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Originally Posted by sugarpop
Then there are the general costs. Why does an aspirin cost so damn much in a hospital? It's ridiculous, the fees they charge for certain things.
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Because they charge those with insurance and cash paying people to cover the costs of those without insurance plus profit for everything.
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Health care should not be about profit. That is when it all started going to shit. Of course it is a business, and every business has to make some profit, but not the way is it now.
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Why not?
Typical General Surgeon training:
Goes to High School. Works harder than most, makes good grades at an early age. Works hard to go to college.
Goes to college. Takes all the Pre-med track to get into Med School, generally studies pretty hard to get into a good medical school. A much harder track than most. Has to apply to Med School and interview at everyone they want to apply to. Needs pretty good grades to get into a good one.
Gets into medical school. Now has to study pretty hard for four straight years, including most summers or a portion of, to get into the specialty they want. For general surgery needs pretty darn good grades in medical school.
Graduates and immediately goes into a 1 year transitional internship. All the time trying to get accepted into a Surgical residency. Say they pass the mustard to get in and you have to work pretty darn hard because there are not that many slots and you get in.
Now you do 5 years, balls to the wall non-stop residency training, no breaks, no summers off. 16 to 20 hour days are the norm. Try that with a family, many do.
Now say you graduate and pass all the bs. Now you go into your case collection period of 1 to 2 years to become board certified, after 1 year you sit for a written board (written test). If you pass that you get to continue to do case collection (fancy way of doing lots of surgery and documenting every single case). After another year you are eligible to sit for oral boards. Here you get to stand in front of a group of people who wrote the text books and defend the cases cases you did as well as answer any question to the exhaustion of what you know. If you do well you pass and become "Board Certified", if you fail you try again the next year and study harder. Many do not pass the written test, nor the orals and cannot become Board Certified.
Each specialty is different for the length of the Residency but the process is generally the same for every physician.
If you want to become a plastic surgeon you do the same as above and then apply for a fellowship and do an additional 2 years, rinse and repeat through the board certification process.
Anyone want to give it all up and be a doctor?