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What a frenzy

I walked out of anatomy lab a few minutes ago. Tomorrow is the lab practical exam. Earlier in the week we got an email that said the lab would be open today from 8-10 AM and 3-5 PM. I though the 8-10 AM time slot was kind of odd. All of the first years had a Cell Structure & Function exam at 8:30. Eighty-seven questions and two hours allotted. Even though you could leave whenever you finished, I don’t think many people actually got to squeeze some lab time in before 10.

So I go into lab at 4 PM and figure a good hour reviewing my cadaver and radiographs would be helpful. That place was packed! Shouldn’t be surprised. The day before practicals, the lab is always packed. But it seemed like there was a panicked frenzy… People were going here and there quickly. Stress levels were pretty high — higher than usual.

Monday was the anatomy written exam. I think the class average was about 71%. Of the 3 anatomy exams we’ve taken, this was the lowest average. That might explain the commotion.

In forty minutes, one of the biochem professors will hold a review. That exam will be on Thursday (along with a Pulmonary Physiology Exam).

Alright, off I go to do some more studying…

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Physician Salaries on the Decline

Related Posts: Doctor Salaries, A Problem Overseas Too

Sources: American Medical Association, American Medical Student Association, Center for Studying Health System Change, New York Times

Last year (2006) a story published in the New York Times reported something troubling. Physician salaries are on the decline.

the average physician’s net income declined 7 percent from 1995 to 2003, after adjusting for inflation, while incomes of lawyers and other professionals rose by 7 percent during the period.

Some people do not think that this decline is a problem at all. Even with the decline, physicians are still making a decent salary. They aren’t going hungry. Maybe they have to forego a brand new S-class, but doctors don’t live off of welfare. And with the ever-increasing costs of healthcare, physician salaries just don’t seem as important.

It is very important. This country is headed towards a severe physician shortage. New medical schools are opening up and existing schools are expanding their freshman class sizes in response. Producing more physicians each year is not enough. Physician salaries must increase as well.

The shortage we are expected to go through is in the primary care segment. As it is, the current state of healthcare encourages doctors to enter high-paying specialties. New graduates are not flocking to Pediatrics, Internal Medicine, and Family Practice. Take a survey of any freshman medical class in the country. Many will share their desire to go into radiology, surgery, orthopedics, plastics, or dermatology.

Why? Frankly, for most, it’s because that is where the money is. Those specialties are the quickest way to get out of the enormous debt incurred during medical training. According to the American Medical Student Association (AMSA), the median debt for students at a public medical school is over $119,000 while those that go to a private medical school will carry a median debt of nearly $150,000. On top of debt, physicians make approximately $48,000 during their years during residency — which lasts at least 3 years. It could take up to 8 years for a thoracic surgeon to complete his/her training.

The stereotype of a lawyer is someone whose focus is on the number of billable hours. On the other hand, the stereotype of a doctor is one of compassion for a patient. While stereotypes can be dangerous, it is possible that in some ways they may give us a glimmer of reality.

The kind of people that go into medicine are usually people who truly care about the health of their patients. It is not a career chosen solely based on financial reasons. Today’s medical students are aware of the huge costs of training and the low reimbursements from insurance, medicare, and medicaid.

But there are many people who would make excellent doctors. They have all the right qualities but choose to go into other fields. They are discouraged from pursuing a medical career by working doctors tired of rising costs of malpractice insurance, declining salaries, bureaucratic hassles, and long workweeks. A career in medicine just does not seem “worth” the time and effort (see AMA Response to declining physician salaries).

Declining physician salaries are a big problem. It’s a big problem for the medical community and a big problem for the patient. If they continue to fall more and more prospective medical students will decide not to go into medicine because it is not “worth” it. Medical school graduates will continue to avoid primary care for higher paying specialties. And doctors will continue to order diagnostic procedures that bring in more revenue.

