am not in this game for the wellbeing of my doctor.
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Post by thyme4change on Jul 2, 2019 22:43:23 GMT -5
Standard of living, for a doctor, in the respective countries. interesting.
well, for me, as a patient, i don't give fuck one about a doctor's standard of living. i ONLY care about my care, and the cost of it.
so, if i can have good quality care at a reasonable cost, i am good. i am not in this game for the wellbeing of my doctor.
I give one fuck. Not a lot of fucks, but one to make sure that he is making enough to have a decent life and got a good night sleep and didn't have to moonlight at the movie theater or anything like that. But, after that, I'm all out of fucks.
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buystoys
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Post by buystoys on Jul 3, 2019 9:44:50 GMT -5
While I understand the request for limiting this discussion to GP only, I think that the GP/specialty mix is part of the problem. There are a large number of doctors who go into specialty care primarily for the money. If there were some type of cap or limit on types of specialist in a given geographic area, I think we'd see more General Practitioners overall. Maybe not, though, as the GP usually doesn't have the income a specialist has.
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Post by Deleted on Jul 3, 2019 13:13:34 GMT -5
Standard of living, for a doctor, in the respective countries. interesting.
well, for me, as a patient, i don't give fuck one about a doctor's standard of living. i ONLY care about my care, and the cost of it.
so, if i can have good quality care at a reasonable cost, i am good. i am not in this game for the wellbeing of my doctor.
I have to agree, I don't care about their standard of living either and want to continue having decent healthcare. They will however, and I don't see anyway to control it other than enforced labor. How do you enforce labor in this country, a doctor no less ?
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djAdvocate
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Post by djAdvocate on Jul 3, 2019 14:52:56 GMT -5
interesting.
well, for me, as a patient, i don't give fuck one about a doctor's standard of living. i ONLY care about my care, and the cost of it.
so, if i can have good quality care at a reasonable cost, i am good. i am not in this game for the wellbeing of my doctor.
I have to agree, I don't care about their standard of living either and want to continue having decent healthcare. They will however, and I don't see anyway to control it other than enforced labor. How do you enforce labor in this country, a doctor no less ? I disagree. what they need is COMPETITION, jma. that is what I am suggesting.
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Post by Deleted on Jul 4, 2019 9:31:43 GMT -5
I have to agree, I don't care about their standard of living either and want to continue having decent healthcare. They will however, and I don't see anyway to control it other than enforced labor. How do you enforce labor in this country, a doctor no less ? I disagree. what they need is COMPETITION, jma. that is what I am suggesting.
The burden of a medical degree is extraordinary when you consider the added stress of caring for people's lives. I don't think there will ever be a large enough supply of doctors to create a competitive situation in this country. We're a actually moving in the wrong direction for some time now.
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djAdvocate
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Post by djAdvocate on Jul 5, 2019 13:37:03 GMT -5
I disagree. what they need is COMPETITION, jma. that is what I am suggesting.
The burden of a medical degree is extraordinary when you consider the added stress of caring for people's lives. I don't think there will ever be a large enough supply of doctors to create a competitive situation in this country. We're a actually moving in the wrong direction for some time now. I agree completely, and I think this burden is working it's way down to the public in a way that provides no social benefit for anyone: doctor, or patient.
therefore, I am suggesting an alternative: that we unburden physicians, and not force the public to pay for that burden.
it seems reasonable to me.
we could increase the supply of doctors and decrease the cost of them by funding their education, if we did it right.
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