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	<title>Comments on: The Medical Cartel: Why are MD Salaries So High?</title>
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		<title>By: Thomas Westin</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1759259</link>
		<dc:creator>Thomas Westin</dc:creator>
		<pubDate>Sat, 05 May 2012 07:37:00 +0000</pubDate>
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		<description>The very nature of a physician all most has to be one that can find personal reward in the observance of healing, and not in the pay scale. To take the time to  go through the incredible amount of study and deal with the every day unpleasantness requires more then money. What the MD has to deal with takes people who answer a much higher calling then that of greed.</description>
		<content:encoded><![CDATA[<p>The very nature of a physician all most has to be one that can find personal reward in the observance of healing, and not in the pay scale. To take the time to  go through the incredible amount of study and deal with the every day unpleasantness requires more then money. What the MD has to deal with takes people who answer a much higher calling then that of greed.</p>
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		<title>By: doc dude</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1758415</link>
		<dc:creator>doc dude</dc:creator>
		<pubDate>Fri, 04 May 2012 20:32:48 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1758415</guid>
		<description>hell yes Ravi. the process of becoming a physician is borderline insane. the amount of personal sacrifice is huge. brutal hours, no sleep. i mean literally like no sleep. work for 24 hours then try to catch 45 minutes when suddenly your pager goes off and you need to get your self together and run to the ER to evaluate some very sick patient with a complete small bowel obstruction. the pay isn&#039;t really that great when you consider the amount of work, and the responsibility. i&#039;m all for having more docs around, well-rested and on point. i&#039;d rather there be more training years and less hours per week, so that i could see friends once in a while, and maybe enjoy life outside of the hospital a little bit, without sacrificing breadth of clinical experience. and the medical culture sucks. imagine doing all this work and basically getting treated like dirt by the higher ups, arrogant surgeons and the like. the whole system, and the whole culture, need to be revamped</description>
		<content:encoded><![CDATA[<p>hell yes Ravi. the process of becoming a physician is borderline insane. the amount of personal sacrifice is huge. brutal hours, no sleep. i mean literally like no sleep. work for 24 hours then try to catch 45 minutes when suddenly your pager goes off and you need to get your self together and run to the ER to evaluate some very sick patient with a complete small bowel obstruction. the pay isn&#8217;t really that great when you consider the amount of work, and the responsibility. i&#8217;m all for having more docs around, well-rested and on point. i&#8217;d rather there be more training years and less hours per week, so that i could see friends once in a while, and maybe enjoy life outside of the hospital a little bit, without sacrificing breadth of clinical experience. and the medical culture sucks. imagine doing all this work and basically getting treated like dirt by the higher ups, arrogant surgeons and the like. the whole system, and the whole culture, need to be revamped</p>
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		<title>By: Don</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1735552</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Tue, 24 Apr 2012 01:01:26 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1735552</guid>
		<description>And to the Elitist notion that everybody else are less than able I know of One GP who only had to know Algebra. I looked at his Block classes and It did not look difficult. I think it&#039;s interesting but not a profession I would want. I can tell you a few stories of a Diagnostic isolation based on BS guesses rather than any data. Rather than refer me to somebody who actually knows what they are doing they give it a crap shot and bill me.</description>
		<content:encoded><![CDATA[<p>And to the Elitist notion that everybody else are less than able I know of One GP who only had to know Algebra. I looked at his Block classes and It did not look difficult. I think it&#8217;s interesting but not a profession I would want. I can tell you a few stories of a Diagnostic isolation based on BS guesses rather than any data. Rather than refer me to somebody who actually knows what they are doing they give it a crap shot and bill me.</p>
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		<title>By: Don</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1735496</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Tue, 24 Apr 2012 00:26:02 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1735496</guid>
