tag:blogger.com,1999:blog-18943510.post4184792783443317303..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Cardiology Cuts Taking Their TollDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-18943510.post-27287187568761536232010-03-03T17:00:08.584-06:002010-03-03T17:00:08.584-06:00Dr. Wes,
Take a look at the spreadsheets in my po...Dr. Wes,<br /><br />Take a look at the spreadsheets in my post to understand the ROI calculations.<br /><br />In essence, rational young adults choose a career in part based on future projected income, and weigh this against the cost of education in terms of tuition and opportunity cost. Of course they look at many other factors, but money plays a part.<br /><br />I don't dictate what anyone Praveenhttp://truecostblog.comnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-80512907694950027422010-03-03T06:39:22.693-06:002010-03-03T06:39:22.693-06:00Praveen-
Your logic is so flawed I don't know...Praveen-<br /><br />Your logic is so flawed I don't know where to begin: ROI? Seriously? It would be nice if life, the marketplace, and salaries were just one big linear correlation, but that's not reality.<br /><br />And where the heck do you come up with $30K/year salary for every year of education? Using your logic, profesional football and basketball players should make about $100 DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-63940677503692855292010-03-02T14:38:35.147-06:002010-03-02T14:38:35.147-06:00Most specialists' incomes would have to declin...Most specialists' incomes would have to decline precipitously in order to reach a level that really impacted the desire of med students to sub-specialize.<br /><br />I analyzed the career return on investment for a variety of careers, and based on official statistics (BLS data), medicine didn't rank in the top 5.<br /><br />But if I were to use more accurate data like the Cejka research Praveenhttp://www.truecostblog.comnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-32657335337460973322010-02-18T06:56:03.893-06:002010-02-18T06:56:03.893-06:00To the anonymous commenter who posted the data fro...To the anonymous commenter who posted the data from the recently published <a href="http://www.forbes.com/2010/02/11/how-much-does-a-doctor-make-business-healthcare-doctors.html" rel="nofollow">Forbes article</a> on doctor salaries:<br /><br />For reasons that are unclear to me, your comment did not publish. I have provided a link to the article and regret the problem. <br /><br />I do note, DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-22593596736800742632010-02-17T09:00:55.021-06:002010-02-17T09:00:55.021-06:00As indicated above, the AMA, with the enthusiastic...As indicated above, the AMA, with the enthusiastic support of the cardiology associations, has for 20 years deliberately suppressed payment levels for E&M codes in favor of procedures. Remembering this, a lot of us can't share your indignation.<br /><br />Pri Care DocAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-14322452785834423862010-02-17T06:48:26.824-06:002010-02-17T06:48:26.824-06:00Well said...you have some excellent points made wi...Well said...you have some excellent points made within your post.StorytellERdochttps://www.blogger.com/profile/14371229500424449124noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-38961067493218228222010-02-16T21:38:14.527-06:002010-02-16T21:38:14.527-06:00this is going to drastically affect practice valua...this is going to drastically affect practice valuations. any senior partners who counted on buyouts as part of their retirements may have to work a little longer.<br />people considering partnership may reconsider unless valuations take into consideration these new economics. you just cannot make business plans with all these changes and proposed changes looming.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-72012453418826197572010-02-16T19:46:37.620-06:002010-02-16T19:46:37.620-06:00C'mon Wes,
How severely is this affecting ove...C'mon Wes,<br /><br />How severely is this affecting overall income? Who are they laying off? Is this maybe not such a bad thing since taking the profit motive out of non invasive cardiac testing will discourage some of the overtesting I see for the purposes of generating income?<br /><br />We need more than gloom and doom and threats of lack of access to services with physicians desertingKeithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-37871269583880321272010-02-16T16:15:22.092-06:002010-02-16T16:15:22.092-06:00Reform or no reform, physicians are not going to g...Reform or no reform, physicians are not going to get relief. When AMA and ACC screwed Primary care many years ago and bumped proceduralist income at the expense of internists/Primary care, it was unfair and no other specialist society complained. Now, for the first time cardiologist feel a pinch, it is news. WSJ had an article recently that USA is over stenting like crazy even for those that haveAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-20642763768401757502010-02-16T14:14:24.910-06:002010-02-16T14:14:24.910-06:00I thought physicians were flocking to Texas becaus...I thought physicians were flocking to Texas because it is the new physician Mecca? Guess all those claims about "reform" being the key to access were made up.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-30955583000637110482010-02-16T12:24:15.905-06:002010-02-16T12:24:15.905-06:00Then maybe polititians will start listening to the...Then maybe polititians will start listening to the voters instead of the lobbyists and special interest groups.<br /><br />I like your quote, Anonymous. I couldn't make a decent living as a geriatrician, so I switched to being a hospitalist nine years ago. My former office patients switched to nurse practitioners and physician assistants, or just used the ER.<br /><br />-SteveSteve Parker, M.D.http://advancedmediterraneandiet.com/blog/noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-36803541638863565182010-02-16T11:46:08.298-06:002010-02-16T11:46:08.298-06:00So cardiologists will now have to pay their overhe...So cardiologists will now have to pay their overhead and make a living off what Medicare pays for E&M services? Join the club.<br /><br />Pri Care DocAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-52395863163681537862010-02-16T10:53:03.238-06:002010-02-16T10:53:03.238-06:00As a guy practicing geriatrics used to say, "...As a guy practicing geriatrics used to say, "When you lose money on every patient, you can't make it up in volume."Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-16244619608094371362010-02-16T07:58:55.881-06:002010-02-16T07:58:55.881-06:00Interesting Dr. Rabinowitz does not tell the patie...Interesting Dr. Rabinowitz does not tell the patients that all his actions are in fact one of income preservation.<br />The debate should veer around how much is appropriate compensation for a cardiologist.<br />I would like readers of this post to commentAnonymousnoreply@blogger.com