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Dr. Midnight: Residency and insurance companies, from a discussion in

Response - Anon_efe1e9 on 10/13/99 11:38 PM

Once upon a time, there was a problem in getting doctors to cover underserved areas.

What would have been fair, was to get graduated licensed
general practitioners to serve a few years here to pay off
their student loans or better yet, give them enough money
to keep them there. It still would have cost the tax-payers
less than what is now happening.

Another method was to get mid-level-practitioners to
work in these areas for a fair salary. This would have also
saved the tax-payers more than what is happening now.

Seeing this big bucket of Medicare dollars (taxpayer
dollars) about to pour and rain over the designated
underserved areas, a lot of hospital/clinic business pushed
aside everybody else to catch all the 'rain' for themselves.
BUT, They still had to contend with the pesky little
problem of paying practitioners an appreciable sum of
that 'downpour'(corporate welfare) they were about to
receive. They could have still made a respectable amount
of money, but that wasn't good enough for them. They
wanted it all.

Then...... Someone came up with the ultimate scheme.
Lets extend the internship from one year to 3 and call it a
Family Practice Residency. Not only do these 'Doctors'
have to work for peanuts, another Medicare money
bucket will also pour down directly on these institutions in
the form of reimbursements to the tune of
$150,000./year/resident for pretending to educate them.

Great Idea, but first a few loose ends to tie up. Get the
insurance companies to boycott any GP who is not board
certified. Then get the alternative pathway to become
boarded (the 6 year preceptorship) killed so there is no
other way to be BC in FP. Here the insurance companies
can steal all the patients away from older established GPs
(most of who are not BC in FP, but have much more
medical and business experience) by disqualifying them
and then advertising to the public that their new
inexperienced business ignorant doctors are "All Board
Certified" Basically a fancier label on an inferior product.

Now back to the institutions. With a little help from the
AMA, AOA, insurance companies, and a few others, a
graduated intern can get a license to practice medicine but
can't make any money or at least not enough to pay off
any ridiculous loans has to stay in the internship for
another 2 years (excuse me, Family Practice program).

Now the stage has been set. The institutions have locked
in a bunch of medical slaves for enough time to collect
unheard of amounts of corporate welfare dollars and put
the other practitioner in the area out of business.

All the while the medical students were being told that
there was a need for more primary care doctors, the real
agenda was to get more slaves. After the slaves graduate
from the programs and want to get real salaries, guess
what, they're not welcome any more. The institutions
don't need them anymore when they have an endless
supply of slaves coming through. Even NP's and PA's are
too expensive for them, plus they get reimbursed $4 on
the dollar for slaves.

I couldn't have thought of a better scam if I tried.

What we need is the biggest class action lawsuit against
the American Board of Family Practice for not allowing
GP's who didn't do a FP residency to take the board
certifying exam knowing full well that most of them could
easily pass it, also knowing full well that the agenda was
more free labor rather than higher quality medicine.

And Then the insurance companies should not be allowed
to discriminate against one year internship general
practitioners once they can show that they can pass the
same or similar test.



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