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Where Have All The Doctors Gone?

Posted by Herb7734 8 years, 4 months ago to Science
127 comments | Share | Best of... | Flag

I have done no research on this topic other than personal experience. Being an old geezer, I regularly visit a number of doctors who specialize in various branches of medicine. Other than my G.P. doctor, I attend a cardiologist, an endocrinologist, a neurologist, and an urologist. Within the past year, the following has occurred: The endocrinologist sold his practice to another practice which has three locations in the area. The other three M.D.'s have retired. The endocrinologist's practice has been taken over by a group of Indian and Syrian doctors, who were educated overseas but got their board certifications and residencies in the USA. I have yet to find a replacement neurologist, however, my G.P. is doing a good job as a substitute. I have interviewed several urologists and so far, have I have not been satisfied. I did find a cardiologist. He is a young local man educated in Florida. He's not a M.D. but a D.O. However, his references are A1..

As my wife and I searched we had a revelation. There were in our area, hardly any American educated M.D.'s practicing in my here. As you all know, the internet is the mighty Wizard of Information who puts the whole world into my computer.At first, mainly out of curiosity, I tried to find American educated M.D.'s or at the very least a doctor who spoke English in a way that I could easily understand. I searched within my town, then adjacent towns, then cities further away. Finally, I wound up at the largest city in the area, but it was over 30 miles away.

Has anyone had a similar experience?Has becoming a M.D. lost its prestige or ability to produce income? Was Obamacare a contributing factor? What, if anything, is going on?


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  • Posted by 8 years, 4 months ago in reply to this comment.
    Exactly.
    You tell 'em, doc.
    We fail to realize that Health Insurance is in no way the responsibility of government. Other than relatively small volunteer organizations, there is no way that one size fits all can accomodate all the variations in healthcare without excluding preexisting conditions without charging huge fees or having huge deductibles.Now that the stupids in Washington have committed us to this type of unfeasable insurance, the genie cannot be stuffed back into the bottle if the politicians desire re-election.
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  • Posted by 8 years, 4 months ago in reply to this comment.
    I asked the questions because I wanted to hear what the Gulch and it's doctors had to say. You confirmed what I suspected. A doctor's practice is pretty much the same as any small service business. Patients = customers. Question the owners of these enterprises and the answers you get almost duplicate yours. I don't know if Trump can do what he claims to remedy this situation, but if he can't you can pretty much say bye-bye to private practice and family owned and operated business.
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  • Posted by rbunce 8 years, 4 months ago in reply to this comment.
    I have followed the Surgery Center for some time... looks like a great organization from afar.
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  • Posted by Abaco 8 years, 4 months ago in reply to this comment.
    Thanks for sharing, DoctorObvious.

    I'm good friends with our doctor and he and I talk often of this - usually him sharing related stories. He is fighting to keep his own practice but it seems "the system" is fighting him tooth-and-nail.

    "Now more than ever, people need to learn how to stay healthy, avoid toxic processed foods, and educate themselves about their health issues so they can make informed decisions on what limited care they will have access to." Exactly my take. I'm an engineer working in the healthcare industry. The general public has no idea how this system works. If they did, they'd all be saying what you're saying in those quotes. I tell people, "If you find yourself in a hospital, get the hell out as fast as you can."
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  • Posted by rbunce 8 years, 4 months ago in reply to this comment.
    Go down to the local street corner... an enterprising young business man will hook your son up.
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  • Posted by rbunce 8 years, 4 months ago
    Low reimbursement rates from government healthcare payment systems like Medicaid and Medicare. Government regulation of healthcare about what can be provided when and where and to whom. Surprised any of them still in business here... at least in medical care covered by Medicare/Medicaid. Most providers closely monitor their government patient. Some do not accept one or both programs at all and that number is increasing.

    Some tech guy will take his billions and buy up old cruise ships and Navy ships, refit them as medical facilities, and operate them just outside US territorial waters to avoid all this nonsense.
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  • Posted by DrZarkov99 8 years, 4 months ago
    I'm one of the lucky ones, I guess. Oklahoma City and surrounding communities have become a huge medical research environment. No problem finding a good GP, and the only specialist that has a waiting list is the neurologist (3-4 months).

    Most physicians here have no problem prescribing opiods. The only restriction is no more than a 30 day supply at one time, and pharmacies readily dispense the drugs (with a view of the driver's license or other government ID). Opiod abuse is a problem, but law enforcement and targeting distributors, rather than denying the meds to patients have been the chosen methods to reduce the problem.

