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.
THIS IS WAR!!
DR.MIDNIGHT
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