A recent story in the New York Times talks about some of the reasons physicians are frustrated with medical practice today. I’ve outlined some of the more concerning reasons below. Please, for your own well-being, consider these before you dig yourself too deep into the medical school hole.
1. Loss of Autonomy
“Iâ€™d write a prescription,” he told me,” and then insurance companies would put restrictions on almost every medication. Iâ€™d get a call: ‘Drug not covered. Write a different prescription or get preauthorization.’ If I ordered an M.R.I., Iâ€™d have to explain to a clerk why I wanted to do the test. I felt handcuffed. It was a big, big headache.”
2. Payment Denials
“Thirty percent of my hospital admissions are being denied. Thereâ€™s a 45-day limit on the appeal. You donâ€™t bill in time, you lose everything.”
3. “Informed” Patients
“Stories of patients armed with medical knowledge gleaned from the Internet demanding antibiotics for viral illnesses or M.R.I. scans for routine symptoms are rife in doctorsâ€™ lounges.”
“Malpractice worries also remain at the forefront of many physiciansâ€™ minds, compounded by increasing liability premiums that have forced many into early retirement.”
5. Decreased Realized Income
“Doctors are working harder and faster to maintain income, even as staff salaries and costs of living continue to increase. Some have resorted to selling herbs and vitamins retail out of their offices to make up for decreasing revenue. Others are limiting their practices just to patients who can pay out of pocket.”
6. Declining Reimbursements
“A 10.6 percent cut in Medicare payments to physicians is scheduled to take effect on July 1. Further cuts are planned in coming years. Many doctors have told lawmakers that if the cuts go through, they will stop seeing Medicare patients. But reimbursement cuts are only a small part of doctorsâ€™ woes today.”
7. Naive Pre-Meds
“I was naÃ¯ve, Saeed Siddiqui said. When I was a resident I thought it was enough to take good care of patients. But the real world is totally different.”
The practice of medicine has made its way over the hill. Don’t say I didn’t warn ya.
All quotes taken from the original article.