		<description>I have an answer to you Doctors who scream when anybody talks about your pile of money. Germany. If it works over there it can work over here. I know the system over here demands a high salary so I see that as the problem to overcome high health care cost. You all are in General quite Elitist and demand to be wealthy and think you are entitled to be wealthy. I lived by a Medical school and most students are there for the money. Oh please save your arguments for the Lawyers. The reason you go is there are few professions that pay ( save it ). Our Capitalist system has sucked out the middle class like a giant blood sucking squid and we are becoming a 2 class society. Read the 2005 Citigroup report. The giant squid will one day find you and you will cry like the Germans.
It works over here because so many players get a piece of the action.</description>
		<content:encoded><![CDATA[<p>I have an answer to you Doctors who scream when anybody talks about your pile of money. Germany. If it works over there it can work over here. I know the system over here demands a high salary so I see that as the problem to overcome high health care cost. You all are in General quite Elitist and demand to be wealthy and think you are entitled to be wealthy. I lived by a Medical school and most students are there for the money. Oh please save your arguments for the Lawyers. The reason you go is there are few professions that pay ( save it ). Our Capitalist system has sucked out the middle class like a giant blood sucking squid and we are becoming a 2 class society. Read the 2005 Citigroup report. The giant squid will one day find you and you will cry like the Germans.<br />
It works over here because so many players get a piece of the action.</p>
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		<title>By: Don</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1735486</link>
		<dc:creator>Don</dc:creator>
		<pubDate>Tue, 24 Apr 2012 00:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1735486</guid>
		<description>I have an answer to you Doctors who scream when anybody talks about your pile of money. Germany. If it works over there it can work over here. I know the system over here demands a high salary so I see that as the problem to overcome high health care cost. You all are in General quite Elitist and demand to be wealthy and think you are entitled to be wealthy. I lived be a Medical school and most students are there for the money. Oh please save your arguments for the Lawyers. The reason you go is there are few professions that pay ( save it ). Our Capitalist system has sucked out the middle class like a giant blood sucking squid and we are becoming a 2 class society. Read the 2005 Citigroup report. The giant squid will one day find you they you will cry like the Germans.</description>
		<content:encoded><![CDATA[<p>I have an answer to you Doctors who scream when anybody talks about your pile of money. Germany. If it works over there it can work over here. I know the system over here demands a high salary so I see that as the problem to overcome high health care cost. You all are in General quite Elitist and demand to be wealthy and think you are entitled to be wealthy. I lived be a Medical school and most students are there for the money. Oh please save your arguments for the Lawyers. The reason you go is there are few professions that pay ( save it ). Our Capitalist system has sucked out the middle class like a giant blood sucking squid and we are becoming a 2 class society. Read the 2005 Citigroup report. The giant squid will one day find you they you will cry like the Germans.</p>
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		<title>By: bc</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1724600</link>
		<dc:creator>bc</dc:creator>
		<pubDate>Wed, 18 Apr 2012 02:25:03 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1724600</guid>
		<description>Well this is how the system is, and whether or not it changes is anyone&#039;s guess. The only people who are complaining are those who couldn&#039;t get into medical school or realize how unrewarding their jobs are now. I am a medical student now, and I haven&#039;t quite made it to the end yet, but I will say that medicine is one of the most rewarding professions out there. Not only can you make a decent and stable income, but you also earn the gratitude and trust of other people on a daily basis if you do a good job. Which is why the barrier to entry is so high, which I think is a good thing because you don&#039;t want clowns in charge of your health. It&#039;s scary enough thinking about the students at the bottom of my class becoming doctors, because you can&#039;t really tell how good someone&#039;s medical knowledge is in a brief encounter. Most people pick their doctors based on personality anyway.

