4 ms·

Does anyone know if the single payer models we use in the US keep Dr. salaries on par? I've only heard of savings from negotiated drug prices, and insurance ove

Does anyone know if the single payer models we use in the US keep Dr. salaries on par? I've only heard of savings from negotiated drug prices, and insurance overhead; but, if Dr. salaries are also decreased, OP's got an interesting point.

s0rce 8y ago
I don't think doctor salaries are substantially lower in Canada.
- aantix 8y ago
  I couldn't find the original study that these articles are based off of.. "Canadian doctors still make dramatically less than U.S. counterparts: study" https://nationalpost.com/news/canada/canadian-doctors-still-make-dramatically-less-than-u-s-counterparts-study https://nationalpost.com/news/canada/canadian-doctors-still-... US doctors earn much more than peers, study says https://bangordailynews.com/2011/09/09/health/us-doctors-earn-much-more-than-peers-study-says/ https://bangordailynews.com/2011/09/09/health/us-doctors-ear...
rohanshah 8y ago
From my understanding of Bernie's "Medicare For All" bill (S. 1804) [1] payment to providers would be fixed at the, well, Medicare rate. Medicare rates are about 40% lower than private insurance (about 56% of national healthcare spending is private), but it's also higher than Medicaid and obviously higher than what the uninsured pay. All-in-all, from the figures I've seen [2], this specific single-payer plan would lead to about a 10.6% [3] overall reduction in payment to providers (some of which will be ameliorated by a reduction in costs that maintain complicated insurance administration work at hospitals) but I imagine providers will generally take some percent hit to payments which would in turn affect physician salaries (albeit not drastically) [1] https://www.congress.gov/bill/115th-congress/senate-bill/1804 https://www.congress.gov/bill/115th-congress/senate-bill/180... [2] https://www.mercatus.org/system/files/blahous-costs-medicare-mercatus-working-paper-v1_1.pdf https://www.mercatus.org/system/files/blahous-costs-medicare... [3] https://www.peoplespolicyproject.org/2018/08/15/provider-payments-only-fall-by-10-6-in-mercatus-study/ https://www.peoplespolicyproject.org/2018/08/15/provider-pay...

s0rce 8y ago

I don't think doctor salaries are substantially lower in Canada.

aantix 8y ago
I couldn't find the original study that these articles are based off of.. "Canadian doctors still make dramatically less than U.S. counterparts: study" https://nationalpost.com/news/canada/canadian-doctors-still-make-dramatically-less-than-u-s-counterparts-study https://nationalpost.com/news/canada/canadian-doctors-still-... US doctors earn much more than peers, study says https://bangordailynews.com/2011/09/09/health/us-doctors-earn-much-more-than-peers-study-says/ https://bangordailynews.com/2011/09/09/health/us-doctors-ear...

rohanshah 8y ago

From my understanding of Bernie's "Medicare For All" bill (S. 1804) [1] payment to providers would be fixed at the, well, Medicare rate. Medicare rates are about 40% lower than private insurance (about 56% of national healthcare spending is private), but it's also higher than Medicaid and obviously higher than what the uninsured pay. All-in-all, from the figures I've seen [2], this specific single-payer plan would lead to about a 10.6% [3] overall reduction in payment to providers (some of which will be ameliorated by a reduction in costs that maintain complicated insurance administration work at hospitals) but I imagine providers will generally take some percent hit to payments which would in turn affect physician salaries (albeit not drastically) [1] https://www.congress.gov/bill/115th-congress/senate-bill/1804 https://www.congress.gov/bill/115th-congress/senate-bill/180... [2] https://www.mercatus.org/system/files/blahous-costs-medicare-mercatus-working-paper-v1_1.pdf https://www.mercatus.org/system/files/blahous-costs-medicare... [3] https://www.peoplespolicyproject.org/2018/08/15/provider-payments-only-fall-by-10-6-in-mercatus-study/ https://www.peoplespolicyproject.org/2018/08/15/provider-pay...