QUORA

Do you know QUORA ???
Hello readers, i will share you about QUORA. At first, i want to ask you, do you know about Quora??
Some people said Quora is a question-and-answer site where questions are asked, answered, edited and organized by its community of users. it’s like social media but the contain of Quora are questions and answers. All of the user can ask Question on this application and also answer the Question on this site.
Last time, I used Quora and I found a good Question. The Question is “Why would anyone want to be a doctor, given all the discouragement by Quorans?”and ithe best answer of this question is from “Christopher Fox”. He said “The answers you see are because the profession has changed at least in the US. When I trained, my medical school cost far less than my undergraduate school.  Granted I went to my state school vs MIT.  But MIT was $8700 tuition then and my state medical school was $2500 a year.   I had a scholarship from Johns Hopkins APL (because my father worked there for almost half the tuition of MIT).  My parents, $2500 a year in student loans, and $2000 a year in summer jobs paid the rest at MIT.  My costs to attend medical school were lower.  So I exited medical school with $17,500 in debt.  I entered the lowest paid residency in the country at $15,500 a year with $1000 increase per year so at 5th year I was getting paid $20,500.  I had to moonlight in local ER's to make ends meet but that meant I had a used car, apartment, and a boat. Fast forward.  Now my medical school costs $33,100 a year.  Using a CPI calulator it should be $5,427.  That is over a 6 fold increase in cost at just in my state medical school and private schools which I couldn't afford but got into at the time have gone way up too.  So now instead of a little debt doctors get out with a medium sized house payment with student loan debt averaging about $160,000-$200,000. Similar tuition inflation though not as great as my medical school has been seen at most private universities.
Payments have fallen and insurance companies and the government dictate what you get paid.  You have an hour or two of paperwork/EMR to do every day just to justify the payment.  So many physicians have PA's or Nurse practitioners work with them or hire another nurse. 

While I was growing up insurance was called Hospitalization insurance.  You paid the doctor, and for your medicine.   There were many fewer on medicare and medicaid.  These patient numbers on medicare and medicaid have grown drastically and the insurance reimbursement to the physician has fallen and is less or just at his costs today.  So when I was growing up a $30 payment for an office visit was the charge not the co-pay. He could spend 30 minutes with you.  His malpractice coverage was a negligible amount.

Physicians used to be revered, now the patients see it as a right and that doctors are "rich".  No one begrudges the entrepreneur from making $50 or $100 million dollars, but the average physician makes $220,000 a year after 11-15 years of training.  My son out of MIT with a BS and MEng will make more than that after 4 years just starting out.  Yes he is an outlier in CS/EE and picked the perfect major.  CS hardly existed when I went to MIT.  So when I went to school the best and brightest went into medicine, law and business.  Medicine was delayed gratification and you could make a reasonable living and be respected in the community.

Personally, my malpractice carrier made $500,000 on me until I became disabled.  They left the field of medical malpractice stating in 37 years in the business they had failed to make a profit in any year.

The loss of respect, expect for perfect outcomes, and lawsuits make the delayed gratification with huge debt attached make medicine a much less appealing field in the US.  My two sons were explicitly told to not go into it by two physician parents unless they really wanted to.

ETA:  A comment requested I add about stress.  There is more stress than long ago.  Malpractice risk is always on your mind.  Physicians drop privileges because of cost to insure themselves for those procedures (adding spine coverage added $50,000 to my malpractice premium).  Now we are expected to document every single question asked or exam performed.  This takes time and slows us down.  Finally we have to debunk internet theories our patients come in with.  So we are constantly being asked to do more in less time.  Add going out in the middle of the nights for emergencies (which I signed on for) and our lives have markedly deteriorated in the last 15 years.  We no longer get to be a truly caring physician having to rush, document etc.  So many physicians have turned into test ordering machines rather than diagnose by history and physical exam.”
Payments have fallen and insurance companies and the government dictate what you get paid.  You have an hour or two of paperwork/EMR to do every day just to justify the payment.  So many physicians have PA's or Nurse practitioners work with them or hire another nurse.  
While I was growing up insurance was called Hospitalization insurance.  You paid the doctor, and for your medicine.   There were many fewer on medicare and medicaid.  These patient numbers on medicare and medicaid have grown drastically and the insurance reimbursement to the physician has fallen and is less or just at his costs today.  So when I was growing up a $30 payment for an office visit was the charge not the co-pay. He could spend 30 minutes with you.  His malpractice coverage was a negligible amount.
Physicians used to be revered, now the patients see it as a right and that doctors are "rich".  No one begrudges the entrepreneur from making $50 or $100 million dollars, but the average physician makes $220,000 a year after 11-15 years of training.  My son out of MIT with a BS and MEng will make more than that after 4 years just starting out.  Yes he is an outlier in CS/EE and picked the perfect major.  CS hardly existed when I went to MIT.  So when I went to school the best and brightest went into medicine, law and business.  Medicine was delayed gratification and you could make a reasonable living and be respected in the community.
Personally, my malpractice carrier made $500,000 on me until I became disabled.  They left the field of medical malpractice stating in 37 years in the business they had failed to make a profit in any year.
The loss of respect, expect for perfect outcomes, and lawsuits make the delayed gratification with huge debt attached make medicine a much less appealing field in the US.  My two sons were explicitly told to not go into it by two physician parents unless they really wanted to.
ETA:  A comment requested I add about stress.  There is more stress than long ago.  Malpractice risk is always on your mind.  Physicians drop privileges because of cost to insure themselves for those procedures (adding spine coverage added $50,000 to my malpractice premium).  Now we are expected to document every single question asked or exam performed.  This takes time and slows us down.  Finally we have to debunk internet theories our patients come in with.  So we are constantly being asked to do more in less time.  Add going out in the middle of the nights for emergencies (which I signed on for) and our lives have markedly deteriorated in the last 15 years.  We no longer get to be a truly caring physician having to rush, document etc.  So many physicians have turned into test ordering machines rather than diagnose by history and physical exam.” Thats true problem to become a doctor. At last, thanks to read my blog J