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Medicine’s Top Earners Are Not the M.D.s
New York Times, by Elizabeth Rosenthal

Original Article

Posted By:supersid, 5/18/2014 3:28:26 PM

THOUGH the recent release of Medicare’s physician payments cast a spotlight on the millions of dollars paid to some specialists, there is a startling secret behind America’s health care hierarchy: Physicians, the most highly trained members in the industry’s work force, are on average right in the middle of the compensation pack. That is because the biggest bucks are currently earned not through the delivery of care, but from overseeing the business of medicine. The base pay of insurance executives, hospital executives and even hospital administrators often far outstrips doctors’ salaries

      


Post Reply  

Reply 1 - Posted by: The Advocate, 5/18/2014 3:43:36 PM     (No. 9853507)

The educational industrial complex has its Administrators and increasing tuition -
the Medical industrial establishment has its VP and Administrators feeding off the labor of the doctors and other Health care professionals.
Add to this toxic mix 16000 IRS agents to levy fines on non compliant with Obamacare UKAZ -welcome to Siberia Comrade.
Under USSR Doctors were paid less than bus drivers because the bus drivers held more lives in their hands at one time.
Doctors survived by barter unless they were among the superstars at the prestigious hospitals.
Knew one of their top military production men.
When he needed a bypass-he came to Boston.
Where will the world go for medical care when Obama and his parasites destroy it?
Doctors cannot be produced overnight.
For generations it was a profession -now they are being treated as minor personnel to be managed by MBA s and nurses with administrative experience.
Sorry-don´t want to be treated by a nurse practitioner instead of a doctor.
If she is as good as a doctor -why isn´t she a doctor?
Very different qualifications and training.
We have allowed the dregs to assume the top positions in education and medicine and Obamacare and stratospheric tuitions are the result.
Stop the Insanity!

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Reply 2 - Posted by: supersid, 5/18/2014 3:46:16 PM     (No. 9853508)

FTA “Most doctors want to do well by their patients,” said Dr. Abeel A. Mangi, a cardiothoracic surgeon at the Yale School of Medicine, who is teaming up with a group at the Yale School of Management to better evaluate cost and outcomes in his department. “Other constituents, such as device manufacturers, pharmaceutical companies and even hospital administrators, may not necessarily have that perspective.”

That´s true. There is a difference between those of us who work directly with patients and thus acutely aware of their struggles, and those that are insulated and see their job as just another business.

Then consider that most MDs are in college (say age 22), medical school (age 26), residency (age 30-34 depending on specialization) and start their first ´real job´ with debts of $200000 or more. The administrator starts after a 4 year degree or may be an MBA (age 24-25).

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Reply 3 - Posted by: smcchk, 5/18/2014 3:53:23 PM     (No. 9853512)

These administrators also have 0 training in anything healthcare-related. Big medical groups have a token doctor administrator or two, who were not the best doctors anyway. These administrators run around with their protocols and their surveys but do not consider doctors worth listening to at all. But they did send out little treat bags to the doctors in my husband´s group the other day. He is pushing for expansion of a clinic and he gets a bag of popcorn.

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Reply 4 - Posted by: Doctor P, 5/18/2014 3:58:18 PM     (No. 9853515)

So the liberal answer is to make health care administration more complicated and difficult to manage?

and one supposes the harder it is, then the administrator should be LESS SKILLED and thus LESS renumerated?

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Reply 5 - Posted by: horacer, 5/18/2014 4:06:50 PM     (No. 9853518)

Thank you for posting OP. I haven´t seen you post in a while. I trust you´re well. My family has worked in continuing medical education (cme) since the 50´s. The trends I see today are shocking. Whatever you want to call the health care industry, it no longer has a concern for promoting health. It has a vested interest in a sick population. Diet, exercise and healthy lifestyles are rarely mentioned. Pharmaceutical companies are only interested in pushing the latest pill you should ask your physician to prescribe. They used to care about cme. The art of medicine is dying. It´s becoming medicine by algorithm with a bureaucrat watching to make sure no one strays. And every algorithm has many pills which need to be prescribed. Health only comes from a little pill bottle these days. Heaven forbid you eat well and exercise. Even though numerous studies now prove regular exercise and proper nutrition are as effective as medical management of many chronic diseases. Regular exercise cuts your risk of dementia by up to 50%. Don´t tell the public.

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Reply 6 - Posted by: Blue-Z-Anna, 5/18/2014 5:40:08 PM     (No. 9853563)

The highest paid workers in the Plumbing Industry are NOT the Plumbers !

The best paid people in the restaurant industry are not the cooks !

Even in the oldest profession in the world the ´administrators´ keep most of the money.

Mark my words.....it will soon be ´illegal´ to practice medicine for cash payment.

....for the same reason that the government can run a lottery but you cannot.

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Reply 7 - Posted by: web, 5/18/2014 7:32:22 PM     (No. 9853625)

It´s the same all over. Many supervisors and managers are really in only one business: to increase their pay and power, to grow their little empire. The IT supervisor where I work knows next to nothing about IT, gets paid 3 times what I do, and when she bothers to show up, comes strolling in about 11am. We are enthusiastic about supporting our users and do a good job, until she comes up with some hairbrained scheme to pretend to "manage" us. We were forced to put Windows XP on new computers that had Windows 7 licenses. They finally allowed us to install Windows 7 six months ago, a project that will take a year. Then, they spent 1/2 a million dollars for an Enterprise license, so we have to do it all over again. They get well paid to think, manage, and plan, yet seem incapable of any of it. Did I mention they gave themselves a 10% pay raise for doing such a swell job?

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Reply 8 - Posted by: ColonialAmerican1623, 5/19/2014 12:32:48 AM     (No. 9853806)

Couldn´t get the article to open, but as a person that receives a lot of medicine, it´s disappointing what happens in a physician´s office today. If you file a complaint because you know better, you are suspect.

To survive, many physicians have joined hospital staff or been bought out my management companies that only care about the bottom line.

One of my friends had a doctor that treated her mother for a disease she didn´t have and he never tested her for it. Come to find out, he is medical director of a hospital.



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Medicine’s Top Earners Are Not the M.D.s
New York Times, by Elizabeth Rosenthal    Original Article
Posted By: supersid- 5/18/2014 3:28:26 PM     Post Reply
THOUGH the recent release of Medicare’s physician payments cast a spotlight on the millions of dollars paid to some specialists, there is a startling secret behind America’s health care hierarchy: Physicians, the most highly trained members in the industry’s work force, are on average right in the middle of the compensation pack. That is because the biggest bucks are currently earned not through the delivery of care, but from overseeing the business of medicine. The base pay of insurance executives, hospital executives and even hospital administrators often far outstrips doctors’ salaries



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