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68W2PA

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  1. This isn't necessarily a bad thing. A strong argument can be made that the inreasing opportunity costs of healthcare (projected to be 20% of GDP) are far more detrimental to society than a small income reduction. Healthcare costs are rising and there is no greater means to reduce these costs than through monopsony. As for how much the government may reduce wages... we are able to look at how much providers get paid in the US under fully socialized systems. Most PAs working for the VA or military make decent money with good beneifts. Just about every PA at the VA I have met was a GS12 or GS13. In the military, it is common for PAs to make over $100k. As has been said already, many providers in other nations with single payer systems do OK. I know some Canadian docs that pull in over $200k. They have much much less debt, less malpractice, and better benefits. I would think if you had sweeping reforms that included education and malpractice, most would be content. Heck... just the savings in administrative costs alone would cover keeping wages decent. I guess I am a bit biased because I work in and participate in a completely socialized health system and I really like it.
  2. I don't see how having a small country would necessarily make having a single payer system more affordable in terms of per capita spending. If anything, the smaller the country, the lower the aggregate risk pool, the higher the necessary per capita costs. Inversely, the larger the society, the higher the aggregate risk pool, which when coupled with the higher monopsonistic bargaining power, would probably yield even lower per capita costs.
  3. Now that we have the individual and employee mandates, I wish we had the option to buy into Medicare - where anybody could pay a fixed premium and be insured through Medicare. If the premiums were set right, it wold be tax neutral. And with the lower administrative costs of the system, this "public option" would probably be able to offer coverage at a significantly cheaper rate than most existing private insurance plans. This wouldn't fix everything, but I like the idea of giving people the extra freedom and choice with this option.
  4. Huh? Are you saying that in your state, there are policies individuals have purchased from private (for-profit or non-profit) insurance agencies that pay less than Medicaid? Or are you saying that the people that qualified for the Medicaid extension and are now on Medicaid are somehow reimbursing less than Medicaid?
  5. 1) You don't have to wait 8 years to apply for IPAP. You can apply as soon as you meet the prereqs. 2) You can use Tuition Assistance and the GI Bill to pay for your pre-reqs. 3) If you are interested in getting your BSN, look into the ACEP program that will allow you to earn your RN/BSN while on active duty. Yes, you can apply for IPAP after getting your BSN. Though I would recommend just going straight to IPAP.
  6. Really? You honestly "have a fear" that this will happen? Seriously? No offense, but that is just silly. If you believe the government is a big oppressive socialist taxing machine, it would be in its interest to fine the 18-26 year-olds who are out of compliance with the insurance mandate. If you believe the government is in the pocket of the capitalist insurance industry, then it would be in their interest to force separate policies (as opposed to staying on an existing family plan) because the insurance industry can charge more and make more money. Regardless, the big bad government is not going to say that an independent 22 year old who can get insurance through his employer will instead be forced to buy his insurance via his parents' policy. Nor is there any established law anywhere saying that a parent is legally responsible for the actions and civic compliance of independent adult children.
  7. The law says kids can stay on their parent's plan until 26. It doesn't say they have to. Nothing in the law says that the parents can't charge their kids for the premium. Heck... the only reason they even stop it at 26 is because the insurance industry is so focused on a "divide and conquer" approach and would much rather offer multiple more expensive individual policies than a larger discounted group policy.
  8. I am in IPAP, the military's PA program. It is officially 101 semester credits just for Phase I, which is our 4 terms of classroom didactic learning. We have class from 8-5ish M-F with exams every Monday and Friday morning at 0700 (they don't want exams to crowd into our lecture time.) http://www.cs.amedd.army.mil/ipap/ Phase 2 is our clinical rotations. We do 57 weeks of rotations in 13 areas. I admit we get comparably less time, but we were told to expect to work 12 hours a day, 6 days a week, and to take call in the ED and some of the clinics. The reason I made the comparison to the UNMC med school is that they are the ones who oversee our program. It just seems weird that as PAs, we take 20% more semester hours in 16 months than the med school students from the same school do in their first two years. Our textbooks are similar if not identical to the ones used in the med school world. Many of us use USMLE prep books to help study for our exams. I know we don't get the same education, but at this point, I am genuinely curious as to what more information they are getting that we aren't.
  9. Excluding the obvious benefits and education that comes with a residency, I often wonder what it is that I am missing in terms of instruction. What part of that data pie are we not getting? In my PA program, in the didactic phase (4 terms over 16 months) we earn 101 graduate semester hours. I looked up UNMC's med school curricula and it is only 84 semester hours in the first two years.
  10. Here is something that boggles my mind: My first phase of PA school is 16 months of didactic (16 months straight - part of a 28 month long program.) The first two years of my friend's medical school is 18 months of didactic learning (2 9-month years with the summer off.)
  11. What part of the PA curriculum do you feel is missing from med school curricula? We always hear how PA school is modeled after medical school - only compressed and trimmed for time. If a person is capable of passing the non-compressed medical curriculum (while spending more money and time to do so) and can demonstrate enough competency to pass the exact same certifying exam PAs have to pass, I say let them be PAs. Conversely, I wouldn't mind if PAs (ideally with significant experience) were able to sit for the USMLEs.
  12. Could a Med School graduate who is unmatched just take the PANCE? If they did and passed, what would be the objection to having them work as PAs?
  13. 68W2PA

    National Guard PA

    If you are interested in the NG, you should speak with your state's AMEDD recruiter. They are the people that exclusively recruit medical professionals. There are loan repayment programs in the NG. The last I checked, there was $75k for a 3 year drilling commitment. Then there was another $60k paid out for the following three years. I don't know if those are still available. Again, talk to your AMEDD recruiter. Another thing to think about is that the military has its own PA school. If you aren't already in a civilian PA program, you can join the Guard and apply for a spot at IPAP - the Interservice Physician Assistant Program.
  14. My VA has a listing for an NP and PA in the ED. Here are the salary ranges: NP Salary: $76,796.00 - $111,329.00 / Per Year PA Salary: $73,265.00 - $113,259.00 / Per Year Notice that the PA has a higher max. Usually, in our area, all PA and NP jobs are GS 12 to 13.
  15. The article you posted is about a subset of insurance policies that are purchased on the individual market through the exchanges. This makes up a small minority of policies in this country. It is a far cry from seemingly everyone is moving to high-deductible plans under Obamacare. Also, the article is focusing primarily on the bronze-level plans (which by design have lower premiums with higher deductibles.) I have not seen any data that suggests that the majority of people signing up for insurance through the individual market exchanges are choosing the bronze plans with high deductibles over the silver, gold, or platinum subsets of policies that have much lower deductibles. If you have such data, I would be happy to read it.
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