Maybe you are in the wrong profession.
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Maybe you are in the wrong profession.
Thank you, but I'm in the right profession. I wouldn't change it for the world.
I actually find it comical that you are bashing the only person on the site who has first hand knowledge into what is going on in this healthcare crisis. I don't read it on the internet, or hear it in the news. I actually experience it on a day-to-day basis, I don't only work OB, but ER and CCU as well. But you all don't want to hear that, do you? You would rather stay safe in your own personal political environments than to open your minds to what is REALLY going on from someone who is behind the scenes and knows what is happening on a first hand basis.
I'm not speaking republican or democrat, I am trying to stand up as your future health care provider.
Obama care has rules but I can only point out that your state is one of many facing these issues that burden many hospitals, lack of paying for poor sick people. Hospitals are closing under this burden while state legislatures are resisting the resources they are entitled to. That does include all those vaccinations you do everyday, including the flu shots.Quote:
Originally Posted by J_9
There are many that cannot pay to be healthy or receive treatments, and the money comes from somewhere. No need to use your own work ethnic to beat others over the head though. This whole conversation on who deserves what, and who is entitled to what solves nothing.
I wasn't. I was testing you're the advice you gave in an earlier post.Quote:
you are bashing the only person on the site
I have a lot of nurse friends. We don't have the same issues here of course.
Back tracking.
Then you shouldn't be participating in this exchange.Quote:
Originally Posted by NeedKarma
NK just likes ankle bitingQuote:
Originally Posted by J_9
the emperor has shown the so called rules you speak of are pliable at the emperor'sdiscretion.Quote:
Originally Posted by talaniman
The real problem is there are not enough health care providers. Anywhere.
Illinois is doing okay during the "healthcare crisis." I've been at the receiving end of it, having spent Christmas in the hospital (including six hours in the ER) and was in a health care rehab until Feb. 12. The hospital was well staffed with three or four patients per CNA/nurse team. At the rehab facility, each CNA/nurse team had as many as ten patients, but we patients were more independent and didn't need constant medical oversight. And at rehab, I spent the morning in PT and wanted to spend afternoons (with the facility's permission) reorganizing their library, but I couldn't because of job interviews and employee evaluations going on in there. I'm at home now, and my visiting nurse has been assigned a new hire (RN) who accompanies her on each home visit to see how things are done.
My niece-in-law in the Quad Cities is an RN and is working as a visiting nurse. Her older sister just finished her CNA training and quickly got a job in a QC hospital.
Why? This particular exchange or the whole thread. The OP is Canadian with what he believes to be Canadian issues. That is how this whole discussion started. I mentioned manadatory vaccinations was not in the Canadian constitution; then it turned over to US health issues and vaccinations.Quote:
Originally Posted by J_9
I am not a nurse but a front line Personal Support worker and an RNA to broaden my scope of practice in my job; every second weekend I work 50 hours almost straight (that is mandatory for me and I am NOT well paid) and see a lot of very sick children in the hospital corridors because, I am thinking, parents just don't know that they should have their children vaccinated. As Alty said under our healthcare system we don't have to pay for any vaccinations, so there is no excuse for not having it done.
And thanks to Obama... even fewer have any desire to be.Quote:
Originally Posted by talaniman
Thanks to state legislatures and more hospital closings because of rising costs not being mitigated through revenue resources is more accurate.
Funny how they weren't leaving in droves until Obamacare got rammed down everyone's throats.Quote:
Originally Posted by talaniman
Factually the health care industry is growing
High Growth Industry Profile - Health Care
Maybe not fast enough, but growing.
I think the comment regarding health care providers becoming fewer was more to do with physicians. Whereas the projected increase in the article has to do with positions requiring less training, such as PAs, home health aids, PTs, etc. This would be expected if the number of physicians were to decrease.Quote:
Originally Posted by talaniman
I'm sorry to backtrack a little, but J mentioned that two OB's she knows pay $10,000 a month in malpractice insurance. I found that shocking.