I think the salary numbers are quite misleading. Most docs I know are workaholics and their pay per hour wouldn&#039;t look as impressive. Not to mention that you still have to study as a doc which you don&#039;t get paid for. Try cracking open a book after coming home from work. My friends in business hate it when prepping for the GMAT. The day to day is also quite tedious and even some docs I have followed that work at relatively relaxing jobs don&#039;t have time to eat. Most docs have to take call which can mean staying overnight in the hospital or going for a week or more with the chance of someone calling you at 3AM. There are people I know who went to pharmacy or optometry school because they decided that medical school was just not worth it. 

To the engineer from MIT - You should have went to med school after your PhD. It&#039;s a field dominated by MD-PhD&#039;s and medical students with multiple publications. One of the most competitive fields to match into, and to be honest a 3.1 GPA (even from MIT) work ethic would not have cut it. I know, because I have an engineering degree from a top10 undergrad school. It doesn&#039;t matter where you went to undergrad. Medicine is all about repetition and memorization. There are people at my low tier med school who went to no name undergrads who are smarter than me and work like dogs and score in the top percentiles on national board tests. Even then most kids end up in primary care which pays no where close to 300-400k/year.</description>
		<content:encoded><![CDATA[<p>Well this is how the system is, and whether or not it changes is anyone&#8217;s guess. The only people who are complaining are those who couldn&#8217;t get into medical school or realize how unrewarding their jobs are now. I am a medical student now, and I haven&#8217;t quite made it to the end yet, but I will say that medicine is one of the most rewarding professions out there. Not only can you make a decent and stable income, but you also earn the gratitude and trust of other people on a daily basis if you do a good job. Which is why the barrier to entry is so high, which I think is a good thing because you don&#8217;t want clowns in charge of your health. It&#8217;s scary enough thinking about the students at the bottom of my class becoming doctors, because you can&#8217;t really tell how good someone&#8217;s medical knowledge is in a brief encounter. Most people pick their doctors based on personality anyway.</p>
<p>I think the salary numbers are quite misleading. Most docs I know are workaholics and their pay per hour wouldn&#8217;t look as impressive. Not to mention that you still have to study as a doc which you don&#8217;t get paid for. Try cracking open a book after coming home from work. My friends in business hate it when prepping for the GMAT. The day to day is also quite tedious and even some docs I have followed that work at relatively relaxing jobs don&#8217;t have time to eat. Most docs have to take call which can mean staying overnight in the hospital or going for a week or more with the chance of someone calling you at 3AM. There are people I know who went to pharmacy or optometry school because they decided that medical school was just not worth it. </p>
<p>To the engineer from MIT &#8211; You should have went to med school after your PhD. It&#8217;s a field dominated by MD-PhD&#8217;s and medical students with multiple publications. One of the most competitive fields to match into, and to be honest a 3.1 GPA (even from MIT) work ethic would not have cut it. I know, because I have an engineering degree from a top10 undergrad school. It doesn&#8217;t matter where you went to undergrad. Medicine is all about repetition and memorization. There are people at my low tier med school who went to no name undergrads who are smarter than me and work like dogs and score in the top percentiles on national board tests. Even then most kids end up in primary care which pays no where close to 300-400k/year.</p>
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		<title>By: tj</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1695210</link>
		<dc:creator>tj</dc:creator>
		<pubDate>Thu, 05 Apr 2012 02:50:56 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1695210</guid>
		<description>The AMA doesnt restrict anything. 

The LCME accredits US medical school spots but has increased that number to meet residency spots in recent years

number of medical schools isnt the kink in the pipeline shortage of docs. 

number of US grads will meet or exceed number of residency spots in 2014. which just means none to few foreign mds in residency spots.

the LCME controls numbers of US grads and has been very good at increasing that number. 

the real kink is the # of residency spots, which is necessary, though how long residency is in years for certain spots could he streamlined, but in senior residency years the resident functions like a junior attending often. That basically means the hospital gets a doc for just 45k a yr instead of the normal rate.

residency spots are funded through medicare and thats the real kink. Each resident makes a hospital more than it costs to fund their training through medicare. Hospitals need to start contribuing and privately funded residency spots are the only feasible solution for doctor shortage

AMA is not a cartel or even a union and has no real power. just a puppet for press and propaganda like this to shoot down docs who arent the real leak or cause of increased medical spending.

cut all doctor salaries in half and we will still be at this juncture in US

if a visit is paid by insurance the cost to consumer is insurance company overhead+insurance company profit+doctors cost

non profit insurance companies just have increased overhead like if the government ran it

like anything paid through insurance, what u pay in premiums costs more than the premium

like why never filing a car insurance claim means youll pay less in premium a year

you only need insurance for the unforseen or catastrophic or what exceeds your income

paying for regular doctor visits and other medical services you can expect to spend in a year will just cost the US more than paying a doc directly. Paying this way cuts out insurance overhead/profit and the docs cost of hirining a medical biller and having to wait to get paid for a service through insurance

same way its cheaper for me to have minimum insurance just for major accidents and pay out of pocket for minor fender benders or car problems which i can expect to get into. 

insurance is run of the same principals and companies will continue to increase their profits as is their nature no matter what level of healthcare they provide

put a limit on the margin of profit that can be made on healthcare services and this would all be fixed. allow for reasonable salary for physicians and they will always be their. doctors arent taking billions in healthcare payments from US citizens and linining their pockets or paying out in stock dividends

