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PostPosted: Wed Mar 24, 2010 12:38 pm 
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The Game Master.
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Here's the thing: many private payers require you to be Medicare approved as well. If you stop taking Medicare patients because you can't afford it, you may get dropped from the private payers too. May as well retire.

Also, in the long run what we'll end up with is the same problem the UK and Canada have: not enough specialists. It will take a long time to get there, but that's the end result of too-low reimbursement.

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PostPosted: Wed Mar 24, 2010 12:50 pm 
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It seems we'll run low on GP's/Internists well before a shortage of specialists becomes apparent, not so?

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PostPosted: Wed Mar 24, 2010 3:53 pm 
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NephyrS wrote:
Also remember to factor in the fact that doctors have undergraduate degrees, and a fair number have graduate degrees.

Falling back to, say, a BS in chemical engineering is, at the moment, a very feasible financial argument.

Falling back to a BS or MS in biochemistry or chemistry is also a very real option, and with the added MD to the title, it's not that hard to secure a research based position at a pharmaceutical company.


I'm not so sure about this one. A 25 year old degree in biochemistry is like a 25 year old degree in computer science. Nothing you learned for it is really applicable anymore.


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PostPosted: Wed Mar 24, 2010 6:27 pm 
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That assumes we're only talking about doctors who've been in practice 20+ years, however.

And it's amazing how very little has changed in many fields.

That said, I doubt a doctor would be hired solely for the biochemistry degree, but also the wealth of applied biochemical knowledge they've attained along the way.

But I know my mom, who had a degree in Petroleum Engineering from the 70s, was able to easily get back into that job market after teaching highschool for 20ish years.

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