Originally Posted by
Feng
What if it was an ultra low cost obgyn / hospital that charges less for delivery and pre delivery services by providing a no frills / no pamper accommodations along with lower labor cost? The doctor signed on initially and agreed to work for 30-60% less than doctors at traditional practices, and all of a sudden demand to be paid like traditional practices even though the business model is not setup to have the same revenue as a traditional operation? Perhaps he/she should quit and find employment in a traditional office.
Oh it's not absurd or unreasonable at all that people are saying they won't agree to $500/hr with 50% DC if pbs or no changes to LTD is involved. Jeeesh, I wonder if anyone would underwrite a private LTD plan now that you can spend that extra 300K/yr you'll be making for premiums.
In your analogy, the underpaid OB-GYN WILL eventually leave for the higher-paying hospital, and if the budget hospital can't afford more OB-GYNs at that rate, they'll be forced to close up shop.
One of my best friends is a dermatologist, and he was appalled and shocked when I told him I could make 2x the money flying corporate, with more time off--he was shocked that I would ever work even a single day more for anything less than top-dollar per hour served, regardless of any changes to job security or QOL.
Doctors are 1000x more cynical and cut-throat about getting their money and seeking the highest rate possible per service rendered--maybe that's why their profession has maintained its prestige and high wages/benefits over time (I'm speaking of specialists--not primary care docs).