Not that I didn't believe you J, but I did remember something Sneezy (the only American doctor I know) told me a while back. So I emailed him to confirm if I remembered what he had told me, correctly. I asked if 1. The insurance costs were that high, and 2. If the doctors paid that premium out of pocket.
His reply, verbatim "Yes, OBs do pay close to $100,000 in insurance. But no, you don't pay it out of pocket. Your hospital usually pays for it. Granted, if you're private practice, then yes, you pay for it on your own, but it's rare you become private practice. Chances are you join a private practice group in which they pay for it (but you also pay to join a private practice group)"
He's actually working OB/GYN right now. He's hating it. Only 2 weeks left and he moves on to psychiatry. He can't wait.
Paraclete,Quote:
Originally Posted by paraclete
The need for variations in education is recognized more and more. Many districts have magnet schools, often as part of a public school, which will have a focus on specific areas of training, such as medicine, electronics, robotics, the arts, engineering, etc..
Dropouts happen for a wide variety of reasons, and much will depend on the location and family culture as well. Some will dropout to help families by working, which is sometimes expected as the norm. Others will drop out due to lack of interest, often going back to school at a later time to earn a GED certificate (similar to a high school diploma). Some do not meet the graduation requirements due to poor grades, lack of attendance, etc. and decide not to complete what is necessary. Some will drop out and go to a technical school that may offer specific training of interest... from culinary arts to truck driving and everything in between. Some simply don't care, refuse to go to school, and there is nothing a parent can do, and they may not care themselves.
Graduation requirements will also vary among states... with some being more rigorous than others, and resulting in some students not meeting those requirements. How graduation rates are determined may vary as well with regard as to just what constitutes a graduate.
So how do we get more doctors?Quote:
Originally Posted by DoulaLC
Saw this, found it funny:
howdovaccinescauseautism.com
J_9 is correct... thats what is called malpractice insurance... if someone tries to sue the practice or doctor if everything doesn't go 100% perfect. In some countries your ability to sue might be severely limited in all but the most serious cases. Here they can sue because they think the surgical scar is too big.Quote:
Originally Posted by Alty
I'm well aware of that Smoothy. I do know what malpractice insurance is, and what it's for. If you read my post again you'll see that I wasn't disputing that malpractice insurance is purchased, or the cost of it. I'm saying that the majority of doctors don't pay for it out of pocket. Their employers pay for it.Quote:
Originally Posted by smoothy
J_9 could clear that up (she knows that better than anyone here).. but I think the individual doctors actually do pay their own... because their individual rates like auto insurance depends on their claim history. meaning 4 doctors at the same practice might pay 4 different rates. THere are doctors that had to close their practice because a couple accidents put their insurance costs past what they could pay.
I'm only going by what Sneezy told me, and he is a doctor in the US. He used to be a member of this site, until med school, when he became way to busy to participate here.Quote:
Originally Posted by smoothy
I will post what he told me again. Just in case you missed it.
So according to what he wrote, the only time you would pay your own insurance is if you were in private practice, which is rare. Even then, you can join a private practice group which would pay the insurance rates, but then you'd be paying to join a private practice group.Quote:
Yes, OBs do pay close to $100,000 in insurance. But no, you don't pay it out of pocket. Your hospital usually pays for it. Granted, if you're private practice, then yes, you pay for it on your own, but it's rare you become private practice. Chances are you join a private practice group in which they pay for it (but you also pay to join a private practice group).
Send ISNEEZYFUNNY my best regards and I am so happy for the lad. :D He was in college just out of high school when he was here. Where does the time go?
It flies by way too fast. I still remember him getting ready to take the MCATS, and how hard he studied for them. Now he's working in a hospital, very long hours, and loving every minute of it, well, except the rotation he's on now. He's not fond of the OB/GYN department. Apparently babies aren't his thing. ;)Quote:
Originally Posted by talaniman
He's my go to guy for anything medical. That kid amazes me. He's one smart cookie. He's an amazing doctor, and his career is only beginning. I know he's going to go on to do great things.
I'll definitely give him your best regards.
