@videoenthusiast23 - For a second, I assumed that since they're Government workers, they get less than comparable HMO doctors. However, I've now realized, that they're under AFL-CIO (unionized) and have no malpractice insurance, they do make good money for doctors.
However, in VA, the incentive system works differently. Doctors are shielded from malpractice issues because the VA is part of the Federal Government. Because of this, they don't have incentive to give the best care possible.
Here's what I'm trying to get at. Doctors generally become MORE effective if their wages are based on hourly billing AND that billing is a higher amount. $60 an hour barely gets the doctor his money back for medical malpractice insurance. VA is totally separate as it is not single-payer but TRUE socialized medicine. You can't sue the VA for malpractice, so they have no insurance. VA is really ass-backwards, I've had problems with them.
@videoenthusiast23 - Now, about the cars this doctor owned. I'm going to pose a hard question here. Are you going to tell me that you're a true-blue conservative, then criticize someone for making too much money and owning the property they worked hard for? This is the slide to class warfare, my friend. Plus, you have no clue how much debt this doctor may have taken out to buy all of these cars. He may have been living well beyond his means, especially on a VA salary.
@videoenthusiast23 - This is where I will address the morality. The price caps compromise the morality of the doctor. If you allow the doctor to charge a reasonable rate, then they have reason to see the visits through to their conclusions, ask more questions, and review patient histories. This improves doctor-patient relations, increases quality of care, reduces mis-diagnoses, and leads to longer lives.
@videoenthusiast23 - Doctors only receiving $60 an hour are going to be like car mechanics. They will send their customer out as fast as possible to get an other patient in, to overlap on time. They might cut out the last 15 minutes of the appointment to get a second patient in, which gives them an extra $20 per hour roughly. Thus, the profit motive actually diminishes service. The reason it diminishes service is because of the price caps.
@videoenthusiast23 - Now, let's assume the same doctor doesn't accept medicare/medicaid. This same doctor's going rate will be around $250 an hour (still less than a lawyer) and quality of treatment will actually increase. The reason the quality of treatment will increase is because the doctor now has profit motive to, rather than get them the hell out, actually complete their job and get them better.
@videoenthusiast23 - Let's take out morality for a second, morality is an issue separate from profit motive. These are businesses we're talking about, not charities.
Medicaid pays basically $60/hr. The average medical malpractice insurance premium is $70 K per year. Let's assume roughly 2000 hours at 60 an hour, that's 120K per year. That reduces their average salary to $50K per year, which is on par with police, fire, and teachers. Once you factor in student loans, doctors make less.
@videoenthusiast23 - For a second, I assumed that since they're Government workers, they get less than comparable HMO doctors. However, I've now realized, that they're under AFL-CIO (unionized) and have no malpractice insurance, they do make good money for doctors.
However, in VA, the incentive system works differently. Doctors are shielded from malpractice issues because the VA is part of the Federal Government. Because of this, they don't have incentive to give the best care possible.
Slipknotyk06 1 year ago
@videoenthusiast23 - Thanks for the shout out :-)
Here's what I'm trying to get at. Doctors generally become MORE effective if their wages are based on hourly billing AND that billing is a higher amount. $60 an hour barely gets the doctor his money back for medical malpractice insurance. VA is totally separate as it is not single-payer but TRUE socialized medicine. You can't sue the VA for malpractice, so they have no insurance. VA is really ass-backwards, I've had problems with them.
Slipknotyk06 1 year ago
@videoenthusiast23 - Now, about the cars this doctor owned. I'm going to pose a hard question here. Are you going to tell me that you're a true-blue conservative, then criticize someone for making too much money and owning the property they worked hard for? This is the slide to class warfare, my friend. Plus, you have no clue how much debt this doctor may have taken out to buy all of these cars. He may have been living well beyond his means, especially on a VA salary.
Slipknotyk06 1 year ago
@videoenthusiast23 - This is where I will address the morality. The price caps compromise the morality of the doctor. If you allow the doctor to charge a reasonable rate, then they have reason to see the visits through to their conclusions, ask more questions, and review patient histories. This improves doctor-patient relations, increases quality of care, reduces mis-diagnoses, and leads to longer lives.
Slipknotyk06 1 year ago
@videoenthusiast23 - Doctors only receiving $60 an hour are going to be like car mechanics. They will send their customer out as fast as possible to get an other patient in, to overlap on time. They might cut out the last 15 minutes of the appointment to get a second patient in, which gives them an extra $20 per hour roughly. Thus, the profit motive actually diminishes service. The reason it diminishes service is because of the price caps.
Slipknotyk06 1 year ago
@videoenthusiast23 - Now, let's assume the same doctor doesn't accept medicare/medicaid. This same doctor's going rate will be around $250 an hour (still less than a lawyer) and quality of treatment will actually increase. The reason the quality of treatment will increase is because the doctor now has profit motive to, rather than get them the hell out, actually complete their job and get them better.
Slipknotyk06 1 year ago
@videoenthusiast23 - Let's take out morality for a second, morality is an issue separate from profit motive. These are businesses we're talking about, not charities.
Medicaid pays basically $60/hr. The average medical malpractice insurance premium is $70 K per year. Let's assume roughly 2000 hours at 60 an hour, that's 120K per year. That reduces their average salary to $50K per year, which is on par with police, fire, and teachers. Once you factor in student loans, doctors make less.
Slipknotyk06 1 year ago