absentee profiteers in every aspect lf healthcare is the cause of these problems. the money invested isnt helping our healthcare because it is not invested in ways that improve our health but in healthcare services that provide the most profit like meds for chronic conditions rather than vaccines or cures</description>
		<content:encoded><![CDATA[<p>The AMA doesnt restrict anything. </p>
<p>The LCME accredits US medical school spots but has increased that number to meet residency spots in recent years</p>
<p>number of medical schools isnt the kink in the pipeline shortage of docs. </p>
<p>number of US grads will meet or exceed number of residency spots in 2014. which just means none to few foreign mds in residency spots.</p>
<p>the LCME controls numbers of US grads and has been very good at increasing that number. </p>
<p>the real kink is the # of residency spots, which is necessary, though how long residency is in years for certain spots could he streamlined, but in senior residency years the resident functions like a junior attending often. That basically means the hospital gets a doc for just 45k a yr instead of the normal rate.</p>
<p>residency spots are funded through medicare and thats the real kink. Each resident makes a hospital more than it costs to fund their training through medicare. Hospitals need to start contribuing and privately funded residency spots are the only feasible solution for doctor shortage</p>
<p>AMA is not a cartel or even a union and has no real power. just a puppet for press and propaganda like this to shoot down docs who arent the real leak or cause of increased medical spending.</p>
<p>cut all doctor salaries in half and we will still be at this juncture in US</p>
<p>if a visit is paid by insurance the cost to consumer is insurance company overhead+insurance company profit+doctors cost</p>
<p>non profit insurance companies just have increased overhead like if the government ran it</p>
<p>like anything paid through insurance, what u pay in premiums costs more than the premium</p>
<p>like why never filing a car insurance claim means youll pay less in premium a year</p>
<p>you only need insurance for the unforseen or catastrophic or what exceeds your income</p>
<p>paying for regular doctor visits and other medical services you can expect to spend in a year will just cost the US more than paying a doc directly. Paying this way cuts out insurance overhead/profit and the docs cost of hirining a medical biller and having to wait to get paid for a service through insurance</p>
<p>same way its cheaper for me to have minimum insurance just for major accidents and pay out of pocket for minor fender benders or car problems which i can expect to get into. </p>
<p>insurance is run of the same principals and companies will continue to increase their profits as is their nature no matter what level of healthcare they provide</p>
<p>put a limit on the margin of profit that can be made on healthcare services and this would all be fixed. allow for reasonable salary for physicians and they will always be their. doctors arent taking billions in healthcare payments from US citizens and linining their pockets or paying out in stock dividends</p>
<p>absentee profiteers in every aspect lf healthcare is the cause of these problems. the money invested isnt helping our healthcare because it is not invested in ways that improve our health but in healthcare services that provide the most profit like meds for chronic conditions rather than vaccines or cures</p>
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		<title>By: Anirban</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1667932</link>
		<dc:creator>Anirban</dc:creator>
		<pubDate>Mon, 26 Mar 2012 10:30:45 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1667932</guid>
		<description>Usually the lawyers, I knew in medical malpractice, used to charge as a percentage of the life time earning and the pain &amp; suffering awards. If one doctor, policeman, firefighter saves your life, are you eager to pay him a percentage of that. Won’t that be fair? He is literally enabling you to enjoy the rest of your life. Just imagine how much money your doctor saved you had your oral lesion turned malignant. No lawyer can save you that. Of course, someone else got it, had your doctor screwed up.

Don’t Lawyers go the profession for love of giving people “justice”? Don’t Football players go for it for representing their country or state whatever, and make us “proud”. I think the logic is tenable to any other profession or service you can name. What prompted you to join your profession.. I wonder. Should or shouldn’t money become the secondary motivation everywhere. We know money matters everywhere.

If you are tired to hear the argument of medical debt and really think those young stupid fellows who joined it knowingly can be brushed aside. I can guarantee you students are getting smarter. The future medical applicants don’t look too great and it is no solace if junk fills up the void.

