USA vs UK healthcare - physician perspective
Re: USA vs UK healthcare - physician perspective
Sep 9th 2019, 4:26 pm
#107
Banned
Thread Starter
Joined: Jul 2017
Posts: 58
Re: USA vs UK healthcare - physician perspective
The problem with the US healthcare system is the insurance and pharmaceutical industries. Plain and simple. It has nothing to do with doctor's or nurses salaries.
A nurse or physician is one of the most emotionally draining jobs you can have. They only see people that are injured, sick or mentally ill. They see people at their worst. They deserve every penny that they get. To think you are going to improve health care by lowering salaries sounds like typical clueless management (blaming labor costs for poor financial performance).
Being an accountant or a IT professional...No comparison, those jobs are a piece of cake. If you want to cut costs that's the place to look, in virtually any organization. The British comedy "the IT Crowd", that was all true. Big Pay, Do nothing.
A nurse or physician is one of the most emotionally draining jobs you can have. They only see people that are injured, sick or mentally ill. They see people at their worst. They deserve every penny that they get. To think you are going to improve health care by lowering salaries sounds like typical clueless management (blaming labor costs for poor financial performance).
Being an accountant or a IT professional...No comparison, those jobs are a piece of cake. If you want to cut costs that's the place to look, in virtually any organization. The British comedy "the IT Crowd", that was all true. Big Pay, Do nothing.
Was speaking to a PA from a neighboring healthcare network last week and she said they tried to recruit a PCP recently guaranteed Year 1 salary of 280k but with all sign on bonus, loan repayment etc you make closer to $370k in Year 1. Even with H1 sponsorship how many applicants? Zilch and thats in a metro city.
The beauty of working in private practice here is the flexibility in the way you can operate. American patients are generally are far more easier to deal with than Brits. As one senior doc at the ACP said recently at a conference if patients dont directly pay for any portion of their healthcare they have no value for it. So have no issues helping out Americans by giving away drug samples that the office gets, coupons, waiving the co-pay etc However when you get a Brit showing up that thinks they can demand endlessly like they do in the NHS they need a reality check. So as an American I trained under suggested just upcode their visit to Level 4 and that automatically doubles their bill or order a blood test their insurance doesnt cover and the out of pocket cost to them will be over 1k guaranteed.
Sep 9th 2019, 4:31 pm
#108
Lost in BE Cyberspace
Joined: Jan 2006
Location: San Francisco
Posts: 12,865
Re: USA vs UK healthcare - physician perspective
The beauty of working in private practice here is the flexibility in the way you can operate. American patients are generally are far more easier to deal with than Brits. As one senior doc at the ACP said recently at a conference if patients dont directly pay for any portion of their healthcare they have no value for it. So have no issues helping out Americans by giving away drug samples that the office gets, coupons, waiving the co-pay etc However when you get a Brit showing up that thinks they can demand endlessly like they do in the NHS they need a reality check. So as an American I trained under suggested just upcode their visit to Level 4 and that automatically doubles their bill or order a blood test their insurance doesnt cover and the out of pocket cost to them will be over 1k guaranteed.
Me thinks that site rule 4 is apposite...
Last edited by Giantaxe; Sep 9th 2019 at 4:48 pm.
Sep 9th 2019, 4:33 pm
#109
Austin. TX.
Joined: Sep 2013
Posts: 5,930
Re: USA vs UK healthcare - physician perspective
For all its shortcomings you dont see any US doctors running to the UK. Quite the opposite there is an upcoming seminar at the BMA London conference detailing the steps for Brits to enter the US system and over 2k UK grads have signed up to attend.
Was speaking to a PA from a neighboring healthcare network last week and she said they tried to recruit a PCP recently guaranteed Year 1 salary of 280k but with all sign on bonus, loan repayment etc you make closer to $370k in Year 1. Even with H1 sponsorship how many applicants? Zilch and thats in a metro city.
The beauty of working in private practice here is the flexibility in the way you can operate. American patients are generally are far more easier to deal with than Brits. As one senior doc at the ACP said recently at a conference if patients dont directly pay for any portion of their healthcare they have no value for it. So have no issues helping out Americans by giving away drug samples that the office gets, coupons, waiving the co-pay etc However when you get a Brit showing up that thinks they can demand endlessly like they do in the NHS they need a reality check. So as an American I trained under suggested just upcode their visit to Level 4 and that automatically doubles their bill or order a blood test their insurance doesnt cover and the out of pocket cost to them will be over 1k guaranteed.
Was speaking to a PA from a neighboring healthcare network last week and she said they tried to recruit a PCP recently guaranteed Year 1 salary of 280k but with all sign on bonus, loan repayment etc you make closer to $370k in Year 1. Even with H1 sponsorship how many applicants? Zilch and thats in a metro city.
The beauty of working in private practice here is the flexibility in the way you can operate. American patients are generally are far more easier to deal with than Brits. As one senior doc at the ACP said recently at a conference if patients dont directly pay for any portion of their healthcare they have no value for it. So have no issues helping out Americans by giving away drug samples that the office gets, coupons, waiving the co-pay etc However when you get a Brit showing up that thinks they can demand endlessly like they do in the NHS they need a reality check. So as an American I trained under suggested just upcode their visit to Level 4 and that automatically doubles their bill or order a blood test their insurance doesnt cover and the out of pocket cost to them will be over 1k guaranteed.
Don't even bother replying to the scumbag.
Sep 9th 2019, 4:48 pm
#110
Often not so civil...
Joined: Apr 2010
Location: The Boonies, GA
Posts: 9,561
Re: USA vs UK healthcare - physician perspective
If you were a physician in my building and I caught you doing that you'd be reported.
Troll indeed.
Troll indeed.
Sep 9th 2019, 5:09 pm
#112
Banned
Thread Starter
Joined: Jul 2017
Posts: 58
Re: USA vs UK healthcare - physician perspective
You are likely just bitter you cant go into a doctors office here with multiple problems, demand endless consults and not have a bill associated with it unlike England for now (post-Brexit charges will come for sure). As long as the systems investigated and problem list supports a level 4 nothing you can do about it buddy. Brits robbed the world for centuries with their 'empire' when are they ever going to pay that back?
Sep 9th 2019, 5:11 pm
#113
SUPER MODERATOR
Joined: Dec 2005
Posts: 88,021
Re: USA vs UK healthcare - physician perspective
You are likely just bitter you cant go into a doctors office here with multiple problems, demand endless consults and not have a bill associated with it unlike England for now (post-Brexit charges will come for sure). As long as the systems investigated and problem list supports a level 4 nothing you can do about it buddy. Brits robbed the world for centuries with their 'empire' when are they ever going to pay that back?
Sep 9th 2019, 9:49 pm
#114
`
Joined: Oct 2003
Posts: 38,612
Re: USA vs UK healthcare - physician perspective
Here in Aus we have Skin Cancer clinics everywhere and they're all bulkbilled (free at point of sale). No one bothers a GP for an iffy mole. You go straight to the SC clinic and if it's in anyway dodgy, they'll remove or treat it there and then. We have the highest rate of skin cancer in the world but have relatively few deaths because of the speed of treatment.
Here in NZ you can have a suspicious skin mark checked via your GP surgery or at a private clinic. You will pay something for both options. A GP visit where I am is NZD $40 for 15 minutes.
Everyone is encourage to have a full 'mole map' skin check annually. You pay.
If something not good is found then it is straight to the relative consultant and at that point all treatment is free.