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Medical Humor – The High Cost of Psychiatric Help

Shakey went to a psychiatrist. “Doc,” he said, “I’ve got trouble. Every time I get into bed, I think there’s somebody under it. I get under the bed, I think there’s somebody on top of it. Top, under, top, under. You gotta help me, I’m going crazy!”

“Just put yourself in my hands for two years,” said the shrink. “Come to me three times a week, and I’ll cure your fears.”

“How much do you charge?”

“A hundred dollars per visit.”

“I’ll sleep on it,” said Shakey.

Six months later the doctor met Shakey on the street. “Why didn’t you ever come to see me again?” asked the psychiatrist.

“For a hundred buck’s a visit? A bartender cured me for ten dollars.”

“Is that so! How?”

“He told me to cut the legs off the bed!”

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Med School Humor – Pimp My Scope

Did you ever watch that MTV show “Pimp My Ride”? Well here’s a bunch of med students spoofing that show with a lil clip called “Pimp My Scope.” And who said med students have no life?
Enjoy.

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World AIDS Day 2007

December 1, 2007 is World AIDS Day. Last year I wrote a short post summarizing an MSNBC article about how AIDS has changed America and you can find that post here.

Over the past two and a half decades AIDS has transformed from a strange and unknown disease associated with gay men into a global pandemic whose effects have reached into all levels of society.

The problem is that we still don’t know how to fight it. We can’t stop HIV. Sure, we seem to have had success in delaying the onset of AIDS in HIV Positive patients (i.e. Magic Johnson), but that requires a very expensive cocktail of anti-viral medication. We know that HIV is not a death sentence, but the majority of people who test positive do not have the resources to get this sort of treatment.

At this point, the most effective weapon in the fight against AIDS is information. That’s what World AIDS Day is all about — raising awareness about the disease and its prevention. Through another medical blog, I found a post at The Unofficial Stanford Blog (TUSB) titled HIV/AIDS Awareness Ads You’ll Remember in the Bedroom.

Below are a couple of Ads I found. All four were made by the same organization. The last three can be found at TUSB:

WonderWoman Aids

Female Aids Ad

Male Ad

Superman Aids Ad

According to TUSB, the Ads were created by

a French NGO called AIDES (“aide” means “support” or “help” in French), which was founded by Daniel Defert in 1984 following the death of his partner, philosopher (and former Berkeley professor) Michel Foucault. AIDES now operates in over 70 small towns and villages within France, and is recognized as one of the most important European HIV/AIDS NGOs.

I’m not too sure how to describe the Ads. It definitely has its “shock value,” which is usually a good thing when it comes to grabbing an audience’s attention. Maybe I’d use the word “disturbing.” I suppose it makes its point, though..

Finally, to finish up this post, I’d like to provide a link to an excellent, well-written post titled HIV, AIDS, safe sex, & fornication: Personal, religious, medical and social viewpoints. It’s written by another Jeffrey. He is a medical student at Monash University in Australia working on a 5-year MBBS degree.

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Reforming the U.S. Healthcare System

Related Posts: Physician Salaries on the Decline

This quarter I’m taking a course called “Medicine and Ethics.” The class is taught by Dr. X. (name withheld). There are a number of topics that was scheduled to be discussed and each topic was presented by a group of 3 or 4 students. I ended up in a group of four. Our topic, as you can probably guess by the title of this post was “Reforming the American Medical System.”

I wanted no part of this topic. I felt that the American Healthcare System is a mess but there’s not much we can do about it. I really wanted to be in the group that would present on physicians and war. But as Dr. X went down the list and waited for volunteers for each topic, it became clear that Reforming the U.S. Healthcare was not the popular one. No hands jumped up at the opportunity to tackle this problem… So I reluctantly raised my hand and said I’d join the group.

I had already heard that the United States spends more money than any other industrialized nation on healthcare. I had heard people complain that the Healthcare system in America is broken. But these were only things I heard. I, personally, had never had any problems accessing healthcare. And so when I actually looked at the stats, well, it was a bit surprising.

