A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Some time ago I was shocked to learn that 7 of the 10

Posted: Apr 1, 2013

in the nation's overall poorest area--the South. Now I run across this graphic below. An oncologist in my area earns $100K a year more than one in the far wealthier area I used to live and make a lot more money in myself--Los Angeles.

How can one of the nation's poorest populations pay for most of the highest profiting hospitals and some of the wealthiest physicians in the country? All these comparatively poor people, who earn less for the same work as other areas, many of whom don't even own homes to sell, can't account for it; they CAN'T pay more. Is that possibility gap accounted for by cutting patient care, then? THAT at least would correlate with lower educatiional levels and acceptance of exploitation in a stratified kiss-up/kick-down conservative society.ra

And for really striking correlations, here's average life span by state. The lighter the shorter, of course.

I wasn't raised in the Bible Belt. I'm outraged. This is despicable.

;

I can't reference that, myself - sm

[ In Reply To ..]
I did find a Forbes article from 2010 that lists the top 10 most profitable as follows: AL, TX (2), MN, IA, CO, GA, OH, UT, CA.

Can't remember the journal, a business magazine, - but I can count to 7 on my fingers

[ In Reply To ..]
and told everyone, including here, at the time. Probably last year. Good for you for setting out to confirm first thing, though. Sorry I can't produce the article.

I actually found it because I was wondering if more profitable hospitals would pay transcriptionists better (very likely the opposite--those high profits are obviously gouged from people's hides), but I didn't find one in commuting distance to look into further.

I'm sure you can count : ) - I'm just interested - will keep looking

[ In Reply To ..]
maybe it was highest grossing rather than most profitable? Either way, I'll keep you posted if I can find anything that sheds light. Thanks.

The south - anon

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I think what you are forgetting is that these hospitals are located in areas that are notorious for the poor health of the populace. People might not pay more per visit, but they go more often.

Understand what you mean, but that couldn't account for - TOP national earnings among thousands.nm

[ In Reply To ..]
x

Also, sick poor people do not seek healthcare - more than others. To the contrary. And

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government programs don't pay top dollar for anyone, much less those prized extra-profitable patients the hospitals all compete for, like cardiology.

Baloney! I have worked in a ER for years. Medicaid - pts come in for every sniffle.. nm

[ In Reply To ..]
nm

Please. That's a SUBgroup of Medicaid patients alone. - I'm assuming you're not trying to insult

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everyone eligible for Medicaid and are just being mislead by a desire to disagree. You and Mr. Romney need to put your ideology aside long enough to admit that many decent people need Medicaid who are not on the take and have paid their own ways for decades--including paying FOR Medicaid.

But Medicaid patients are a small SUBgroup of the total patient population we're talking about here, insured and uninsured.

This is a mean era. We are reaping the wind after we so obligingly "got off the backs of business." Remember that quarter century-long right-wing mantra?

BTW, in these days when even the insured can't afford the debt left over before and/or after insurance pays, ER patients are always outnumbered by those trying to tough out their illnesses at home, hoping they'll go away on their own--until the unfortunate ones are driven in. With your experience, I'm surprised you don't have an unending stock of sad stories to tell about them.

I myself was injured a few months ago in a fall. I regained consciousness to find severe bruising and swelling over my right orbital bones, temple, and side and back of my head, and a nose that "crackled" every time I touched it. It was a feeling that my bruised throat might be closing up from trauma (saliva felt like it couldn't run down on its own), though, that made me go to the ER. Nothing else.

I'm insured. Suuure, I'm insured. I'm so well insured that I had my husband take me to just sit in an ER waiting room - in case the swelling increased to where I needed emergency airway protection. When I felt better, we left. Without x-rays to see if anything was broken or hemorrhaging. Because, like literally millions of fellow Americans insured and uninsured, I will do almost anything to avoid running up a stack of bills I would have to arrange a payment plan to deal with.

subgroup of Medicaid - yellowcat

[ In Reply To ..]
They probably wouldn't have done much more than the x-rays anyhow for 2k, tell you to go home and rest and put ice on it. Oh, and the pregnancy test, of course. :-( Maybe fixed up your ouchies with a $2 tube of polymethyl methacrylate.

