And don't forget, even when doctors finally do get around to earning it, they have a hell of a time collecting it. My last Primary Care guy sold his practice along with his partner and both took jobs working for a company that provides doctors who "fill in" for practicing physicians who are taking extended vacations, etc. They get a paycheck every week without all of the hassle of dealing with insurance companies, and the system.
Back when we lived in Lake Havasu City, Arizona our Primary Care doctor was a 62 year old woman. She told me she had to hire 2 girls full time who's only job is to try and shag money she is owed out of insurance companies. They simply don't want to pay. She told me she has an average of 180 days from submission of billing to payment with most insurance companies. Her comment was, "They'll all pay eventually, the problem is eventually we'll all be dead!"
It was so bad her son who was an excellent student, wanted to go into medical school. You would think it would have been a perfect set up for him. He could walk right in and take over his mothers well established practice when she retired. She told him to stay out of medical school. She agreed to pay for whatever education he wanted, and sell the practice and use the money to help set him up in business, be it law or whatever he chose. Just as long as it didn't involve medicine! That tells you point blank where the medical profession is headed in this country. At that all took place in the late 90's.
My Primary Care doctor told me just a few months ago, right after Hussein Care passed, that if and when it goes into full gear, he is seriously thinking about of getting out of the medical profession. His wife owns and operates a ritzy day spa just down the street from his practice. He told me he'll most likely sell his practice and use the money to expand her business and help run it. Some doctors don't have these kind of options avaliable to them. They're stuck in a bad profession that is quickly getting worse, and can't get out because of the ton of debt it took to get there in the first place. Talk about a vicious cycle! Bill T.