I can forego all actors and NBA players. Anyway I need those Doctors and a good quality one and may be a lawyer or two. I want them to be paid &quot;substantially&quot;. Can’t buy champagne with beer money, as simple as that.</description>
		<content:encoded><![CDATA[<p>Usually the lawyers, I knew in medical malpractice, used to charge as a percentage of the life time earning and the pain &amp; suffering awards. If one doctor, policeman, firefighter saves your life, are you eager to pay him a percentage of that. Won’t that be fair? He is literally enabling you to enjoy the rest of your life. Just imagine how much money your doctor saved you had your oral lesion turned malignant. No lawyer can save you that. Of course, someone else got it, had your doctor screwed up.</p>
<p>Don’t Lawyers go the profession for love of giving people “justice”? Don’t Football players go for it for representing their country or state whatever, and make us “proud”. I think the logic is tenable to any other profession or service you can name. What prompted you to join your profession.. I wonder. Should or shouldn’t money become the secondary motivation everywhere. We know money matters everywhere.</p>
<p>If you are tired to hear the argument of medical debt and really think those young stupid fellows who joined it knowingly can be brushed aside. I can guarantee you students are getting smarter. The future medical applicants don’t look too great and it is no solace if junk fills up the void.</p>
<p>I can forego all actors and NBA players. Anyway I need those Doctors and a good quality one and may be a lawyer or two. I want them to be paid &#8220;substantially&#8221;. Can’t buy champagne with beer money, as simple as that.</p>
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		<title>By: bob</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1650452</link>
		<dc:creator>bob</dc:creator>
		<pubDate>Sun, 18 Mar 2012 11:04:48 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1650452</guid>
		<description>Do I think the AMA limits the number of doctors? The answer&#039;s are in the charts people. While I don&#039;t knock how much the average MD gets paid (it really is a pittance compared to the work you put in), the fact of the matter is that there seems to be a mysterious shortage of MDs. Also, when the author mentioned that doctors in the US get paid 2 to 5 times as much, he wasn&#039;t quoting the salaries in Haiti or China. Heavens, no! British fully NHS-certified general practitioners average at 100k (USD) which is even less in Pounds. This is even less in EU countries. The cost of living is 50% higher in Europe than in the US (which kills the &quot;we live in an expensive country&quot; theory). Another question: does working them to death really equate to better doctors? An acquaintance from high school recently committed suicide after she botched a surgery after being subjected to crazy hours by her residency. Residency itself sounds like one of those ridiculously archaic things old folks say will &quot;build character.&quot;</description>
		<content:encoded><![CDATA[<p>Do I think the AMA limits the number of doctors? The answer&#8217;s are in the charts people. While I don&#8217;t knock how much the average MD gets paid (it really is a pittance compared to the work you put in), the fact of the matter is that there seems to be a mysterious shortage of MDs. Also, when the author mentioned that doctors in the US get paid 2 to 5 times as much, he wasn&#8217;t quoting the salaries in Haiti or China. Heavens, no! British fully NHS-certified general practitioners average at 100k (USD) which is even less in Pounds. This is even less in EU countries. The cost of living is 50% higher in Europe than in the US (which kills the &#8220;we live in an expensive country&#8221; theory). Another question: does working them to death really equate to better doctors? An acquaintance from high school recently committed suicide after she botched a surgery after being subjected to crazy hours by her residency. Residency itself sounds like one of those ridiculously archaic things old folks say will &#8220;build character.&#8221;</p>
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		<title>By: Bill Murphy</title>
		<link>http://wallstreetpit.com/5769-the-medical-cartel-why-are-md-salaries-so-high#comment-1622154</link>
		<dc:creator>Bill Murphy</dc:creator>
		<pubDate>Tue, 06 Mar 2012 20:32:13 +0000</pubDate>
		<guid isPermaLink="false">http://wallstreetpit.com/?p=5769#comment-1622154</guid>
		<description>The salary of Doctors should not be compare with the lawyers&#039;s, and while we are at it to actors or CEO.
Lawyers that can bring or save millions of $.Often the first consultation is free and they only get paid on results as a % of what they bring.
Actors can make the success of a movie and bring in millions.
As for CEO the make decision that bring up considerable revenues to a company.
Doctors are providing a very important service to the community and sometimes they save life.
For doing so they should receive a unsubstantial compensation.
This compensation however should not be artificially controlled by the AMA who restrict the number of schools available and the number of doctors. They make sure that supply is always lower than demand, keeping the doctors fees above market price.
It is totally artificial. Lawyers do not try to limit law schools or law students. There compensation is not regulated by supply and demand, but by there expertise alone and the importance of cases they are working on.
An example of over pricing and abusing fees : When I go to my dermatologist for sun induced keratosis, my doctor tells me that it is not covered by insurance because it is a cosmetic intervention. Just to burn a couple lesion he charges me $350 for just 5 minutes of work.He then charge my insurance for $ 170 and when I ask why after receiving the statement the answer is : this was just for the office visit. ( So just to walk in $ 170 and for 5 minutes of &quot;expert&quot;burning of a couple lesion that a nurse could have performed: $350).

