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To: neolib who wrote (199916)	5/3/2009 5:59:15 PM
From: i-node	Read Replies (2) \| Respond to of 306849

>> Another excellent example of the Government screwing things up. No, there is a very good reason for this. In fact, that provision was not always there; it was put there to solve a problem. Trust me he can do quite well at it. How long does the procedure take? Then figure out what he can make in a day. He'll do just fine. Do you really think that is an adequate remark? "He can do well at it"? It may take the surgeon 35-60 mins to actually do the procedure. But then there is dictation supporting the procedure. There is the global office follow up. And there are the attendant costs of being a surgeon who does this procedure -- notably, malpractice insurance. You say, "Trust me". No, thanks. I've been advising physicians for years on these subjects, and I can tell you that any surgeon in this country performing ONLY surgeries paid by Medicare will be grossly underpaid (which is why you won't find many of them) and very likely cannot even pay his office overhead, let alone a salary that would be warranted for his education and experience. For 19 of the states that cap noneconomic damages, the MLM found that in 2002 the average premium for internists ranged from $ 4,023 to $ 10,098, for general surgeons, $ 10,896 to $ 35,915, and for obstetricians/gynecologists $ 17,786 to $ 55,084. In Table 1, we show the states with caps, identify their type of rating law and give an estimate of the average premium increase in 2002. These figures are a bit dated -- median (meaning half higher, half lower, of course) malpractice premiums for some specialities (2008) -- FP/Int Med = $12,500 GP = $7,500 OB/GYN = $55,000 Peds = $12,500 All Primary Care docs = $17,500 I have known OB/GYNs with annual premiums in excess of $300K. I doubt anyone pays $4,000 if they're working full time. How much is a good surgeon worth? Years of med school, years of experience, office overhead and time spent in follow ups and correspondence? You're going to pay this guy $250/hour and say that sounds good to you? I think you'll have a lot fewer people entering the field of surgery if that's all it is worth.