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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Mary Cluney who wrote (9930)	9/30/2009 6:11:36 PM
From: i-node	1 Recommendation Respond to of 42652

Back of the envelope business model: ROTFLMAO. "Office Overhead" $34,000? You're dreaming. Was there going to be a receptionist? A billing person? Payroll taxes? Utilities? Lab fees? Waste disposal? Telephones & Internet? Computer software & support (we sell the cheapest national product on the market and the annual upgrade runs $2.5K minimum, excluding EMR which costs at least 3-4 times that, and support on billing & EMR combined for a small provider's office can easily run $500/mo)? Office supplies? CME? Any reference materials at all? What about malpractice insurance? Long-term disability insurance? What about insurance to protect against the banana peel on the front porch? Accountants & attorneys fees? What about the 3% discount you pay credit card companies (or were you going to require cash)? I'm thinking your back of the envelope might need a little work. I'm guessing you've never been in business for yourself?

To: Mary Cluney who wrote (9930)	9/30/2009 7:27:27 PM
From: skinowski	Read Replies (1) \| Respond to of 42652

I-node is right. What you describe was possible, but not recently. Even going back 15 years or so, it was tough to run a one Dr. practice for less than 150K+. A friend had a very busy family practice, and his gross was a good deal higher than what you describe. He worked and took calls 24/7, with hardly ever a break. A couple of years ago he developed health problems and in the end had to give up his practice. He took a job as an employee, for more or less an average salary - and discovered that his income was considerably higher. That said, in the early 80's a knew well a doctor who worked even without a secretary. Only an answering service. Patients paid him during the visit, and when needed they would bring their insurance forms - filled out - and the doctor would sing them. The patient would send out the form and get reimbursed. The doctor's fees were very moderate. These days.... fogedaboudit. Paper and dealings with bureaucrats are killers. You need to pay at least 2-3 salaries just to keep the doors open.

To: Mary Cluney who wrote (9930)	10/1/2009 2:43:24 AM
From: Peter Dierks	Respond to of 42652

I don't know but doing a quick back of the envelope type calculation, I figure that any Internist or Family doc could make $125,000 dollars a year without working that many hours. Which proves something quite different than what you think. Internal Medicine Specialists, Pediatricians and Family Practice doctors rarely make $125K per year and work a lot harder than your estimates. Why is that? I propose the answer is the same as most of your posts. You have a bone to pick and don't care to do your homework before posting.