I ran across this story from the New York Times earlier this week. It's not really news; doctors have been dissatisfied with the state of medical practice for years now, for a variety of reasons. But . . .
I asked when his work usually got done. “It is never done,” he replied, shaking his head. “See this pile?” He pointed to five large manila packages on a shelf above his desk. “These are reports I still have to finish.”
Wait a second. Is this guy dissatisfied with medicine, or is he just overworked--by his own choice? These are reports I am assuming the doctor has generated himself. The way reimbursement works is you have to document in some fashion (like a "report") what you have done, say, to diagnose or treat a patient. These reports weren't assigned to him. He has to complete them in order to get paid; actually, the hospital and clinic he works out of won't get paid either until they get done. Is he griping because he has too many? Why is this guy then working so hard? Does he have too?
I'm a physician (OBGYN), late 40's, living in a small town in northern Louisiana. It's a big change, coming from the Big Easy, but then again, my life has been under considerable remodeling as of late. I am married to a beautiful Russian artist, who was nice enough to follow me on this adventure.