It is true that involved in the all procedure was the diagnosis. The lesion could have been malignant. I understand that part, but do you think it&#039;s worst $350 + 170 = $ 520 for a 5 minutes consultation.
Don&#039;t you think that $170 would have been sufficient ( again only for 5 minutes of work).

another problem the AMA restriction on the number of doctors is a lack of competition not only of the fees but of the service itself.
In America, service is very important and well developed in many industries : 24 hrs banking,banks open on Saturdays, services at car dealership open late, grocery stores open all night etc...

Only in medicine is the absence of service that only a lack of competition could bring.
Most American have to take a day off or at least an afternoon off to go to a doctor&#039;s appointment. It is virtually impossible to make an appointment after 4PM. 
In France for example, you can make doctors appointments up until 7H30 PM and saturday doctors work until 1PM generally.
In small towns, doctors are on call one night a month. It means that they are available to patient all night that day.
If you have a mildly sick child at 10pm you do not have to go to the ER. You just have to call SOS MEDECIN and a young doctor (usually resident) would come to you with first doses of antibioics or other medications.
The victims of this lack of competition are the consumers.
I am tired to hear that most doctors are left with an average of $151 000 debt for medical school. They choose to study medicine, but they should not expect the consumers to pay for it by charging unfair and way above market price fees that exist nowhere else in the world.

What happen to the love or passion of helping others ? This should be the main motivation to become a doctors, not money.
Should doctors make a good living ? Definitely yes, they deserve it .
But should they organize a cartel style organisation to keep competition low and inconvenient service to customers ?
Definitely not!</description>
		<content:encoded><![CDATA[<p>The salary of Doctors should not be compare with the lawyers&#8217;s, and while we are at it to actors or CEO.<br />
Lawyers that can bring or save millions of $.Often the first consultation is free and they only get paid on results as a % of what they bring.<br />
Actors can make the success of a movie and bring in millions.<br />
As for CEO the make decision that bring up considerable revenues to a company.<br />
Doctors are providing a very important service to the community and sometimes they save life.<br />
For doing so they should receive a unsubstantial compensation.<br />
This compensation however should not be artificially controlled by the AMA who restrict the number of schools available and the number of doctors. They make sure that supply is always lower than demand, keeping the doctors fees above market price.<br />
It is totally artificial. Lawyers do not try to limit law schools or law students. There compensation is not regulated by supply and demand, but by there expertise alone and the importance of cases they are working on.<br />
An example of over pricing and abusing fees : When I go to my dermatologist for sun induced keratosis, my doctor tells me that it is not covered by insurance because it is a cosmetic intervention. Just to burn a couple lesion he charges me $350 for just 5 minutes of work.He then charge my insurance for $ 170 and when I ask why after receiving the statement the answer is : this was just for the office visit. ( So just to walk in $ 170 and for 5 minutes of &#8220;expert&#8221;burning of a couple lesion that a nurse could have performed: $350).</p>
<p>It is true that involved in the all procedure was the diagnosis. The lesion could have been malignant. I understand that part, but do you think it&#8217;s worst $350 + 170 = $ 520 for a 5 minutes consultation.<br />
Don&#8217;t you think that $170 would have been sufficient ( again only for 5 minutes of work).</p>
<p>another problem the AMA restriction on the number of doctors is a lack of competition not only of the fees but of the service itself.<br />
In America, service is very important and well developed in many industries : 24 hrs banking,banks open on Saturdays, services at car dealership open late, grocery stores open all night etc&#8230;</p>
<p>Only in medicine is the absence of service that only a lack of competition could bring.<br />
Most American have to take a day off or at least an afternoon off to go to a doctor&#8217;s appointment. It is virtually impossible to make an appointment after 4PM.<br />
In France for example, you can make doctors appointments up until 7H30 PM and saturday doctors work until 1PM generally.<br />
In small towns, doctors are on call one night a month. It means that they are available to patient all night that day.<br />
If you have a mildly sick child at 10pm you do not have to go to the ER. You just have to call SOS MEDECIN and a young doctor (usually resident) would come to you with first doses of antibioics or other medications.<br />
The victims of this lack of competition are the consumers.<br />
I am tired to hear that most doctors are left with an average of $151 000 debt for medical school. They choose to study medicine, but they should not expect the consumers to pay for it by charging unfair and way above market price fees that exist nowhere else in the world.</p>
<p>What happen to the love or passion of helping others ? This should be the main motivation to become a doctors, not money.<br />
Should doctors make a good living ? Definitely yes, they deserve it .<br />
But should they organize a cartel style organisation to keep competition low and inconvenient service to customers ?<br />
Definitely not!</p>
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