It's contract work. If you ever picked up any Crane's business papers, you would see sections of CEO's who get new jobs all the time. The only reason one gets a new job is because something happened to the last one--usually something not very good.
Some CEO's do fail, but if they have a five year contract, what is the company supposed to do about it?
It's just like if a famous actress makes a bad movie. Her last parts drew millions into the movie theaters, but this one was a flop. She still gets her 10 million (or whatever agreed on) for doing the movie. Same holds true of a star pitcher, a famous country or rock band, or even a quarterback.
If she continues to make bad movies, the price of her services go down--way down.
I have not seen such accountability.
I've seen fools pass the buck and other fools nod their heads like brain damaged parrots.
The larger the organization and the easier it is to make money without producing an actual product, the easier it is to get away with nonsense.
One thing the ACA did was to make medicine very lucrative.
Yes, the first 3 years where physicians had to upgrade their offices and bring their case management up to date was a nightmare.
If you believe what you said is a good thing, then you can't complain about the cost of health care.
What large organization would you claim, does not produce a product or service, and yet makes tons of money easily, over a long period of time. Note, you can't cite a company with ties to the government.
For example, you can't cite ethanol, where the government mandates the use of ethanol. That's not a free-market system.
I'm not at all concerned about the cost of health.
I am thankful that my family and almost all of the people I know have careers and jobs that supply them with such.
What I am commenting on is processing too many patients, forging case management notes and abusing employees by making them work long hours because the owners, who in many cases work for the practice, are raking in the bucks.
In fact, it's easier under the ACA for MDs to see more patients per day than prior to the ACA.
First, I have almost no care for complaints about 'abusing employees'. I have worked for abusive people before. Not often, but it happens. I found an amazing solution, that works 100% of the time. You stop working for them.
In fact I'm having this problem right now. (kind of). So I work for a fantastic manager, but my position has me working in a different building from where my manager is, and the guy that manages there, is literally a terrible and cruel person.
So all my co-workers are complaining about him constantly. Have not heard one good thing about this guy, from anyone anywhere ever.
I'll tell you, exactly what I told them. None of you are slaves. Every single day that you make the choice to walk in the door, you make the choice to accept how you are treated.
I have walked off the job, away from bad employers in the past. I made the choice, no I will not be treated this way. And I left. Sometimes within minutes of being treated badly.
No one is a slave in this country. You choose to be abused, or not to be abused, every day by you walk in the door. It is your choice.
So when you say you don't like employees being abused, I say that you are lying. If you make the choice to walk in the door, then you are accepting how you are treated, and you need to stop complaining about the company, or the managers, and start blaming yourself for making the choice to live under that condition.
The problem is, some people think they should be able to dictate how the owner of the company, runs his company. It's not yours. It's his. If you don't like it, run your own company, and run it as you see fit. If your system really is better, then you should be successful, and run your old employer out of business.
If not, maybe you should stop complaining about how the other employer runs his business.
Back to the MDs seeing lots of patients.
Again, this is because of regulations and government. Medicare has defined payouts. Doctor Visit = specific amount of money.
When you can charge people a flexible price, based on the level of service, then you can choose to see a patient for as long as you need to, in order to give a carefully considered diagnoses and treatment.
However, if you have a defined payout, then the only way to earn more money is to see more patients. So you have to operate more like a factory, cranking out patients like widgets.
Obviously, I can't speak for all people everywhere, but I can tell you that my experience has been, the completely private doctor practices, that do not work through Medicare or Medicaid, are often the best. They are also higher in price.
But they have the best doctors, and they take their time to do what is needed.
The government clinics, are all trash. You are a number. You are processed like a manufacturing plant, and spit out the other end. Here's your pills, good luck.