Physicians move from The USA to Canada for better life

[Hoyt]

12. Do you even know what you are talking about? For instance, Malpractice runs about 5% of revenue.

That is a relatively small cost of doing business and making up for the fact that some docs should not be in practice, and in most places you can practice without it, if you are stupid enough.

As to billing in triplicate, if they invest in decent billing staff that knows how to code claims and learn what "medical necessity" means, that won't happen. If you know someone that has to file in triplicate, I'll show you how to get paid the first time. It's not that hard, unless you are just slapping a bunch of codes on a claim, providing questionable services, etc.

Most of the plans today pay at or above Medicare, and a decent primary care doctor can easily make $150,000 - 200,000 without having to take call, etc. And many make considerably more. Specialists make even more. Today, most docs can sell their practice to hospitals and no run the risk of running a medical practice.

Cut the insurers out, and a doc might get paid 10% more per service. More likely, without any checks on what they do, docs will run unnecessary tests, perform unnecessary procedures, etc. Cost will go up.

I'm all for single payer, but docs will get Medicare rates at best, probably less. They can do that now.

The only "poor" doctors I've me, choose to be (working part-time, selflessly provide free services, are crazy, exhibit low-quality care, etc.) or have other issues.

With all that said, I think Medicare rates are a good benchmark for fair reimbursement. I doubt Canada pays more. Problem is, a lot of docs want to have expensive cars, two or three homes, make enough in one year to retire, etc. They should be well paid. But most are in the top 1% - 5% of income, and most are Republicans.