I disagree Slew Foot. Say the supply of Anesthesiologies was increased by 50%. Now there is a situation where hospitals can offer much lower salaries and still fill the position. In turn, each Anesthesiologist would have to accept a lower salary or lose their job. It is simple supply and demand.
In regards to insurance, if there were many more doctors, insurance companies could offer much lower reimbursement and still get doctors to join their networks.
That said, physician salaries aren't the biggest cause of soaring health care costs..
eits
Lifer
If the money is available, and in most cases underserved rural areas aren't going to have that kind of funding unless there is a very profitable industry or employer that is kicking in some (or most) of the dough. e.g. mining, processing, and refinery operations in remote areas of Nevada, Wyoming, or Kentucky (coal, oil, uranium, et. al.)
What city/county/employer in Kentucky was willing and able to pony up nearly a half-million dollars for an anesthesiologist? Most rural areas would try to get a CRNA for 1/3 of that. Some states require a physician to oversee or collaborate on anesthesia care, but this can be the surgeon. No state requires that it be an anesthesiologist.
I used to know a CRNA many years ago who covered small hospitals, clinics, and office facilities in rural areas of northern Michigan and the Upper Peninsula. He mostly practiced independently and loved it, except for the commutes between job-sites (and the infrequent winter where he actually had to ride his snowmobile to work because roads were impassable by car). At the time (10 years ago), he made just over 100K per year, was an avid outdoorsmen (hunting, fishing, camping, snowmobiling, et. al.), and particularly fond of his custom home on many acres that you couldn't touch for less than $2 ~ $3 million in most suburban areas (he paid something like $300K all-inclusive).
I'm wondering how this affects the median income figures for physicians cited by Forbes:
"The survey covers full- and part-time workers who are paid a wage or salary. It does not include the self-employed..."
And this is strange:
Surgeons
Mean Annual Wage: $184,150
One-Year Change: 3.6%
No. In Employment: 51,900
Top-Paying Industry: Offices of Dentists (>$145,600*)
What the hell are surgeons doing in dentist offices? Forbes listed dentists, oral and maxillofacial surgeons separately.
fustercluck
Diamond Member
- Dec 29, 2002
- 7,402
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Bah, I want an easy list to read, I don't want to have to read an entire article 
- Anyone have the top 25 list just with the job titles?
- Anyone have the top 25 list just with the job titles?
- Nov 30, 2005
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Slew Foot
Lifer
- Sep 22, 2005
- 12,379
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Its not just passing gas, its placing nerve blocks, epidurals, spinal blocks, central lines, PA catheters, arterial lines, lumbar drains, etc....
Youre the one responsible for keeping the patient alive, comfortable, and asleep during the perioperative period, if its so easy why dont you do it?
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