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Author Topic: How do you feel about supporting someone who is "entitled"??  (Read 4693 times)
usmcdevildoc
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« on: January 02, 2013, 01:16:04 PM »

Just found out that I am in the greater than $450K tax bracket!!! Ran into a fuckin' idiot at the gym @ 5 am this morning. The dude somes up to me (come on???) to tell me he is disabled and has schizophrenia and is "poz". No evidence of psychosis at this time, so I ask why he doesn't want to work, noting this might give him more motivation instead of "sucking off the tit of society." I say get rid of medical disability and Workman's Comp., except in catastropic cirmstances--- no need to raise taxes!!!

Can not believe I am supporting shit like this-- fuck he gets to actually work out twice a day and has access to test and GH!! Entitlement... Umm.

DOC
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Irongrip400
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« Reply #1 on: January 02, 2013, 01:33:01 PM »

Congrats on your success.  Two years, I should be there going by the upward trend in my earnings year over year.
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oldtimer1
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« Reply #2 on: January 02, 2013, 01:33:41 PM »

Disability social security was created with the best of intentions. If you are physically unable to work due to a permanent heart condition or some other serious medical condition we as a society will take care of you. Same with mental problems. If your mentally retarded adult or have truly incapacitated by schizophrenia we will give you a government check. It is so well intended.

What has happened during the past 4 years is an explosion of people wanting a social security disability check for life every month. Everyone is scamming the system. Want a check for life just get put in a mental hospital for a week and see a shrink one a week for a year. Then for the rest of your life you are gold for food stamps, social security disability checks and housing assistance. Go to the local food pantry and use your check money for a smart phone and booze. Don't get me started on these phony physical problems and seeing people dancing and going to the gym.  
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nicorulez
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« Reply #3 on: January 02, 2013, 01:55:29 PM »

Just found out that I am in the greater than $450K tax bracket!!! Ran into a fuckin' idiot at the gym @ 5 am this morning. The dude somes up to me (come on???) to tell me he is disabled and has schizophrenia and is "poz". No evidence of psychosis at this time, so I ask why he doesn't want to work, noting this might give him more motivation instead of "sucking off the tit of society." I say get rid of medical disability and Workman's Comp., except in catastropic cirmstances--- no need to raise taxes!!!

Can not believe I am supporting shit like this-- fuck he gets to actually work out twice a day and has access to test and GH!! Entitlement... Umm.

DOC
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DevilDoc, I too am over the 450K mark (married), but considering that if no deal were made we would have had a 26% cut in Medicare Payments thanks to SGR and Obama would have increased taxes over 200/250K, we are better off. Hopefully, the Republicans can put some restraints on the entitlement mentality of America, but hey with all the foreigner's and minorities that may be a hard sell.
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The Abdominal Snoman
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« Reply #4 on: January 02, 2013, 04:27:37 PM »

When the government stops giving billions of tax payer dollars to other countries for god knows what, then and only then will I worry about the people in this country being helped out. How many Billions of your money is being funneled to Afghan Warlords? African Warlords etc. I'd rather see my tax dollar go to some schitzo who works out twice a day than to some Warlords who kill women and children for fun.
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Jack T. Cross
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« Reply #5 on: January 02, 2013, 05:26:10 PM »

Yeah, sounds like priority-confusion.

Lots of guys making shit up as they go along.
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Kwon_2
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« Reply #6 on: January 02, 2013, 05:27:32 PM »

Regarding Entitlement

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Jack T. Cross
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« Reply #7 on: January 02, 2013, 05:30:12 PM »

^Strange, that MetLife would put out stuff like that.
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« Reply #8 on: January 02, 2013, 05:40:06 PM »

If the twat can train at a gym twice a day he can work the fucking parasite
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OneMoreRep
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« Reply #9 on: January 02, 2013, 05:45:41 PM »

Just found out that I am in the greater than $450K tax bracket!!! Ran into a fuckin' idiot at the gym @ 5 am this morning. The dude somes up to me (come on???) to tell me he is disabled and has schizophrenia and is "poz". No evidence of psychosis at this time, so I ask why he doesn't want to work, noting this might give him more motivation instead of "sucking off the tit of society." I say get rid of medical disability and Workman's Comp., except in catastropic cirmstances--- no need to raise taxes!!!

