Physicians

PHYSICIANS/POLICY: Brian Klepper on the end of life as we know it, or something like that

Brian Klepper was recently up at Medscape bemoaning the lack of physician leadership in righting the troubled ship of our health care system, and challenging physicians to do better.

He got lots of feedback, not all of it as negative as you’d think, and he had his own response. All well worth reading.

On the other hand, HSC says that in real terms we’re paying physicians substantially less than in 1995. I suspect that most of that pay "cut" was in the 1990s, and things seem to be picking up again, but — as one reader asked me — there is not that much good data on physician incomes, and in real terms they did very well between 1960 and 1990.

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Matthew Holtjason dMatt S.Peter Recent comment authors
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Matthew Holt
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Matthew Holt

Not true Jason. In the US specialists outnumber PCPs about 70-30

jason d
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jason d

Canadian docs make more money than american docs, because unlike the USA, CAnada actually pays their primary care doctors a much closer wage to the specialists.
In America, specialists make 5X as much money as PCPs. Canada got it right, and up there specialists only make 2X the amount of PCPs.
American doctors should be happy about switchign to a Canadian system. Most of them will actually make MORE money under that system. Some of hte specialists will make less, but PCPs outnumber specialists so the bulk of docs would benefit.

Matt S.
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Matt S.

What now about doc pay? From three months ago:
“With demand outstripping supply, physician salaries are robust, signing bonuses are the norm, and the opportunities for young doctors are ever expanding.”
Source:
http://www.cbsnews.com/stories/2006/03/29/grad_schools/main1453827.shtml

Peter
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Peter

I found this on: http://www.revistainterforum.com/english/articles/091702_gen_physicians_human.html “I have identified five clear global trends now facing individual physicians: (1) the inability of public sector health care systems worldwide to cope with demand for health care services and in response to that, the expansion of the private health care sector; (2) a movement towards preventive health, where, because physicians are reluctant to take the lead, nurse practitioners and pharmacists are being offered an opportunity to expand their professions; (3) a definite shift towards measurable quality. Driven by patient-demand for outcomes-measurement, especially in the USA and UK, there has been an increase in sophisticated… Read more »