Word: doctors
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Dates: during 2000-2009
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...addition to being less generous, businesses are being less paternal too, forcing workers to be more accountable for spending, a practice called consumer-driven health care. One immediate change has been a move away from fixed co-payments for such medical expenses as doctor visits and prescription drugs. That's being supplanted by coinsurance, under which the covered person pays a percentage of the expense. Nearly half of companies will have made the switch by next year. "The idea is to get employees to think before heading to the doctor for a cold," says Columbia University professor of health management...
...Each of these burdens is placed on the doctor in the name of "protecting the public", but everyone in the medical business knows the plain truth: that not one of these actually helps us treat patients, not one makes us better doctors. You become a better doctor when you notice patterns, when you get out of your own way enough to hear real complaints and treat them. You might scrub in with a friend who does a new procedure, go to an interesting course (the good ones often don't give CME - mandated continuing medical education - credits) or you might...
...Following in a parent's footsteps, knowing firsthand the unusual life of a doc and stoking the early fires of a developing superego with such high octane respect and responsibility that scarcely any other human endeavor seems worthy - this is the psychology that makes doctors' kids into doctors. There are, quite honestly, many in my field of surgery who will work for any salary - some would literally pay to do it. They can derive satisfaction from little else, their self-concept is utterly enmeshed in it and doctor's children or not, they will be doctors in the next generation...
...conceive of life not-as-a-doctor are on the verge of being replaced by a bunch who don't seem to mind the bureaucratic stuff - the 9 to 5 docs. Hard problems do not attract them. Sub specialization, cost-effectiveness and "compliance issues" will increasingly dominate their professional lives and they will deal well with an enlarged para-medical industry and hospital bureaucracy...
...will probably still have the "at least you know you won't starve" immigrants and the upwardly mobile "my son, the doctor" crowd. And still just maybe this daughter of mine - not that I would push her, you see, but she did so well this summer in anatomy camp...