• zackhow@programming.dev
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    1 hour ago

    It’s interesting that the fourth panel is not just a copy/paste paste of the third with adjustments. They drew it. Neat

  • sudochown@programming.dev
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    2 hours ago

    We are SO sorry….we have someone who is going to come to talk to you about something

    *Billing specialist enters room to explain the payment plans available

    • MinnesotaGoddam@lemmy.world
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      2 hours ago

      they never talk about “hey, so let’s go over my formulary and see which of what you’re recommending is actually covered by my insurance”. they turn pale at that sentence

  • AItoothbrush@lemmy.zip
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    3 hours ago

    With american logic couldnt you say that their service didnt work cause your son died so you want a refund? /s

  • Jiral@lemmy.world
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    2 hours ago

    It must be great to have all that freedom, like the freedom from having universal health insurance:

    • OldChicoAle@lemmy.world
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      22 minutes ago

      “Sorry I don’t make the prices, I just benefit from them”

      Not saying doctors don’t deserve a good wage, but they are absolutely aware of the unfair healthcare system in the United States. Could they band together and advocate for change? Yes, and some do. Should more? Probably. Do a lot of doctors not care cuz they’re rich anyway? Probably.

  • TranscendentalEmpire@lemmy.today
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    5 hours ago

    The shit thing is that the American healthcare system is designed to put the blame on the healthcare providers and not the politician, hospital administrators, private healthcare networks, and insurance companies that actually control the cost of healthcare. Media like this just reinforces this and errodes what little public trust we still have with the providers.

    I am a provider specializing in orthopedics and rehabilitation, and I have literally no ability to tell you how much my care cost, or how much money the hospital is making from my own labour. That’s unless I break the law and just treat you for free and write the appointment down as a consultation, which I do as much as I can get away with.

    Healthcare doesn’t pay the way it used to, very few specialties make an obsesne amount of money compared to the time you spend on education, and the time you spend at work. If your goal is to make a lot of money, there are a lot easier fields of study with much higher returns than healthcare.

    Most physicians nowadays make slave wages until they are 30, even longer if you do a fellowship. Then you spend another decade paying off your student loans. Most physicians graduating now won’t really make anything until their 40s, and so you have about 20 years if you don’t burn out to make enough to one day retire. At the peak of their career in your 40s, the average MD is pulling in 250-300k and working 55-60 or more hours a week at a hospital. Meanwhile a person with an MBA is making more with a master’s degree with a 9-5 at a bank.

    • CADmonkey@lemmy.world
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      3 hours ago

      My other half and I have been dealing with an elderly family member recently, and the amount of intentional stupidity and obtuseness on the part of the people on the money side of the problem is breathtaking.

      • TranscendentalEmpire@lemmy.today
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        3 hours ago

        Yeah, getting a straight answer from the billing department even for providers is super frustrating. A lot of it is because hospital networks and private insurance companies have secretive reimbursement contracts that they don’t want providers or patients to have access too.

        • CADmonkey@lemmy.world
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          1 hour ago

          It’s not just getting a straight answer, its getting the same answer twice from the same person that seems to be too hard.

          • TranscendentalEmpire@lemmy.today
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            1 hour ago

            Yeah, same thing here. A good practice is to write the date and time of the call, who you’re speaking to, and the calls reference number. I will usually summarize what we discuss and then repeat the information back to them.

            If you have all that information you can usually hold them to what they told you.

    • systemglitch@lemmy.world
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      3 hours ago

      I don’t see your doctor’s advocating and protesting for universal health care. You guys should be doing a lot of shit you ar not. Fucking backwards shit hole.

      • TranscendentalEmpire@lemmy.today
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        3 hours ago

        You also aren’t looking for it apparently? Physicians for National Healthcare Program is a group of over 20 thousand physicians advocating for a national healthcare program.

        We’re not politicians, we don’t have anymore power than you do, and we are all in the same boat. My healthcare gets worse and more expensive every year as well. Plus, changing over to a medicare for all programs would save me dozens of hours of paperwork a week.

        Most physicians under about 40 would love a socialized healthcare network. The people older than that are typically stuck in the “I did my time, now I want my reward mindset”. To get more people on board in the industry the largest hurdle would be lowering the cost of education, and doing away with the low wage residency programs that work you to the bone for nothing. Without addressing those while lowering wages, you’re basically asking providers to go into debt for the rest of their lives.

        • MinnesotaGoddam@lemmy.world
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          2 hours ago

          this is what you say to the public. behind closed doors, it’s always “national healthcare will be the end of our field and i will have to retire because I don’t want all those fucking medicare patients.”

          i may have the teensiest bit of professional experience i’m not sharing.

          • TranscendentalEmpire@lemmy.today
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            1 hour ago

            this is what you say to the public. behind closed doors

            Everyone knows physicians get together to scheme about our public image as soon as we finish our notes for the day…

            end of our field and i will have to retire because I don’t want all those fucking medicare patients."

