4 ms·

I left FANG for medicine. I think this is not a good argument for 2 main reasons. 1) People tend to compare FANG to family medicine. It wouldn't be more apt to

I left FANG for medicine. I think this is not a good argument for 2 main reasons. 1) People tend to compare FANG to family medicine. It wouldn't be more apt to compare the average tech worker making 100-200k to family medicine, or compare to some of the more competitive specialties. 2) Salaries are underestimated by many people. The best source is the MGMA is is often used to negotiate salaries by the hiring side. Unfortunately the data is expensive to access so few have it - there's an older screenshot someone took [1]. Further, these are biased lower since academic medicine and part time researchers tend to make less. You can also tailor you're career with more flexibility. Want to make $1M? Go for it. Want to work 2 weeks a year and still bring in 2-300k? Go for it. Now if you want to live in NY or SF tech will pay more as medicine pays more as you get more rural. [1] : https://imgur.com/gallery/ZQo6aKo https://imgur.com/gallery/ZQo6aKo

deleted 6y ago
[deleted]
renewiltord 6y ago
What was the process you followed to get into medicine?
- waxachasee 6y ago
  It was always on the radar for me so I just worked for a few years and applied. I do know people who were engineers for a decade plus, and they had to do a year of coursework (special medicine program) before applying to med school. If it's something you personally are interested in, happy to talk more.
  - renewiltord 6y ago
    Yeah, I'm interested in chatting with you on this because I'm curious about the process. I looked in your profile but couldn't find an email. Would you mind sending me a message at renewiltord@protonmail.com
lotsofpulp 6y ago
I think the last 40 years were golden years for doctors in the US. They made great money, but now the jig is up and there are 2 options for the next generation: 1) if US goes with taxpayer funded healthcare, expect pay to go down similar to other developed countries with taxpayer funded healthcare. Because there will be no negotiating power. 2) with the ACA framework, it’s a race for insurers, hospitals, and physicians groups to get as big as they can do they can gain as much negotiating power as they can. I can see it with all the M&A in the hospital and provider space, and the rule of thumb is “the closer you are to the money, the more you make”. In this case, insurers will hold the money, so it will be at their mercy that they approve or deny payments for certain procedures. The American people themselves don’t have enough money to continue paying for this gravy train, and the government was picking up the slack, but I think that’s going to be over soon. The CVS/Aetna vertical integration model is interesting too, as they are talking about adding doctors to their stores to make it a one stop shop. Insurance, provider, medicine all in one, similar to Kaiser. And then there’s doctor groups who are able to pump out more work from one doctor by using physician assistances and nurse practitioners to actually see patients “supervised” by one doctor, but the doctor never actually sees the patient.
- waxachasee 6y ago
  Pay may go down a bit. I don't have a source off hand but a huge portion of medical expense are due to administrator bloat, doc pay is much smaller. Ideally the regulations and billing gets simpler cutting that bloat. Regardless many docs advocate for better healthcare despite lower pay. I don't have data to say most, but my experience has been that in a conservative part of the US. The NP/PA practice is also a growing concern amongst doctors. Those groups are advocating for independent practice despite reduced training. I'll admit, I'm a fairly stereotypical introvert tech guy and tend to judge people more than I should. Talking to patients has a way of shifting your views. I used (and I suppose still do a bit) to judge alcoholics, drug users, and other preventable conditions. But you realize how they really are a result of social or medical circumstance and I think for that reason many doctors are willing to sacrifice some pay. Hell I went into medicine for the security and money (mostly, plus more academic stimulation than software), as taboo as that is, and I'd be ok with it. That said I think specialty medicine pay is fairly safe. Fact is supply is limited, right thing or not.
asdfasgasdgasdg 6y ago
I doubt there are many doctors that bring in 200-300k in two weeks a year of work. :) And are these numbers net of expenses or gross? E.g. is it net of malpractice insurance costs? But yes it appears the median doctor gets paid somewhat more than I thought. Although only a few of the surgical specialties outstrip my personal compensation, I would guess I'm a good deal above the median for software engineers and the median engineer is probably only in the same neighborhood as the median doctor, not above.
- waxachasee 6y ago
  I meant 2 weeks a month! I wish in a year :) People also bring up malpractice but a good employment contract will include that with tail coverage.

deleted 6y ago

[deleted]

renewiltord 6y ago

What was the process you followed to get into medicine?

waxachasee 6y ago
It was always on the radar for me so I just worked for a few years and applied. I do know people who were engineers for a decade plus, and they had to do a year of coursework (special medicine program) before applying to med school. If it's something you personally are interested in, happy to talk more.
- renewiltord 6y ago
  Yeah, I'm interested in chatting with you on this because I'm curious about the process. I looked in your profile but couldn't find an email. Would you mind sending me a message at renewiltord@protonmail.com

lotsofpulp 6y ago

I think the last 40 years were golden years for doctors in the US. They made great money, but now the jig is up and there are 2 options for the next generation: 1) if US goes with taxpayer funded healthcare, expect pay to go down similar to other developed countries with taxpayer funded healthcare. Because there will be no negotiating power. 2) with the ACA framework, it’s a race for insurers, hospitals, and physicians groups to get as big as they can do they can gain as much negotiating power as they can. I can see it with all the M&A in the hospital and provider space, and the rule of thumb is “the closer you are to the money, the more you make”. In this case, insurers will hold the money, so it will be at their mercy that they approve or deny payments for certain procedures. The American people themselves don’t have enough money to continue paying for this gravy train, and the government was picking up the slack, but I think that’s going to be over soon. The CVS/Aetna vertical integration model is interesting too, as they are talking about adding doctors to their stores to make it a one stop shop. Insurance, provider, medicine all in one, similar to Kaiser. And then there’s doctor groups who are able to pump out more work from one doctor by using physician assistances and nurse practitioners to actually see patients “supervised” by one doctor, but the doctor never actually sees the patient.

waxachasee 6y ago
Pay may go down a bit. I don't have a source off hand but a huge portion of medical expense are due to administrator bloat, doc pay is much smaller. Ideally the regulations and billing gets simpler cutting that bloat. Regardless many docs advocate for better healthcare despite lower pay. I don't have data to say most, but my experience has been that in a conservative part of the US. The NP/PA practice is also a growing concern amongst doctors. Those groups are advocating for independent practice despite reduced training. I'll admit, I'm a fairly stereotypical introvert tech guy and tend to judge people more than I should. Talking to patients has a way of shifting your views. I used (and I suppose still do a bit) to judge alcoholics, drug users, and other preventable conditions. But you realize how they really are a result of social or medical circumstance and I think for that reason many doctors are willing to sacrifice some pay. Hell I went into medicine for the security and money (mostly, plus more academic stimulation than software), as taboo as that is, and I'd be ok with it. That said I think specialty medicine pay is fairly safe. Fact is supply is limited, right thing or not.

asdfasgasdgasdg 6y ago

I doubt there are many doctors that bring in 200-300k in two weeks a year of work. :) And are these numbers net of expenses or gross? E.g. is it net of malpractice insurance costs? But yes it appears the median doctor gets paid somewhat more than I thought. Although only a few of the surgical specialties outstrip my personal compensation, I would guess I'm a good deal above the median for software engineers and the median engineer is probably only in the same neighborhood as the median doctor, not above.

waxachasee 6y ago
I meant 2 weeks a month! I wish in a year :) People also bring up malpractice but a good employment contract will include that with tail coverage.