Can not believe I am supporting shit like this-- fuck he gets to actually work out twice a day and has access to test and GH!! Entitlement... Umm.

DOC
Lift, fuck, make money

What type of Doctor are you?  I've found that with the exception of surgeons (particularly orthopedic, cardiothoracic, neuro and gastro surgeons), very few medical specialists make above 400K, with the exception of anesthesiologists that can work in plastic surgery offices as well as surgical suites are dermatologists.

Most specialists fall on average between 250-450K (tops) from what I've found.  

What do you do exactly?
"1"

P.S. How do I know those ranges?  About 5 years ago I worked for Deloitte & Touche and we owned the contracts for auditing services to New York and California state(s) biggest private hospitals and would have access to reimbursement and overall compensation rates.  Besides the various types of surgical specialties, Anesthesiologists and dermatologists, no other medical specialists would bring in more than 450K yearly.  Nicorulez, feel free to chime in if you know the answer.
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arce1988
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« Reply #10 on: January 02, 2013, 05:59:49 PM »

  Most of the Navy Docs that were with us USMC were homosexual.
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T-rex
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« Reply #11 on: January 02, 2013, 06:18:29 PM »

Disability social security was created with the best of intentions. If you are physically unable to work due to a permanent heart condition or some other serious medical condition we as a society will take care of you. Same with mental problems. If your mentally retarded adult or have truly incapacitated by schizophrenia we will give you a government check. It is so well intended.

What has happened during the past 4 years is an explosion of people wanting a social security disability check for life every month. Everyone is scamming the system. Want a check for life just get put in a mental hospital for a week and see a shrink one a week for a year. Then for the rest of your life you are gold for food stamps, social security disability checks and housing assistance. Go to the local food pantry and use your check money for a smart phone and booze. Don't get me started on these phony physical problems and seeing people dancing and going to the gym.  

My girl deals with alot of clients milking the system. The other big one they use to get that SSD check is fibromyalgia.
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nicorulez
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« Reply #12 on: January 02, 2013, 06:42:32 PM »

What type of Doctor are you?  I've found that with the exception of surgeons (particularly orthopedic, cardiothoracic, neuro and gastro surgeons), very few medical specialists make above 400K, with the exception of anesthesiologists that can work in plastic surgery offices as well as surgical suites are dermatologists.

Most specialists fall on average between 250-450K (tops) from what I've found.  

What do you do exactly?
"1"

P.S. How do I know those ranges?  About 5 years ago I worked for Deloitte & Touche and we owned the contracts for auditing services to New York and California state(s) biggest private hospitals and would have access to reimbursement and overall compensation rates.  Besides the various types of surgical specialties, Anesthesiologists and dermatologists, no other medical specialists would bring in more than 450K yearly.  Nicorulez, feel free to chime in if you know the answer.

OMR, I am a f nephrologist. However, unlike the majority of nephrologists my group of 8 docs has over 1000 dialysis patient's and two vascular access centers. We have hired a surgeon and have a partner who is an interventional nephrologist. On average, the group partners are pulling in 600-800K a year...not too shabby. The interventional nephrologist pulled in a cool million. Funny thing is he works the least of all of us, but gets paid very well for his interventions in our access center. Only surgeons in the ballpark are maybe orthopoedics and a select few plastic surgeons. However, retinal surgeons and interventional cardiologists bank a million easy.

Nico
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nicorulez
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« Reply #13 on: January 02, 2013, 06:47:28 PM »

What type of Doctor are you?  I've found that with the exception of surgeons (particularly orthopedic, cardiothoracic, neuro and gastro surgeons), very few medical specialists make above 400K, with the exception of anesthesiologists that can work in plastic surgery offices as well as surgical suites are dermatologists.

