From: guy on

Some of think that all medical training is the
obligation of the collective system called
government..

It already subsidized in many ways, much
more than publicized..

The issue of medical student receiving fair
benefit for the extra years in training may
be proper and a final benefit to society.

I hate to see the very bright person not
getting to be a doctor ( if they desire)
because of money.

In the late 50's I did supervise a University
research effort where we provided work
for premed and medical students. I am
aware of many of the issues

I am also aware that on three recent trips
to doctors, only one of them earned what
was paid to them.
Guy

Face it. The medical system is and must be
very expensive. It is only how we fund it and
when and how we pay for it..
Guy

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From: BJ in Texas on
guy <guys(a)consolidated.neet> wrote:
|| Some of think that all medical training is the
|| obligation of the collective system called
|| government..
||

If government pays for medical training, all doctors should
become
government employees and the job should be classified as civil
service. Doctors should then receive a monthly wage. All doctors
wanting to work outside of the new government healthcare system
should be required to move out of the country.

--
"A government which robs Peter to pay Paul can always depend on
the support of Paul." -- George Bernard Shaw


From: Ma?k on
On Tue, 07 Mar 2006 15:06:59 GMT, "BJ in Texas" <bjtexas(a)hotmale.con>
Huffed and Puffed the following into the madness of usenet:

>guy <guys(a)consolidated.neet> wrote:
>|| Some of think that all medical training is the
>|| obligation of the collective system called
>|| government..
>||
>
>If government pays for medical training, all doctors should
>become
>government employees and the job should be classified as civil
>service. Doctors should then receive a monthly wage. All doctors
>wanting to work outside of the new government healthcare system
>should be required to move out of the country.

no, they don't have to move out. but they damn well better pay the
tax payer back for the loan on their education.

--
M?ck?? Deltec CoZmore Pumper
Type 1 since 1975
http://www.alt-support-diabetes.org
http://www.diabetic-talk.org
http://www.insulin-pumpers.org



"To announce that there must be no criticism of the
President, or that we are to stand by the President
right or wrong, is not only unpatriotic and servile,
but is morally treasonable to the American public."
....Theodore Roosevelt

(o ?)
--ooO-(_)-Ooo--------------------

"I don't know half of you
half as well as I should like;
and I like less than half of you
half as well as you deserve."
....Bilbo Baggins


Jesus never hated anyone.

From: guy on
On Tue, 07 Mar 2006 11:56:26 -0500, Ma?k
<stopthespam(a)shootspammers.com> wrote:

>On Tue, 07 Mar 2006 15:06:59 GMT, "BJ in Texas" <bjtexas(a)hotmale.con>
>Huffed and Puffed the following into the madness of usenet:
>
>>guy <guys(a)consolidated.neet> wrote:
>>|| Some of think that all medical training is the
>>|| obligation of the collective system called
>>|| government..
>>||
>>
>>If government pays for medical training, all doctors should
>>become
>>government employees and the job should be classified as civil
>>service. Doctors should then receive a monthly wage. All doctors
>>wanting to work outside of the new government healthcare system
>>should be required to move out of the country.
>
>no, they don't have to move out. but they damn well better pay the
>tax payer back for the loan on their education.

Mack, , you might be surprised by the percentage of
medical training paid for by the taxpayers by several ploys.
I think that is good. I note that the profession does not focus
on this fact.

The GI bill after WW2 applied to a bunch of people that
were matured from war was a minor miracle. We profit
from that crew today.

In my old days I note a shrinking pool of that crew.

The results are showing in certain sciences. The " Where
is the buck" crew is not concerned about the real
progress. I suspect it is showing up in our drug industry.

I hope some future administration will recognize the problems
and the lobbyists will fail to bias any health legislation.

If not, you should learn to speak Chinese.

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From: William C Biggs MD on
BJ in Texas,

The government pays a significant portion of the costs for medical education
at public medical schools already.

It may surprise you BJ, but you helped pay for my medical education in
Texas. I was a non-resident, so I paid the higher rate. It was $900 per
year.

You also paid for my wife's education. It was $300 per year.

Thank you.

Public medical education currently is funded by state and federal tax
dollars, medical practice receipts, research grants, tuition receipts, and
charitable donations. The tuition costs have escalated tremendously, and now
average from $15,000 to $30,000 for public & private schools.

While I was getting this education, my college roommates had $50,000 a year
jobs with high tech computer companies. Meanwhile I was racking up student
loans for my living expenses.

Today's med students graduate with an average debt load exceeding $100,000.

This education qualified me to be worked like a dog at below minimum wage
for the subsequent 3 years. After that, I was paid slightly more than the
minimum wage for the next couple years.

By the time I entered private practice, I was almost 30 and began payments
on all my loans. My college buddies at the software firm had been there 9
years and were now executives of a major corporation.

I'm not sure that converting doctors into indentured civil servants would
have been appealing to me, or any of my classmates. In that scenario, I
would have gone with my friends into a computer firm, rather than spending
the next 9 years sleepless, and unpaid/underpaid.

And my classmates today? They are on their 3rd computer firm, and still make
more than I do. They work hard, have fun. And when they go home, they don't
get called at 3am because somebody is passing blood out their rectum. They
don't get vomited on. They don't get threatened by malpractice suits. They
don't get their pay cut annually by Medicare or the PPOs.

Would I do it over again? Right now I would say, 'probably'. That's sad,
because 10 years ago I would have said 'absolutely, positively'. What's
also sad is that when doctors are asked if they would recommend medicine as
a career for their children, the majority now say NO.




Your strategy to require doctors to be civil servants has already been
implemented and tested.

In Russia.

As a result, the amount of training required to be a doctor in Russia is
similar to what a Registered Nurse gets in the US. The pay for Russian
doctors is about the same as the Russian nurses, too.

It is pretty hard for graduates of Russian medical schools to come to the
US. Most of them can't pass the board exams to do residencies here. It
appears that the best & brightest Russians do not pick medical careers.

Hardly a rousing endorsement of your plan.

The quality of people you get will depend upon the attractiveness of the
job. If it is a low pay civil service rut, you won't be attracting persons
with the skill levels needed for the job.

It would likely create a two-tier system, similar to the UK. Those who can't
afford private medicine get whatever they can through the public system. The
well-to-do use the private doctors. And the best few doctors get pulled
into the private system....

BJ, what is needed is a system where we have good doctors, who enjoy their
work, and who work effectively & efficiently.


"WCB in Texas"



"BJ in Texas" <bjtexas(a)hotmale.con> wrote in message
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