            The vast majority of money spent in healthcare is from Medicare. Pretty much everyone but odd boutique clinics gladly take Medicare patients. It’s not the 90s anymore, CMS reimbursement is often higher than private insurance and comes with a lot less paperwork.

            may have the teensiest bit of professional experience i’m not sharing

            I’m sure you know best.

          • TranscendentalEmpire@lemmy.today
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            2 hours ago

            Well, yeah. In their minds they sacrificed a lot of time, money, sweat, and tears to earn a salary that can reimburse them for their hundreds of thousands of debt and decades of little to no pay.

            To fix medicine in America we are going to have to fix the education program. No other country pays physicians as much as the US, but no other country requires you to take out a fortune of loans to become a physician. The system is designed to pressure physicians into keeping the reward system going.

            I think if we initiated a student loan forgiveness program and did away with a residency program that was or designed for a time when you were able to use cocaine to get you through your day… A lot more physicians would be on board than there already are.

    • MinnesotaGoddam@lemmy.world
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      2 hours ago

      oh dude. i’m disabled. i literally have better education than you, work longer hours and earn less. want to hear my whining about why i’m not paid enough?

      • TranscendentalEmpire@lemmy.today
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        2 hours ago

        I mean, better is subjective. As far as cost and time goes, not many fields beat medicine. A lot of doctors can have up to 18 years of higher education and specialty training, and none of it is generally paid for like other graduate programs. And again working hours vary from field to field, but I know some er doctors who work 60-70 hours a week.

        Lastly my point wasn’t to whine about the pay, it was to illuminate that it isn’t the physicians or other healthcare providers that are primarily benifittting from increase of healthcare cost. If that’s what you took from the post, then you might just be projecting your feelings about your position in your own field.

        • MinnesotaGoddam@lemmy.world
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          18 minutes ago

          each of my postgraduate degrees is number one in my field, dude. y’all underestimate how much regurgitation you do in that 18 years of “higher” education. i have spent long enough educating MDs to know what dipshits y’all are.

    • lechekaflan@lemmy.world
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      4 hours ago

      If your goal is to make a lot of money, there are a lot easier fields of study with much higher returns than healthcare.

      Cosmetic surgery, for one.

      • chuckleslord@lemmy.world
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        4 hours ago

        … cosmetic surgeons are still medical doctors, so they have the same insane schooling/residency requirements as everyone else. Plus, they have a purpose in a hospital in helping to plan surgeries to reduce the appearance of scars. It’s not just vanity, my dude.

        Chiropractor, though, that’s a “medical” field that has no actual resemblance to medicine or the massive debt burden therein. Plus, they’re a joke to begin with. Much better punchline.

        • MinnesotaGoddam@lemmy.world
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          2 hours ago

          Dentistry is the one that is still legitimately in medicine that makes money. the difference is in the liability insurance.

      • TranscendentalEmpire@lemmy.today
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        4 hours ago

        Definitely on the higher end of medicine, but I’m still not sure if it’s really going to be a higher pay off than someone with an MBA. You still have nearly 20 years of school, residency, and fellowship before you start making any money.

        There are only around 7500 cosmetic surgeons practicing in the US, compare that to almost half a million investment bankers… I’m pretty sure you’re going to have an easier time pulling in a million a year in banking than in surgery.

          • TranscendentalEmpire@lemmy.today
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            1 hour ago

            We aren’t talking about the average MBA, I specified an investment banker, most of which have an MBA. There are just a lot more people and positions for someone with an MBA.

            • MinnesotaGoddam@lemmy.world
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              15 minutes ago

              if you’re going to compare the average MD, compare it to the average MBA. or are you one of those shitty doctors who only likes the statistics when they make them look good? OH WAIT YOU’RE PROBABLY THE RECEPTIONIST

        • lechekaflan@lemmy.world
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          4 hours ago

          I’m pretty sure you’re going to have an easier time pulling in a million a year in banking than in surgery.

          Not in US but much in South Korea.

          Also, the few ones paid under retainer by aging billionaires, earning more than their equivalents.

          • TranscendentalEmpire@lemmy.today
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            3 hours ago

            South Korea might have more surgeons per capita, but it’s a small country. There are around 7500 cosmetic surgeons in the US and only around 2500 in South Korea. And again, you’re probably going to have a higher chance of being wealthy doing finance or working for one of the chaebols. Fellowships for something like cosmetic surgery are extremely competitive.

      • When my grandfather died, my mother had to block my dad from the front door because the goddamn billing department called LITERALLY 3 HOURS AFTER HE FUCKING DIED to know who would be taking care of the bill. He was ready to walk into their billing office and start swinging. So was I, but as a teenager there wasn’t much I could do without transportation…