Some of the things I discovered in my casual research:

  • The United States is the only industrialized nation that does not have a form of Universal Healthcare.
  • The United States spends at least 40% more per capita than any other industrialized nation on healthcare.
  • The United States spends more than 3 times more per capita than Canada on Health Administration costs alone.
  • Almost 47 million Americans (approx. 16%) are without healthcare insurance or are not eligible for buying affordable life insurance.
  • Eight out of 10 uninsured Americans come from working families.

Those are some incredible numbers. And while only about 16% of Americans are uninsured, the majority of Americans with insurance are only one major medical emergency away from bankruptcy. Many are well-aware of how much is available to them under their health insurance policy. And, while it may be enough for your routine physical check-up or the occasional prescription medication, it is nowhere near enough to cover $40,000 that might be billed for cancer treatment.

Why is it that every other industrialized nation can provide healthcare to their citizens at a far lower cost than what Americans spend? Its a shame that the country that won the race to the moon cannot figure out how to ensure that every citizen has access to basic healthcare.

In my mind, there are two major roadblocks preventing the United States from transitioning to a Universal Healthcare system.

  1. Doctors
  2. Big Business

Physicians are afraid of the idea of Universal Healthcare and a single payer system. Why? Because they fear losing control. I believe that many physicians are afraid that a single payer system would negatively affect physician salaries. While it may be possible for the government to force down physician salaries in a single payer system, it is not in the best interest of the government or the nation to do so. If there was not financial benefit to being a physician, most countries would have a huge shortage of physicians. But, under the universal systems in other industrialized nations, physicians do make a decent, comfortable living.

The bloated health care system of the United States benefits big business more than any other party involved. It benefits big business more than physicians. But most concerning, it benefits big business more than the patient. As health insurance premiums continue to rise, insurance companies continue to pull in a profit while more and more Americans find out that can no longer afford coverage.

Greed drives the industry. The sole purpose of a corporation is not to look out for the interests of its customers and ensure customer satisfaction. The goal of a corporation is to make money for its shareholders.

And that is the problem with privatized healthcare. If a corporation begins to lose money, its shareholders get antsy. But when healthcare is federally funded, the government can take a loss for the good of its citizens.

Reforming the healthcare system will probably mean that the big corporations in the healthcare system won’t be making as much money. But America needs to decide, as a whole and through our leaders in congress, that the health of a nation is more important than the pocketbooks of corporations. Hopefully, we decide soon.


Sources:

 

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Thankful

The other day I got home around 10:45 PM. I had been studying in the library in the dungeon (basement floor). Since there was no cell phone reception down there, I didn’t find out I had a voicemail until I got back home.

My mom had left a message. I wasn’t sure what she called for, but in the message she left she complained about my voicemail greeting. My voicemail greeting is an Italian-accented male voice. It sounded funny at the time… so that’s what I chose to use. So I’m listening to this voicemail message from my mom and she’s complaining about my “ugly” greeting and then offers to record a message for me.. lol.

Well after listening to the message I call home. As the phone is ringing, I’m just hoping that my parents didn’t go to sleep yet. Before the third ring, my mom picks up the phone. I say hi. She says hi. I tell her where I was and why I couldn’t pick up the phone. This whole time I’m wondering why she called me earlier.

Then she tells me (paraphrased):

I don’t want you worrying about anything now. Don’t worry money. Don’t worry about your stocks. If you need anything, tell me, and I’ll do it if I can. Your job right now is to study.

And the conversation continued something like this…

Mom: Do you need any food? I can cook you food.
Me: Okay.
Mom: What do you want me to cook?
Me: Uh… I dunno

I’m kind of taken back by this conversation… I’m not too sure why she needed to call me to say this. I’m.. slightly speechless? I can’t think of something I want her to cook for me.. lol

Anyways, the point of this post is just to say thanks. Last week during Thanksgiving I was so caught up with the stress of school I didn’t really think about what I was thankful for. I even studied on Thanksgiving Day! But on an evening where I find myself unable to sleep, there is some clarity. I’m thankful for my parents who have always been there, always supportive.

Thanks, Mom and Dad.