slm76.livejournal.comThis afternoon in the post office, I got talking to a young doctor who was in the line behind me. He was wearing a hospital ID badge so I asked which department he was in. (No, he doesn't know my husband because PT hubby works with out-patients *g*)
This man explained that he had only recently begun working at the hospital after having his own practice. He gave up being his own boss because he wasn't making enough money. Why wasn't he making enough money? Well, because the insurance and MedicAid simply don't pay the entire cost of a patient's visit.
This is something most of us, on some level, know. But when you speak to someone who had the dream but had to give it up, it becomes startling. While insurance is bad, the biggest low-payer is the government in the form of MedicAid. MedicAid paid only $7 per person per visit. Yeah, that doesn't even cover one hour of your employee wage. Nevermind all the costs associated with the building, utilities, equipment, medical supplies, etc. He couldn't make enough money to keep everything going. He felt bad for his patients, but something had to give.
It really makes you wonder why anyone would want to go into medicine in the first place.
He came down really with two pieces of advice: Don't have your own practice, for medicine or physical therapy. And if you do have your own practice, don't take MedicAid patients. Of course, when it comes to PT, those MedicAid patients just end up as out-patients at the hospital. Which is where my husband has the delight of hearing them crow over how the government is paying for their treatment.
Except, of course, the government isn't.
Yeah, I can hardly wait for socialised healthcare to happen. Especially since I knew the NHS was bad which is why we made the decision to live in the USA... where my husband could fulfill his goal and make a decent living at it. I bet my mother is adding this to her list of, "Why did you have to go live so far away?" if she's not already done so.