Most specialists fall on average between 250-450K (tops) from what I've found.  

What do you do exactly?
"1"

P.S. How do I know those ranges?  About 5 years ago I worked for Deloitte & Touche and we owned the contracts for auditing services to New York and California state(s) biggest private hospitals and would have access to reimbursement and overall compensation rates.  Besides the various types of surgical specialties, Anesthesiologists and dermatologists, no other medical specialists would bring in more than 450K yearly.  Nicorulez, feel free to chime in if you know the answer.


OMR,

I will send a private file for you to peruse. Take care.

Nico
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OneMoreRep
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« Reply #14 on: January 02, 2013, 06:52:05 PM »

OMR, I am a f nephrologist. However, unlike the majority of nephrologists my group of 8 docs has over 1000 dialysis patient's and two vascular access centers.


That explains the ability for your practice to bill in such a way as to bring in those numbers (6-800K - which is seriously unheard of for nephrologists). Also, I suspect that the vast majority of your patients are either out-of-pocket or private insurance, as medicaid and medicare reimbursements rates have not changed since the 1970's.  

That said, good for you, as starting around 2014, due to the affordable care act, expect that to be slashed by as much as 30-40%, not even considering the Clinton era tax rates (39.5% that will kick in for you STAT - starting this tax season).

We have hired a surgeon and have a partner who is an interventional nephrologist. On average, the group partners are pulling in 600-800K a year...not too shabby.

What's your buy in? How many years before you become partner?

Thanks,
"1"
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nicorulez
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« Reply #15 on: January 02, 2013, 06:54:35 PM »

OMR,

You are absolutely correct. The vast majority of physicians do not net a high income. Overhead is high. The wealthiest physicians I know are neurosurgery, retinal s,, urgery, orthopoedics (around 400-500K on average), radiology, interventional cardiology and members from my own practice (not myself although I do fine).

Nico
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« Reply #16 on: January 02, 2013, 06:55:19 PM »

What would you be worth right now without the people around you? It is the people who support you.

What do you produce anyway? I mean, you got to produce something to be worth something, right? Oh yeah, no. You probably buy and sell stocks with your rich friends all day long.
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nicorulez
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« Reply #17 on: January 02, 2013, 07:05:06 PM »



That explains the ability for your practice to bill in such a way as to bring in those numbers (6-800K - which is seriously unheard of for nephrologists). Also, I suspect that the vast majority of your patients are either out-of-pocket or private insurance, as medicaid and medicare reimbursements rates have not changed since the 1970's.  

That said, good for you, as starting around 2014, due to the affordable care act, expect that to be slashed by as much as 30-40%, not even considering the Clinton era tax rates (39.5% that will kick in for you STAT - starting this tax season).

What's your buy in? How many years before you become partner?

Thanks,
"1"

OMR,

you are correct if SGR or the Medicare cuts hit I am seriously screwed. The one benefit of Obamacare is that more patient's will be funded in general. A lot of our patient's are unfunded initially and it takes three months on hemodialysis before funding kicks in. Obamacare may bridge that statistic. Yeah, my taxes will be higher, but I prefer that to a cut. So far, we have not been cut but we shall see  Grin. Buy in is around 150K, but I came in five years before the vascular access centers were in existence. I surmise the buy in will be higher now around 300K or so for the guy coming in this year. Three years to partnership.

Nico
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nicorulez
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« Reply #18 on: January 02, 2013, 07:09:15 PM »

What would you be worth right now without the people around you? It is the people who support you.

What do you produce anyway? I mean, you got to produce something to be worth something, right? Oh yeah, no. You probably buy and sell stocks with your rich friends all day long.

