ERs are hiring fewer doctors to save money
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Re: ERs are hiring fewer doctors to save money
#2While also giving Nurse Practitioners and Physicians Assistants more responsibilities while paying them far less than an MD. Just the same as attorneys are expensive, so you just give everything that lawyers used to do to paralegals and pay them 1/4 as much.
Re: ERs are hiring fewer doctors to save money
#3> While diagnosing and treating patients was once doctors' domain, they are increasingly being replaced by nurse practitioners and physician assistants, collectively known as "midlevel practitioners," who can perform many of the same duties and generate much of the same revenue for less than half the pay.
IMO, PAs and NPs are a good idea for medicine overall. Especially since lots of folks who would consider a career in medicine are turned off by residency.
In the ER, though -- I can see the case for experienced MDs making a big difference in outcomes.
Disclosure: my wife is a PA.
Re: ERs are hiring fewer doctors to save money
#4While also giving Nurse Practitioners and Physicians Assistants more responsibilities while paying them far less than an MD. Just the same as attorneys are expensive, so you just give everything that lawyers used to do to paralegals and pay them 1/4 as much.
Ama also keeps supply of doctors down too. That's why all these medschools have such low acceptance rates.
If you are an Indian and have a 3.8 gpa you still might not get into medschools which is pretty absurd.
Re: ERs are hiring fewer doctors to save money
#5> While diagnosing and treating patients was once doctors' domain, they are increasingly being replaced by nurse practitioners and physician assistants, collectively known as "midlevel practitioners," who can perform many of the same duties and generate much of the same revenue for less than half the pay. IMO, PAs and NPs are a good idea for medicine overall. Especially since lots of folks who would consider a career…
Counterpoint: You can go read the “Noctor” subreddit or ask any practicing physician why it’s bad for patient outcome.
Ultimately we need more doctors and less hospital administrators.
Re: ERs are hiring fewer doctors to save money
#6While also giving Nurse Practitioners and Physicians Assistants more responsibilities while paying them far less than an MD. Just the same as attorneys are expensive, so you just give everything that lawyers used to do to paralegals and pay them 1/4 as much.
Note that the term "Medical Assistants" in the US generally refers to the folks who are able to take vitals and minimal-complexity care. They're not given anywhere near the responsibility of an RN let alone an NP.
Re: ERs are hiring fewer doctors to save money
#7Hospitals shouldn't be a profitable business. The primary goal of a hospital should be serving patients sickness. (Easier said than done)
My partner is a physician at a hospital in NYC, and something that they are struggling with now is lack of social services for patients to get them out of hospital beds and into homes/rehabs.
As a immigrant in this country, I am constantly flabbergasted by the state of healthcare here and people's willingness to accept hospitals as profit seeking businesses the same as a fortune 500.
Obviously if the law allows these hospitals to seek profits, they will. So the question is, how do we change the law? And why don't people want to change it?
Re: ERs are hiring fewer doctors to save money
#8While also giving Nurse Practitioners and Physicians Assistants more responsibilities while paying them far less than an MD. Just the same as attorneys are expensive, so you just give everything that lawyers used to do to paralegals and pay them 1/4 as much.
Note that the term "Medical Assistants" in the US generally refers to the folks who are able to take vitals and minimal-complexity care. They're not given anywhere near the responsibility of an RN let alone an NP.
Yeah I was actually thinking of Physician Assistant
Re: ERs are hiring fewer doctors to save money
#9> While diagnosing and treating patients was once doctors' domain, they are increasingly being replaced by nurse practitioners and physician assistants, collectively known as "midlevel practitioners," who can perform many of the same duties and generate much of the same revenue for less than half the pay. IMO, PAs and NPs are a good idea for medicine overall. Especially since lots of folks who would consider a career…
Counterpoint: You can go read the “Noctor” subreddit or ask any practicing physician why it’s bad for patient outcome. Ultimately we need more doctors and less hospital administrators.
Doctors say we need more of them and their high pay?
Re: ERs are hiring fewer doctors to save money
#10[deleted]