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Mojo31 06-16-22 12:15 PM


Originally Posted by datlas (Post 22543875)
Yes. Very. I can't say this about everyone, but the vast majority of physicians I know who are 50+ feel the same way I do and are considering an exit strategy too.

Same with those that I know. Lots of frustration and dissatisfaction.

The law business has changed a lot in my 38 years of practice, but things are not quite as dysfunctional as the medical industry. The one thing that probably saves us is we do not have to rely on insurance companies or third-party payors. I quit working for insurance companies (defending injury cases) in 1991, and never looked back.

Politics has f'ed up the law biz, especially if you practice in a state with elected judges. Federal court practice (which I now prefer) is not so bad, but there are some judges to watch out for.

indyfabz 06-16-22 12:17 PM

Not bad in my exhausted state.

Wordle 362 4/6

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indyfabz 06-16-22 12:31 PM

I’ve never actually met my No. 1 cat sitter, but my recycling bins reveal some things about her dietary habits. She drinks a lot of Pepsi and stuff from Dunkin’. One time I found a receipt from CVS under my couch. She probably dropped it and it got blown under the couch by the heater. There was a 2L bottle of Pepsi on the receipt. I also found a McDonald’s bag in my trash one time.

datlas 06-16-22 12:42 PM


Originally Posted by Mojo31 (Post 22543926)
Same with those that I know. Lots of frustration and dissatisfaction.

The law business has changed a lot in my 38 years of practice, but things are not quite as dysfunctional as the medical industry. The one thing that probably saves us is we do not have to rely on insurance companies or third-party payors. I quit working for insurance companies (defending injury cases) in 1991, and never looked back.

Politics has f'ed up the law biz, especially if you practice in a state with elected judges. Federal court practice (which I now prefer) is not so bad, but there are some judges to watch out for.

Imagine if a paralegal could work autonomously or semi-autonomously and compete with you and say they can do "everything" a lawyer could do. That's a taste of noctors. Plus, imagine that your fees were capped at say, $100/hr, and that everyone got paid the same, including paralegals, because of a 3rd party payor system.

There is more to it than that, but yeah, the healthcare system is dysfunctional in many ways.

LesterOfPuppets 06-16-22 12:59 PM

Okanagan Lake is full. Time to build Canada to AZ water pipelines instead of Canada to TX/LA oil pipelines.

https://www.pentictonwesternnews.com...4T_cLaARtebhdI

Bah Humbug 06-16-22 01:05 PM


Originally Posted by LesterOfPuppets (Post 22543967)
Okanagan Lake is full. Time to build Canada to AZ water pipelines instead of Canada to TX/LA oil pipelines.

https://www.pentictonwesternnews.com...4T_cLaARtebhdI

I really wonder if we will eventually need a massive public works to irrigate the SW from the Great Lakes.

Mojo31 06-16-22 01:06 PM


Originally Posted by datlas (Post 22543948)
Imagine if a paralegal could work autonomously or semi-autonomously and compete with you and say they can do "everything" a lawyer could do. That's a taste of noctors. Plus, imagine that your fees were capped at say, $100/hr, and that everyone got paid the same, including paralegals, because of a 3rd party payor system.

There is more to it than that, but yeah, the healthcare system is dysfunctional in many ways.

I understand and get it, and also agree with you.

The fee issue is the reason I will not work for insurance companies. They have commoditized their work to the point where they are dictating that lawyers are paid very low rates or low flat rates per case, and I want nothing to do with that. A lot of the insurance defense lawyers are getting paid $100-150/hour and being told what they can and cannot do in the course of a case. No thank you.

Bah Humbug 06-16-22 01:07 PM


Originally Posted by datlas (Post 22543948)
Imagine if a paralegal could work autonomously or semi-autonomously and compete with you and say they can do "everything" a lawyer could do. That's a taste of noctors. Plus, imagine that your fees were capped at say, $100/hr, and that everyone got paid the same, including paralegals, because of a 3rd party payor system.

There is more to it than that, but yeah, the healthcare system is dysfunctional in many ways.

And then the added fun that many doctors (not the ones on this thread it appears) got into it for the wrong reasons and only care about things that are easy symptom matches to well-known and treatable issues and dismiss anything else.

Mojo31 06-16-22 01:17 PM


Originally Posted by Bah Humbug (Post 22543977)
And then the added fun that many doctors (not the ones on this thread it appears) got into it for the wrong reasons and only care about things that are easy symptom matches to well-known and treatable issues and dismiss anything else.

That affects all professions.

Unfortunately.

rjones28 06-16-22 01:36 PM

The single speed needs new tires. Excel has a good special in these - Hutchinson Fusion 5 Performance Tire OE 2-Pack Excel Sports | Shop Online From Boulder Colorado

No experience with Hutchinsons, but it's a low risk opportunity to try them out.

datlas 06-16-22 01:39 PM


Originally Posted by Mojo31 (Post 22543974)
I understand and get it, and also agree with you.

