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View Diary: Why healthcare costs so much in the U.S. (181 comments)

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  •  What do you think an MD should make? (1+ / 0-)
    Recommended by:
    ekyprogressive

    Say,someone in primary care?

    "George RR Martin is not your bitch" ~~ Neil Gaiman

    by tardis10 on Fri May 13, 2011 at 07:39:15 PM PDT

    [ Parent ]

    •  Primary Care Physicians are not... (4+ / 0-)
      Recommended by:
      DRDZ, tardis10, Odysseus, mamamedusa

      the guys getting the biggest pay, I would say they are probably the lowest paid of the physicians. Their malpractice insurance from my understanding is lower too than for specialists or especially for surgeons.

      It's hard to make such a call with our current system. Like someone said earlier, consider the debt from the education, be it MDs/DOs, PAs, NPs or CRNAs. Those schools are crazy expensive, and financial aid and space in all of them are limited. Couple that with malpractice insurance rates being high for them. If those issues could be tackled, they wouldn't need so much, would they?

      Because I didn't know it off my head, It appears that the median salary for General Practice physicians is around $160,530 in 2009 (FNPs, who in many states have very broadly extended scopes of practice including independent prescriptive authority, is in the 90s). Recent report on "The Future of Nursing" talks about how with the reforms, nursing itself has to change, and specialists like FNPs, ANP and the like can help meet some of that new demand.

      How much do I think they should make. That is a painfully hard question...as I am sure you knew when you asked it...

      :-p

      •  Thanks for the thoughtful response. (3+ / 0-)
        Recommended by:
        ekyprogressive, Odysseus, mamamedusa

        As you say,it is a difficult question to answer. Made more difficult when you factor in all the variables. Especially the costs of education,the differences in speciality salaries, malpractice,the years in school & out of the workplace (ROI),variable costs of practice etc. Again,as I wrote above,I just don't buy into the contention that the wages paid actual healthcare providers are the primary problem with the current system. Not even close.

        Disclosure time,I happen to be married to an oncology NP. I wouldn't do his job for twice his salary but he loves helping people. You nurses are funny like that.

        "George RR Martin is not your bitch" ~~ Neil Gaiman

        by tardis10 on Fri May 13, 2011 at 09:18:48 PM PDT

        [ Parent ]

        •  Oncology.. (2+ / 0-)
          Recommended by:
          mamamedusa, tardis10

          is a rough field, Oncology NPs are a scarce thing too aren't they. I've never met someone doing that. I had personally applied this year for a Family Nurse practitioner program, got through the first two sets of "cuts" but didn't get in the finals. And I was told not to be discouraged, the problem is "space". Can't really move or anything for personal reasons, so maybe next year will be better, going to repeat one of my lower grades and retake the GRE for a higher score (even though I beat their minimum required by 200 points). But the competitiveness and space issues to the side, the costs of the graduate programs is mind-boggling, especially if you look at things like CRNA programs...YIKES!

          Without a doubt, paying that crap back is going to be where a CHUNK is going to have to go.

          •  Years ago nursing schools were understaffed (2+ / 0-)
            Recommended by:
            ekyprogressive, tardis10

            Nurses make good money, but the salaries of the professors were pitiful. Things may have changed, I don't know.
            Few nursing professors means few places for nursing students, whether or not the aging baby boomers will need lots more care.

            Conservation is green energy

            by peggy on Sat May 14, 2011 at 03:18:25 PM PDT

            [ Parent ]

            •  They still are... (0+ / 0-)

              this was my last semester for my BSN and they were STRESSING the need for nurse educators. That said they only offered it as a "post master's certification", the school only had three Masters tracks for nursing (FNP, MHNP, and public health nursing). I think the lack of variety also speaks to that problem.

              :-/

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