Right. And, of course, an NSAID, whatever - the charge for that. :) nm

[ In Reply To ..]
x

You are 100% right. Ride the "ambalance" for a yeast infection. - Yes.

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nm

"ambalance" - NK

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Please clarify "ambalance?"

Since the subject is Medicaid, some can't help themselves - Vamonos H. Pest

[ In Reply To ..]
and have to bring up black folks. Ambalance (aka Amber Lamps), made famous by the video of the Vietnam vet punching a guy on a bus, means ambulance. And since a black guy on a YouTube video pronounced it that way, that means all black people pronounce it that way. And since most people who receive Medicaid are black, dontcha know... they need to call the ambalance.

It's stereotyping at it's finest, and I hope the person you responded to is proud of themselves for being awesome at it.

Exactly - NK

[ In Reply To ..]
:-)

awesome is - boot Hussein straps

[ In Reply To ..]
your post... much better than the post I wrote, but didn't send ;-)

I had no idea. "Yes," go dump this slime at work - and church and see how you fare. nm

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x

profitable hospitals - yellowcat

[ In Reply To ..]
Okay, get ready to blast away. I work for a hospital system in Orange County. No liberal or conservative connotations here, just what I hear every day. "Citizens" of Mexico are brought across the border for medical care in this country regularly.

Okay. Are you saying those hospitals are among - the nation's top 20 or so in price even

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when located in areas below average in income?

BTW, although I know what you say happens, that families bring relatives over for better care near them, I used to live there and Mexican citizens working but not insured in this country -- having national insurance coverage there -- want to go home for free care if they can. Not dodge bill collectors here. Time's an issue of course when it comes to illness and injury.

hospital bills - mt1347

[ In Reply To ..]
Do these states in the South pay more of the medical costs for indigent patients? Also, this area has a lot of military bases - I know they have their own hospital system, but not all of they do use civilian doctors and hospitals, too. In Florida, we have a LOT of Canadians and their national health service pays well and promptly - I think some providers take advantage of that and might inflate fees. I do know that lots of providers down here have been involved in Medicare fraud, as in 10s of millions of dollars of it. It is a perennial problem not just here but everywhere. Florida just gets all the publicity for its bad deeds.

Worth looking at, but what about hospitals near - bases in other regions? As for

[ In Reply To ..]
paying more of the costs for indigents, a big no. I'm sure of that. The philosophy down here is definitely overall to be cheap in public services, that people really should be taking care of themselves, turning to their families and churches if needed, not to government.

As for indigents, I actually see very few, even in Florida, compared to California. Very likely they find it's in their interest to stay out of sight and not loiter on the streets; but, really, any sensible indigent would hop a bus and head for regions that provide better support services, such as the northeast or west coast, as soon as he could.

(Seriously, they do do that. The City of Riverside east of Los Angeles gets a lot of people hopping off buses who are tired of riding across country and, seeing city streets after hours of empty desert, decide that's far enough.)

What I have found is that, for whatever reason, the South has more for-profit hospitals than non-profit compared to other regions, "areas of high for-profit penetration (for example, the South and Southwest)."

Also, that for-profit hospitals, not surprisingly, tend to tailor their services to just the more profitable specialties and not offer, or offer fewer beds for, the less-profitable services - like ER. People admitted through an ER tend to need services that don't pay top dollar. Of course, for-profits do not offer indigent care. NON-profit hospitals, charitably and government funded, pick up the service gap, providing whatever services their communities require.

In my area (Mid-Atlantic), my radiology oncologist - Backwards Typist

[ In Reply To ..]
made $13K in 30 days for 5 minutes of his assistants doing the work. I had counted 5 people also there during my appointment time but there were definitely more during the day because I had the earliest appointment, so $13K x 5 = $65K just for us 5 patients. That's probably just in 1 hour. Can you imagine 8 hours?

Now, I know his rent, phones, radiology equipment, salaries, etc. are expenses, but that's part of being self-employed and can deduct most of them on the tax returns.

how did you arrive at the figure of 13K? - nm

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I'm so in the wrong field - shouldawouldacoulda

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nm

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