Klaus

Who are you referring to?Huh I work 60-70 hours a week. I don't have time to drink lattes and trade stock. Sorry...wrong guy.
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« Reply #19 on: January 02, 2013, 07:21:11 PM »

OMR,

you are correct if SGR or the Medicare cuts hit I am seriously screwed. The one benefit of Obamacare is that more patient's will be funded in general. A lot of our patient's are unfunded initially and it takes three months on hemodialysis before funding kicks in. Obamacare may bridge that statistic. Yeah, my taxes will be higher, but I prefer that to a cut. So far, we have not been cut but we shall see  Grin. Buy in is around 150K, but I came in five years before the vascular access centers were in existence. I surmise the buy in will be higher now around 300K or so for the guy coming in this year. Three years to partnership.

Nico

Based on industry forecasts, I'd say that by 2018-2020, the only lucrative medical specialists will be orthopedic surgeons (that can still bill for each nail they insert), plastic surgeons, dermatologists (if plastic surgeons haven't picked up the side services derms do) and anesthesiologists that can piggyback off the numerous surgeries the other guys do (assuming that all private insurance companies don't pony up and offer similar insurance to that of the public option - which is just medicare for everyone under 65 to begin with).

Everything else (GI, Cardiac, Nephro, Neuro, Rheuma, Pulmo etc) will probably have to start living at salaries around 200-300K (tops) AND that's if we don't dive head first into truly socialized medicine (universal healthcare - see Taiwan, Israel, Canada etc).

Then again, that's just my opinion as an old CPA, it could very well not turn out that bad.

My best advice to the kiddies in med school, go for those specialties mentioned above and if not yet in med school, consider becoming a nurse anesthetist (those suckers average around 150-250K, never get sued and can moonlight to various hospitals).  As an auditor for the largest academic hospitals in NY city, I always found the crna salaries to be insanely high (with overtime, most were bringing in 250K easy, with no weekends and only working 4-12's).

Another high paying gig, hospital CEO..
"1"
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nicorulez
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« Reply #20 on: January 02, 2013, 07:34:53 PM »

OMR,

I am in agreement. In fact, a couple of the local orthopoedics who were banking and lost significant income. They are now either hospital employees or locum tenems (SP Huh). I tend to agree that within 5-7 years all physicians except those (not reliant on insurance will be hospital employees. We shall see. Innovative physicians who seek alternative revenue streams may do ok. Can't do straight up medicine anymore. Have to think like a business guy.
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« Reply #21 on: January 02, 2013, 07:37:43 PM »

OMR,

I am in agreement. In fact, a couple of the local orthopoedics who were banking and lost significant income. They are now either hospital employees or locum tenems (SP Huh). I tend to agree that within 5-7 years all physicians except those (not reliant on insurance will be hospital employees. We shall see. Innovative physicians who seek alternative revenue streams may do ok. Can't do straight up medicine anymore. Have to think like a business guy.

...and that (bolded above) is a fucking shame.

"1"
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« Reply #22 on: January 02, 2013, 07:47:14 PM »

Intresting thread between OMR and Nico. Learning a lot here
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SF1900
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« Reply #23 on: January 02, 2013, 07:52:20 PM »

Devildoc made all his money treating DA.
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« Reply #24 on: January 02, 2013, 08:02:44 PM »

This is why doctors and the medical profession have become despised by the mainstream.  Being a doctor used to be considered a good thing, people would respect them and look to them for guidance,  Now they are just arseholes who are only after money and have none of the qualities that traditionally were attributed to a good doctor, compassion, understanding reasonableness, altruism etc etc.  Sadly, the majority of people attracted to the medical profession have a GOD Complex and enjoy some sick sadistic power over others, hardly a combination that a sick patient would be drawn too.  If you are making hundreds of thousands of dollars and living life large and yet you are deeply troubled and resentful of the least amongst us, you have serious issues, it might be time to use that large pay-check for some serious psychiatric intervention.  It's amazing with the money, education and lifestyle you have your headspace is easily rented by a mentally defective poverty stricken gym goer, how sad.
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