3 ms·

Kaiser is popular and 'a' model of care, but do note that it is extremely limited in coverage and is one of the most draconian in respect to providers. They hi

Kaiser is popular and 'a' model of care, but do note that it is extremely limited in coverage and is one of the most draconian in respect to providers. They hire people right out of medschool with the offer to pay their entire student debt if they stay with them for 8 years. They have massive burn out.

wbl 6y ago
Kaiser promptly volunteered to perform several minor surgeries I would have spent months hunting down preauthorization for other places. It was almost scary how efficiently they bumped me up to the right person with me having to do almost nothing to arrange it.
disabled 6y ago
Yeah, if you have a rare disease, which 7-8% of the general population collectively has (there are about 8,000 or so rare diseases), for example, then you are totally screwed if you have an HMO. Rare diseases are difficult to treat, frequently involve multiple systems of the body, often require many off-label non-FDA approved treatments, and require specialists that are often in niche fields of medicine.
Gravityloss 6y ago
Hmm is that kind of a contract legal? What happens if a person leaves after four years?
- leetcrew 6y ago
  why wouldn't it be? if you leave early, you're no worse off than you were when you graduated med school. I guess you could be worse off if you wouldn't have gone to med school in the first place if the offer wasn't on the table... I'd guess if you leave early you have to pay off your own debt, possibly prorated by years on the job.
  - Gravityloss 6y ago
    To me it seems like such a long period of time that it starts infringing on the employee's freedom. What's the limit? Can you sign somebody up for 50 years of labor?
    - throw123123123 6y ago
      Seems to be frequent enough with debt I guess.
      - Gravityloss 6y ago
        With debt you can still switch jobs or move or switch banks etc. This contract as presented was much stricter.
- throw123123123 6y ago
  You have to return the entire amount of student debt. Kind of how signup bonuses work in tech, but this is for 8 years

wbl 6y ago

Kaiser promptly volunteered to perform several minor surgeries I would have spent months hunting down preauthorization for other places. It was almost scary how efficiently they bumped me up to the right person with me having to do almost nothing to arrange it.

disabled 6y ago

Yeah, if you have a rare disease, which 7-8% of the general population collectively has (there are about 8,000 or so rare diseases), for example, then you are totally screwed if you have an HMO. Rare diseases are difficult to treat, frequently involve multiple systems of the body, often require many off-label non-FDA approved treatments, and require specialists that are often in niche fields of medicine.

Gravityloss 6y ago

Hmm is that kind of a contract legal? What happens if a person leaves after four years?

leetcrew 6y ago
why wouldn't it be? if you leave early, you're no worse off than you were when you graduated med school. I guess you could be worse off if you wouldn't have gone to med school in the first place if the offer wasn't on the table... I'd guess if you leave early you have to pay off your own debt, possibly prorated by years on the job.
- Gravityloss 6y ago
  To me it seems like such a long period of time that it starts infringing on the employee's freedom. What's the limit? Can you sign somebody up for 50 years of labor?
  - throw123123123 6y ago
    Seems to be frequent enough with debt I guess.
    - Gravityloss 6y ago
      With debt you can still switch jobs or move or switch banks etc. This contract as presented was much stricter.
throw123123123 6y ago
You have to return the entire amount of student debt. Kind of how signup bonuses work in tech, but this is for 8 years