Comments on: Deep Thoughts (14): Socialized Medicine http://www.indiancowboy.net/blog/?p=219 But hey, madmen need diaries too. Fri, 10 Sep 2010 18:43:33 +0000 http://wordpress.org/?v=2.7 hourly 1 By: jrgyzpjveb http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-283262 jrgyzpjveb Sat, 07 Jul 2007 06:51:39 +0000 http://www.indiancowboy.net/blog/?p=219#comment-283262 Hello! Good Site! Thanks you! tjvdhcfdraaa Hello! Good Site! Thanks you! tjvdhcfdraaa

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]]> By: Administrator http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5706 Administrator Fri, 09 Jun 2006 19:40:21 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5706 Mark, Intellect, sorry if I seemed to claim that money was THE factor. But it's definitely a VERY important factor. And in a sense it's the one by which all others are judged. It is a well known fact that applications to med school go up significantly during economic downturns and drop significantly in times of economic well being, though. So it's obvious that at the population level, income is a significant effect. Mark you mentioned some of the other factors, which are important to a broader look. I talk about it in <a href='http://www.indiancowboy.net/blog/?p=197'The Nature of Self Interest</a rel="nofollow"> Although you got to remember that that combination of other factors (prestige, comfort, etc.) is <em>generally</em> indexed to wealth. Derm is very low in both stress/workload and income. Being a secretary at a not so busy office is also low in stress/workload, but not so high in income. But if the derm income was closer to the secretary income level, there'd be less reason to spend the 12 years in training/education and be a 'gunner' in med school.</a> Mark, Intellect, sorry if I seemed to claim that money was THE factor. But it’s definitely a VERY important factor. And in a sense it’s the one by which all others are judged.

It is a well known fact that applications to med school go up significantly during economic downturns and drop significantly in times of economic well being, though. So it’s obvious that at the population level, income is a significant effect.

Mark you mentioned some of the other factors, which are important to a broader look. I talk about it in

Although you got to remember that that combination of other factors (prestige, comfort, etc.) is generally indexed to wealth. Derm is very low in both stress/workload and income. Being a secretary at a not so busy office is also low in stress/workload, but not so high in income. But if the derm income was closer to the secretary income level, there’d be less reason to spend the 12 years in training/education and be a ‘gunner’ in med school.

]]> By: Socialized healthcare and The Road To Serfdom - Homeland Stupidity http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5702 Socialized healthcare and The Road To Serfdom - Homeland Stupidity Fri, 09 Jun 2006 19:10:51 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5702 [...] The basic problem of government healthcare is that no one feels the costs of their actions. Government isn’t held accountable for lack of access. Consumers aren’t held accountable for abuse of medical resources. And healthcare providers have no incentive either to enter the field or to maintain a high level of quality of care. This is your classic commons situation. [...] [...] The basic problem of government healthcare is that no one feels the costs of their actions. Government isn’t held accountable for lack of access. Consumers aren’t held accountable for abuse of medical resources. And healthcare providers have no incentive either to enter the field or to maintain a high level of quality of care. This is your classic commons situation. [...]

]]> By: Mark http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5701 Mark Fri, 09 Jun 2006 18:47:23 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5701 I am not so sure that money is the primary motivation for doctors either. I think that dermatology is one of the most difficult fields to get into now, not because of the money but because of the good working hours and the fact that it is quite rare to be on call for a dermatological emergency. I am not so sure that money is the primary motivation for doctors either. I think that dermatology is one of the most difficult fields to get into now, not because of the money but because of the good working hours and the fact that it is quite rare to be on call for a dermatological emergency.

]]> By: intellectimpure http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5698 intellectimpure Fri, 09 Jun 2006 14:26:48 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5698 Re-reading that old piece on Doctors and Income and whatever I have to say that I do not come close to buying your arguement regarding pay as being the biggest factor in 'self interest.' People do what they do for many, many reasons and the reasons are complex and convoluted. I think that your contact with the children of the elite has led you to some incorrect generalizations about people. That being said, it is very possible that money IS the determining factor in the aspiring Doctors choices. Re-reading that old piece on Doctors and Income and whatever I have to say that I do not come close to buying your arguement regarding pay as being the biggest factor in ’self interest.’ People do what they do for many, many reasons and the reasons are complex and convoluted. I think that your contact with the children of the elite has led you to some incorrect generalizations about people.

That being said, it is very possible that money IS the determining factor in the aspiring Doctors choices.

]]> By: Administrator http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5607 Administrator Fri, 09 Jun 2006 05:49:06 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5607 few have the perceived status of a doctor though (honestly I"m friends with more plumber-types than doctor-types, so *shrug*) few have the perceived status of a doctor though (honestly I”m friends with more plumber-types than doctor-types, so *shrug*)

]]> By: Roy http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5562 Roy Fri, 09 Jun 2006 02:21:00 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5562 I got news for you. Most plumbers make more than most doctors (around $50-60/hr, less if you count time on call for your patients). I got news for you. Most plumbers make more than most doctors (around $50-60/hr, less if you count time on call for your patients).

]]> By: IndianCowboy http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5483 IndianCowboy Thu, 08 Jun 2006 20:26:51 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5483 don't know about you but I've never actually been to a private practice (where the doctor owned and managed the business). Been to private hospitals, but that's a different story. Legal secretaries are similarly overpaid too, which does add some merit to your point. Did you read 'moving medicine into the free market'? I talked about one source of the waste a loong time ago, no idea where that post is and too lazy to look for it. Google's got me indexed, just type that entire phrase (in quotes) and that'll bring up the post. don’t know about you but I’ve never actually been to a private practice (where the doctor owned and managed the business). Been to private hospitals, but that’s a different story.

Legal secretaries are similarly overpaid too, which does add some merit to your point.

Did you read ‘moving medicine into the free market’? I talked about one source of the waste a loong time ago, no idea where that post is and too lazy to look for it. Google’s got me indexed, just type that entire phrase (in quotes) and that’ll bring up the post.

]]> By: intellectimpure http://www.indiancowboy.net/blog/?p=219&cpage=1#comment-5482 intellectimpure Thu, 08 Jun 2006 20:15:43 +0000 http://www.indiancowboy.net/blog/?p=219#comment-5482 I sure wish you would write regarding where all the money is going. The amount of money we spend on health care in this country is staggering and should be more than sufficient to provide us with great healthcare. Where the heck is it going? My own theory is that Doctors make so much money that they lose touch with the pay scale for the rest of us and therefore tend to pay paper pushers in their practices way to much money for the work that they are doing. I sure wish you would write regarding where all the money is going. The amount of money we spend on health care in this country is staggering and should be more than sufficient to provide us with great healthcare. Where the heck is it going?

My own theory is that Doctors make so much money that they lose touch with the pay scale for the rest of us and therefore tend to pay paper pushers in their practices way to much money for the work that they are doing.

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