telg68
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Is the health care industry in trouble?CNN) -- Nearly half the respondents in a survey of U.S. primary care physicians said that they would seriously consider getting out of the medical business within the next three years if they had an alternative.
The survey, released this week by the Physicians' Foundation, which promotes better doctor-patient relationships, sought to find the reasons for an identified exodus among family doctors and internists, widely known as the backbone of the health industry.
A U.S. shortage of 35,000 to 40,000 primary care physicians by 2025 was predicted at last week's American Medical Association annual meeting.
In the survey, the foundation sent questionnaires to more than 150,000 doctors nationwide.
Of the 12,000 respondents, 49 percent said they'd consider leaving medicine. Many said they are overwhelmed with their practices, not because they have too many patients, but because there's too much red tape generated from insurance companies and government agencies.
And if that many physicians stopped practicing, that could be devastating to the health care industry.
"We couldn't survive that," says Dr. Walker Ray, vice president of the Physicians Foundation. "We are only producing in this country a thousand to two thousand primary doctors to replace them. Medical students are not choosing primary care."
Dr. Alan Pocinki has been practicing medicine for 17 years. He began his career around the same time insurance companies were turning to the PPO and HMO models. So he was a little shocked when he began spending more time on paperwork than patients and found he was running a small business, instead of a practice. He says it's frustrating.
"I had no business training, as far as how to run a business, or how to evaluate different plans," Pocinki says. "It was a whole brave new world and I had to sort of learn on the fly."
To manage their daily work schedules, many survey respondents reported making changes. With lower reimbursement from insurance companies and the cost of malpractice insurance skyrocketing, these health professionals say it's not worth running a practice and are changing careers. Others say they're going into so-called boutique medicine, in which they charge patients a yearly fee up front and don't take insurance.
And some like Pocinki are limiting the type of insurance they'll take and the number of patients on Medicare and Medicaid. According to the foundation's report, over a third of those surveyed have closed their practices to Medicaid patients and 12 percent have closed their practices to Medicare patients That can leave a lot of patients looking for a doctor.
And as Ray mentioned, med school students are shying away from family medicine. In a survey published in the Journal of the American Medical Association in September, only 2 percent of current medical students plan to take up primary care. That's because these students are wary of the same complaints that are causing existing doctors to flee primary care: hectic clinics, burdensome paperwork and systems that do a poor job of managing patients with chronic illness.
So what to do? Physicians don't have a lot of answers. But doctors say it's time to make some changes, not only in the health care field but also with the insurance industry. And they're looking to the new administration for guidance.
One of President-elect Barack Obama's health care promises is to provide a primary care physician for every American. But some health experts, including Pocinki, are skeptical.
"People who have insurance can't find a doctor, so suddenly we are going to give insurance to a whole bunch of people who haven't had it, without increasing the number of physicians?" he says. "It's going to be a problem."
Politics aside, any comments?
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Roostercogburn
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Not only is the industry in trouble, Anyone who has to pay for Health Care is in trouble. My insurance premiums are going up every year and my deductible is now $2500. If this keeps up, I'll just have to do without it. I can't afford to spend $10,000 a year on insurance so I am not going to worry about a $100,000 hospital bill. They can't get blood from a turnip.
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telg68
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That's what our deductible is as well. We have UHC, it's almost like we DON'T have insurance but boy are we paying for it.
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Roostercogburn
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I feel your pain too. UHC is our provider as well. I spend as much time on the phone trying to get them to pay as I do in the waiting room at the doctor's office!
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Nighthawk
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I find it pretty crazy that my kid went to the hospital last month for dehydration (which they just gave him an IV and some Motrin/Tylenol) and a day and a half cost me more than when my child was born 2 years ago. My out of pocket cost is close to 1 grand and I have one of the better State health plans!
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telg68
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I have three regular prescriptions that need to be renewed, this makes me not want to even bother! I mean, the asthma is mild, I'll just take it easy, right? Not get stung by a bee (epipen) and pray to God baby #3 never happens and HEY! I'll be good to go! Effing health insurance!
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Roostercogburn
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Speaking of prescriptions...
A lot of times it is cheaper if I pay for the generics out of pocket than to use the health plan. My Copay for generics is $20 per 90 day supply. I just went to CVS and got a 90 day supply for $10!
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Kestrel
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I'd get out of my profession if I had a better profession to get into too! Who wouldn't?
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