Please don't take this as being argumenative...as its not intended to be in any way...I'm just mentioning personal experience. Everywhere I've lived... most doctors in the region are in private practice... (even practices that might have multiple doctors are still private) Those are who are going to be your primary care physicians. Same with many specialists which might have privileges in the hospitals... but their offices are not part of the hospital and most often in their own leased space. More and more of the outpatient stuff is taken care of outside of actual hospitals... such as minor surgeries, things like colonoscopies etc. Some of them are close to major regional hospitals... in one case... my Gastroenterologists office and outpatient office (independent) where most of his procedures are done is only 1/4 mile (1/2 Kilometer) from a major Regional Hosital in this area. In areas like this and many others they might cluster in buildings intended for medical offices... where they are all unaffiliated with each other except sharing a common landlord. Can't say if that's common in Canada or not... but I know its not in Italy. Which is the other country I'm most familiar with (going back to 1988). Can't say I personally know any doctors who work exclusively in Hospitals (in the USA). Though I do know a few nurses that do, or at least did at one time. Two aunts were registered nurses, and my future sister-in-law is. I do know a few nurses and Doctors in Italy. But they tend to do things differntly there....not what I would call better in many ways. But in a few I'd say yes. Had a case with my late father-in-law that if it happened in the USA...would clearly be a malpractice case....but in Italy they were shielded from any legal or civil action. I also know a few others there with people I knew well.Quote:
Originally Posted by Alty
The OB I speak of is private practice, not employed by the hospital. He has privileges at our hospital, but that is as far as his employment with the hospital goes. He didn't pay to join the private practice group, he created it and has one other doctor practicing under him who does not have privileges at the hospital.Quote:
Originally Posted by Alty
I hope that clears it up.
There are many private doctors that are employed by a hospital and actually lease space as a satellite of the hospital, on hospital owned land and buildings. I provided a link before but will dig it up again.
And that may very well be the case where Sneezy lives.Quote:
So according to what he wrote, the only time you would pay your own insurance is if you were in private practice, which is rare.
I am in no way trying to argue with you Alty, so please don't take it that way.
Locations are specific when dealing with medicine. Bigger inner city hospitals do employ medical practitioners, while smaller cities and more rural areas have a higher rate of private practice doctors.
Private practice doctors tend to be the primary care practitioners, while the MDs employed by the hospitals are the doctors that patients are assigned to should they have to be admitted to a facility, for the most part.
Where I live private practice and hospital employed are 50/50. I can go to my primary care doctor, but he does not practice in a hospital, or for a hospital. If I were to have to be admitted, I would be admitted under a hospitalist. So my primary care pays his own med/mal insurance. Now, if Little J went to his doctor and had to be admitted, he would be admitted under his pediatrician because she is part of our hospital's group, so the hospital pays her med/mal insurance.
And such is the case with many of the doctors I work with. Our pediatricians operate that way. They are on contract with the hospital.Quote:
Originally Posted by talaniman
To go back to the original question...
I do think that vaccinations should be mandatory. The question is... How do you force people to do that?
What about religious beliefs. Jehovah's Witness comes to mind with blood and blood products. They refuse blood and blood products based on their religious beliefs. What if their child was dying and needed a transfusion? We can't give it if they refuse it. The hardest part is watching the child die because the parents refuse the treatment.
We are all intelligent adults. We all know what is right, vaccinations are right. They are right not only for the health of our children, but for the health of every person that child comes in contact with. One of they sayings we have in the hospital is "you can't fix stupid."
It also depends on their specialty. OB is the highest litigious practice in medicine with pediatrics falling closely behind. Because of the litigious nature of these practices, their premiums are higher.Quote:
Now, just because the hospital pays for your insurance doesn't mean you are adequately insured. Should there be a suit, and the doctor found liable, but the hospital was released, the hospital is no longer required to represent you. As a doctor or a nurse, it is also wise to carry your own insurance if this scenario were to play out.
As a nurse employed by the hospital, they cover my med/mal insurance. However, if I were found to actually be negligent, their insurance would cease to cover me. Thus, I carry my own policy as well.
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