Viewing profile — the_d3f4ult

https://www.ama-assn.org/practice-management/medicare-medica... The AMA is indeed a fierce lobby - just not for physicians. They are widely regarded as a shill for hospital interes…

Wages in healthcare have decreased Year-Over-Year relative to inflation since at least the 90's. Productivity has increased in terms of the number of patients seen / day.

This has nothing to do with "knowing how to use a computer." Looking at a screen while you check through dozens of flags and billing related documentation instead of looking at the…

I'm a physician. To understand why this is true you have to understand that the software is not intended to the make the physicians jobs easier or more efficient. The point of mode…

Neither of the things you mention detract from his point. Just because the companies are headquartered outside of the US doesn't mean that they aren't developing drugs with the int…

>There aren't enough software engineers to create the software the world needs. I think you mean "to create the software the market demands." We've lost a generation of talented pe…

This is an interesting perspective, but your view seems very narrow for some reason. If you’re arguing that there are many forms of computation or ‘intelligence’ that are emergent …

I'm an ophthalmologist. I look at irises all day. People's irises change over the course of their life. Sometimes dramatically if they have some kind of pathology. Are they updatin…

Fair point. There's some data showing patient outcomes are worse when managed by overworked residents-in-training, but I think you're referring to outcomes post-residency. i.e. Phy…

They’re not ‘getting a cut’ unless they directly own the clinic. What you’re seeing is a cost-cutting measure increasing the bottom line for whoever owns the clinic. Physicians are…

This is an uninformed take. A relatively small fraction of our healthcare dollars (~7%) are going to ‘providers’ i.e. doctors and nurse practitioners. I don’t have a source handy b…

I’m an ophthalmologist. The answer is that junior partners are brought on at a below-market-rate salary with the promise of future equity (usually under false pretenses) in the pra…

I love this. Sounds like your kids are lucky to have such supportive parents. I’d love to share that kind of thing with my son. He’s only 2 though so who knows what he’ll be into.

Yes. https://www.nrmp.org/wp-content/uploads/2023/03/Match-Rates-...

Sure. Here you go: https://www.nrmp.org/wp-content/uploads/2023/03/Match-Rates-...

I'm a medical sub-specialist. When I trained, my primary care mentors were simultaneously some of the smartest and most poorly compensated physicians in the system. I have to maste…

This isn't true for primary care. There are tons of open spots every year that are filled by International graduates or aren't filled at all. The problem is nobody wants to do this…

The study is looking at best corrected vision. That is, the best vision achievable with refractive (glasses, contacts, lasik) correction.

> For a typical surgeon in the US, how common are lawsuits from patients? Not very common. Pretty much everyone gets sued at some point in their career, but it's rare to break thro…

Being a physician is a horrible career move right now. As a former Math/CS major turned eye surgeon, I can't help but think about how much easier my life would be had I stuck with …

Physician lobbies are notorious for not actually aligning with physicians' interests and, rather, being in the pockets of the hospital industry. The AMA is the worst for this. Most…

I’m an ophthalmologist. Does anyone know how the iris-scanning technology works? Peoples irises change over the course of their life. Things like eye surgery and UV exposure can ha…

This example is nonsense. Your math includes only the reimbursement for the office visit. It doesn't include reimbursement of interpreting tests, interpreting imaging or doing proc…

I am a surgeon currently employed by a private equity group and bound by an absurd non-compete. None of your points are accurate here from my perspective. Personally, I was profita…

It’s cool hearing this story in the first person. The author raises some good philosophical questions. Its fascinating that hunger can be modulated by targeting relatively few sign…