    We're seeing concierge doctor practice grow, as well as doctor co-ops with subscriptions that cover all non-emergency care. We also have the Surgery Center, that does not accept insurance, and advertises its charges for operations online. The state is becoming an experimental ground for returning the relationship to a doctor-patient connection.
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  • Posted by $ kddr22 8 years, 4 months ago in reply to this comment.
    My wife and I have been slowly building up real estate renting houses, flipping houses and managing and harvesting timberland. I may leave medicine completely
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  • Posted by $ kddr22 8 years, 4 months ago in reply to this comment.
    Not going to. I did enclose a copy of the passage of Hank Rearden's trial for the lawyer from the insurance co. It is making them nervous as what I will do. This is definitely my line in the sand ...
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    That's the whole insanity of those who claim "health care is a right". I dropped Medicaid participation in 2003 and when the state asked me why, I claimed that working for no money was in violation of the 13th amendment since slavery is illegal in the USA.
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    I grew up just outside Chicago and know full well the impossibility of practicing as an independent physician in Illinois. Check out aapsonline.org.

    Look for cash only business models. Concierge practice may set you free!
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    Don't forget the legal gun to the heads of the pharmacies. They could go to jail for filling narcotic prescriptions, as well as risk getting shot by carrying narcotics and becoming robbery victims. If the criminals know a pharmacy won't fill narcotic prescriptions, they are unlikely to attempt a robbery.
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    Another example of how the few ruin things for the many. If dentists were not writing narcotic prescriptions like they were giving out halloween candy, the opioid addiction epidemic would not have gotten so bad. I don't want to blame dentists, the pharmaceutical companies pushed hard for expanding indications for narcotic use decades ago, which led to this addiction problem. It was just as bad as when tobacco companies advertised that smoking was good for you. Hope your wife used ice packs. Sorry you had such a struggle.
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    Do not allow your insurance company to settle on your behalf. The attorney for your malpractice should file a motion to have you removed from the claim since you had no participation in the case. If you think settling is the path of least resistance, it isn't. It counts against you, gets you in the national practitioner data base, causes your premiums to skyrocket, and the insurance company that wants you to settle will then dump you. Then you will need to seek high risk coverage at three times the cost. Fight.
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    AAPS is an excellent organization; it is a greater advocate for patients and their doctors than the self-serving AMA ever was.
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    I worked as a pharmacy technician in high school just before starting pharmacy school at Purdue. I then worked part time at Eli Lilly in the envivronmental control lab on weekends to help pay for pharmacy school. Once I graduated pharmacy school, I got my pharmacist's license 10 days before starting medical school, and worked as a hospital pharmacist part time while getting my MD degree. Not only does working part time generate cash to minimize debt, but it was a huge reassurance to be able to be in charge of a pharmacy department on weekends and not panic over every medical school exam. I always knew that I had a career if med school didn't work out, and that ability to be in charge kept the challenges of med school from intimidating me. Being able to carry that 60 hour per week school and work load also gave me the confidence to take on neurosurgery residency training, and subsequently solo neurosurgical practice in an underserved area. Granted, I didn't opt for being a Mom since my career was my baby; now two Basset Hounds are my babies!https://www.facebook.com/Baron-Von-Bl...
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  • Posted by DoctorObvious 8 years, 4 months ago in reply to this comment.
    https://www.i2i.org/single-payer-sing...

    Medicare is single payer
    Medicaid is single payer
    VA is single payer

    Robert Reich was honest when he declared:
    " -Older people should just die- they're "too expensive"

    -There should be "less innovation" in medical technology

    -You should not expect to live longer than your parents."

    Again, look for market options and solutions. If you give up and go with what the government gets you, then you are chatting in the wrong web site. Italy has socialized medicine but allows for cash health care. There is no way to have equal access for all unless everyone gets denied access equally. Those who can afford it will never settle for that.
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  • Posted by Eyecu2 8 years, 4 months ago in reply to this comment.
    Thank you for the suggestion. She has been considering that. The high school she goes to has a Pharmacist Tech program and she has been in that 3 years now. She was thinking it would be good money while going to college, plus it is in the field. I try to let her come to her own choices, but I will offer this guidance. Thank you again.
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  • Posted by term2 8 years, 4 months ago in reply to this comment.
    My other half had hernia surgery in Las Vegas a year ago. It was successful (so far) and the dr wrote a prescription for one of the hated "opiod" drugs. I was UNABLE to find any pharmacy that would fill the prescription. If found ONE some distance away, but I found that no matter if I had the persons drivers license or not, I could not pay for it with cash or MY credit card. I finally gave up, and he had several days of pain. This war on drugs HAS TO STOP. I had a knee replacement and got 90 of the dreaded pain pills at Mayo Clinic Hospital pharmacy, which I will retain for any future needs for me and my friends. We are all on our own with medical care nowadays.
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  • Posted by $ kddr22 8 years, 4 months ago in reply to this comment.
    where I practice at in Illinois, it is still so bad that I am currently in a case where I did not see the patient but had an association with the provider and they refuse to remove my name
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