The fee issue is the reason I will not work for insurance companies. They have commoditized their work to the point where they are dictating that lawyers are paid very low rates or low flat rates per case, and I want nothing to do with that. A lot of the insurance defense lawyers are getting paid $100-150/hour and being told what they can and cannot do in the course of a case. No thank you.

Yes, the term commoditized is very accurate term to describe what has happened. It's unfortunate. Some physicians have done an "Atlas shrugged" move and gone "concierge" which is understandable but in some ways makes the system even worse as a whole. Sigh.

WhyFi 06-16-22 01:51 PM


Originally Posted by rjones28 (Post 22544015)
The single speed needs new tires. Excel has a good special in these - Hutchinson Fusion 5 Performance Tire OE 2-Pack Excel Sports | Shop Online From Boulder Colorado

No experience with Hutchinsons, but it's a low risk opportunity to try them out.

I've run the tubeless version. Not my absolute favorite tires, but they were good and they're a steal at the prices that Excel has been asking lately.

Bah Humbug 06-16-22 02:11 PM


Originally Posted by datlas (Post 22544019)
Yes, the term commoditized is very accurate term to describe what has happened. It's unfortunate. Some physicians have done an "Atlas shrugged" move and gone "concierge" which is understandable but in some ways makes the system even worse as a whole. Sigh.

I literally got that email today from my PCP.

Bah Humbug 06-16-22 02:13 PM

And that meeting with the boss was cancelled - daughter needs wellness check for college orientation next week. And so it rolls on...

Mojo31 06-16-22 02:14 PM


Originally Posted by Bah Humbug (Post 22544054)
And that meeting with the boss was cancelled - daughter needs wellness check for college orientation next week. And so it rolls on...

18 year old cannot get themselves to the doctor for a health check?

Too much hovering. IMHO.

datlas 06-16-22 02:16 PM


Originally Posted by Bah Humbug (Post 22544051)
I literally got that email today from my PCP.

What's the annual membership fee? It's typically $1500 around here. As per previous posting, I understand that this is an option but it's a sucky one.

Bah Humbug 06-16-22 02:20 PM


Originally Posted by Mojo31 (Post 22544058)
18 year old cannot get themselves to the doctor for a health check?

Too much hovering. IMHO.

I have no idea. For fairness, when I went to college I was 17 and no driver's license, so I wouldn't have either.

Bah Humbug 06-16-22 02:23 PM


Originally Posted by datlas (Post 22544060)
What's the annual membership fee? It's typically $1500 around here. As per previous posting, I understand that this is an option but it's a sucky one.

The link in the email 404s. If you correct it (:bang:) the page is their Contact Us, with no price info. Awesome.

Not sweating it either way too much until I move. Sick of things.

indyfabz 06-16-22 02:41 PM


Originally Posted by datlas (Post 22544019)
Yes, the term commoditized is very accurate term to describe what has happened. It's unfortunate. Some physicians have done an "Atlas shrugged" move and gone "concierge" which is understandable but in some ways makes the system even worse as a whole. Sigh.

I had a great PCP at HUP who did that decades ago. I was sorry to have that happen. He was actually one of the top fundraisers in the MS City to Shore ride. The last time I saw him was when I passed him during the event several years ago.

DougRNS 06-16-22 02:47 PM


Originally Posted by datlas (Post 22543866)
I am 21 years into current job. I hope to keep it going, but the healthcare system is so effing dysfunctional I am considering exit strategies.

Sad.

^^^
Gets it

BillyD 06-16-22 03:02 PM


Originally Posted by Bah Humbug (Post 22543758)
Coworker of a few years is leaving and boss is stressing about it - might make my review with her this afternoon even more interesting.


Originally Posted by DougRNS (Post 22543766)
On a Jet Plane?

Good one.



big john 06-16-22 03:12 PM


Originally Posted by t2p (Post 22543801)
The elimination of the 125 class signaled the death of 2 stroke bikes (and in some ways a slow death to motocross for the masses)

Recall one year Ron Lechien (?) had a factory liquid cooled 125 Yamaha - might have been the first liquid cooled motocross bike we saw ... and can't be positive - but it might have been a twin cylinder

Not long after this - liquid cooled RM125's began to appear ... Mark Barnett rode one - he was so much faster during qualifying at a Mid Ohio GP the officials thought they had a timing malfunction (they ran qualifying laps at the international GP races)

good times

I saw Barnett win a supercross at the L.A. Colosseum. His physical conditioning was evident and he trounced the field on the demanding track. It was said he ran 5 miles in sand every day, then a weight session, then put 5 gallons of gas through his practice bike. I know they're all supreme athletes but that guy was a machine. Like Ricky Carmicheal.

Velo Vol 06-16-22 03:43 PM


Originally Posted by DougRNS (Post 22544092)
^^^
Gets it

He's not talking about quitting as a patient.

Bah Humbug 06-16-22 04:57 PM

That 1040 thread has escalated.

Mojo31 06-16-22 05:08 PM


Originally Posted by Bah Humbug (Post 22544225)
That 1040 thread has escalated.

Kinda got lit.


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