Moobythegoldensock ,

This article is infuriating. Ok, so Medicare paid hospitals $106k-182k to train doctors in 2015… and as someone who graduated from residency in 2014, we were making $40k-55k. So the hospitals were pocketing 60-75% of the payments, and doctors are supposed to feel grateful?

The solution is obvious: if you want psychiatrists to take Medicare, pay them. CMS has already shifted payments toward primary care because they know it’s necessary, but are dragging ass on psychiatry. They could easily fix the shortage of psychiatric services for low income patients by actually incentivizing it, if they actually wanted to.

Replace the “social contract” with an actual contract and you’ll see results.

9point6 ,

Hey America, got any good news about how things are going over there?

Because it's looking past the point where you should be in the streets by now

doingthestuff ,

Can't take time to riot when you've got to get to your 2nd job.

ArmokGoB ,

You wouldn't need to work a second job if you rioted.

doingthestuff ,

How confident are you in that? On a scale of 1-10? I'm definitely not a 10.

ArmokGoB ,

10. The police aren't going to be enforcing unpaid rent if they're trying to fight off armed rioters.

doingthestuff ,

Yeah I'm buying, it's my only hope for a partial retirement. It has also been a money pit. I have no savings or retirement funds. The bank will 100% take it if I miss a few payments.

ArmokGoB ,

The bank can say whatever they want, but enforcing it is a different matter.

UFODivebomb ,

Ah yes. Is this similar to the social contact that expects teachers to be underpaid and put up with abuse?

jeffw OP ,
@jeffw@lemmy.world avatar

More so the one where they go to medical school on a slot paid for by the government and then go into private practice and refuse all insurance

muntedcrocodile ,

I hate the concept of a social contract. I didnt sign any such thing. And how da fuck is it the fault of doctors that america is thw worlds greates third world country.

ArbiterXero ,

Damn those psychiatrists, it’s THEIR fault that the medical insurance is creating overly elaborate schemes to avoid paying out.

How dare they suggest that this isn’t sustainable.

jeffw OP ,
@jeffw@lemmy.world avatar

I worked at a place that ONLY took Medicaid patients. It pays less but it’s not insane to do it. Docs need to take more Medicaid patients

ArbiterXero ,

More than the pay, the sheer amount of difficult paperwork make untenable sometimes

jeffw OP ,
@jeffw@lemmy.world avatar

The coding was no more complicated than commercial insurers. What paperwork are you referring to?

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