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onceahardman


Jan 4, 2009, 3:35 PM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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Salaried doctors don't pay rent for office space, Reno. Nor do they pay out of pocket for filing insurance claims.

Again, your lack of business acumen comes shining through. Do you think the OWNER of the practice is paying the rent and related expenses out of his/her pocket? Is he trading personal income to hire a doctor, just so he can lose money?

Besides, there are other expenses involved in being a doctor (or other clinician).

Continuing eductaion (required to maintain licensure in most states), Additional malpractice insurance so you don't lose your ass, Board certifications, membership in professional organizations. A quality vehicle, so you can get to work when it snows.

As I said above, it's so clear your experience is academic, rather than "real-world".


HarklessDO


Jan 4, 2009, 5:34 PM
Post #177 of 209 (7688 views)
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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thank you.


jt512


Jan 4, 2009, 11:07 PM
Post #178 of 209 (7670 views)
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
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Salaried doctors don't pay rent for office space, Reno. Nor do they pay out of pocket for filing insurance claims.

Again, your lack of business acumen comes shining through. Do you think the OWNER of the practice is paying the rent and related expenses out of his/her pocket? Is he trading personal income to hire a doctor, just so he can lose money?

So, now, what, you're actually claiming that not only do salaried physicians not make enough money, but that the highest-earning doctors in the country, who own large medical clinics and hire other physicians, are suffering, too? This has gone from merely laughable to ridiculous.

Besides, there are other expenses involved in being a doctor (or other clinician).

Continuing eductaion (required to maintain licensure in most states), Additional malpractice insurance so you don't lose your ass, Board certifications, membership in professional organizations...A quality vehicle, so you can get to work when it snows.
Oh, that's why they buy Porsches, for reliable transportation to work. Thanks for clearing that up.

In reply to:
As I said above, it's so clear your experience is academic, rather than "real-world".

That's a very weird accusation, given that of everyone in this thread, I'm likely the only who, as a CPA, has done the books of dozens of doctors and medical clinics, and thus seen, first hand, what the income of private practice doctors actually is.

Jay


(This post was edited by jt512 on Jan 4, 2009, 11:20 PM)


jt512


Jan 4, 2009, 11:27 PM
Post #179 of 209 (7667 views)
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
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For complaining about being in the top 1% of income worldwide.

That is just so ignorant.

So doctors should "be ashamed" for making more than a 12 year old in India making Oriental rugs for a few pennies a day?

Nice straw man.

Jay


jt512


Jan 4, 2009, 11:34 PM
Post #180 of 209 (7664 views)
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Re: [reno] Uninsured and need shoulder surgery. [In reply to]
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reno wrote:
jt512 wrote:
reno wrote:
jt512 wrote:
reno wrote:
jt512 wrote:
If you want to rest your case, you first have to make your case. What expenses?

Uh, the expenses that come with practicing medicine, Jay. You know, like filing paperwork with the insurance companies, paying rent for the office, etc.

You know.... expenses.

Salaried doctors don't pay rent for office space, Reno.

Not all doctors are salaried, Jay.

And the unsalaried ones make more money than the salaried ones, so what's your point?

Really? How much more, Jay?

Above, you said this:

In reply to:
What expenses? We're talking about salaried employees.

So, after claiming that doctors don't have expenses, you now claim that they do.

Reno, not only have you lost the argument, you've become lost in the argument.

In reply to:
There's hope for you yet.

That makes one of us.

Jay


blondgecko
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Jan 4, 2009, 11:40 PM
Post #181 of 209 (7686 views)
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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Jeez. How about you take it to the soapbox, guys?


reno


Jan 5, 2009, 12:44 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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jt512 wrote:
That's a very weird accusation, given that of everyone in this thread, I'm likely the only who, as a CPA, has done the books of dozens of doctors and medical clinics, and thus seen, first hand, what the income of private practice doctors actually is.

That's a very strange statement to make, given that I've asked you three times now how much money a physician takes home after paying for expenses, and three times you've bitched up and failed to answer the question.


reno


Jan 5, 2009, 12:47 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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jt512 wrote:
Reno, not only have you lost the argument, you've become lost in the argument

Can't refute the point, so refute the person?

Weak sauce.

Jay, you were beaten two pages ago, when you first opined about something of which you have zero knowledge.

Back to studying calories and vitamins, or whatever it is you do.


onceahardman


Jan 5, 2009, 1:01 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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In reply to:
So, now, what, you're actually claiming that not only do salaried physicians not make enough money, but that the highest-earning doctors in the country, who own large medical clinics and hire other physicians, are suffering, too?

Did I make a claim of doctors (rich or poor), "suffering?" As you say, nice strawman.

You realize that living in California (among the more expensive states), driving a car, having a roof over your head, and being gainfully employed puts YOU in the top 3% of the wealthy, worldwide, right?

You should have punted long ago.


onceahardman


Jan 5, 2009, 1:11 AM
Post #185 of 209 (7661 views)
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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In reply to:
I'm likely the only who, as a CPA, has done the books of dozens of doctors and medical clinics, and thus seen, first hand, what the income of private practice doctors actually is.

FAIL

"doing the books", is a small part of starting and running a business. Try it sometime.


jt512


Jan 5, 2009, 1:23 AM
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Re: [reno] Uninsured and need shoulder surgery. [In reply to]
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reno wrote:
jt512 wrote:
Reno, not only have you lost the argument, you've become lost in the argument

Can't refute the point, so refute the person?

What point?! You haven't made a point, as usual.

Weak sauce.

In reply to:
Jay, you were beaten two pages ago, when you first opined about something of which you have zero knowledge.

Back to studying calories and vitamins, or whatever it is you do.

Why do you guys keep accusing a CPA who has had dozens of doctors as clients that he doesn't know how much money doctors make and what their expenses are. Sure, it's been a long time since I've been in that line of work, but besides Harkness, I'm the only one in the thread who has had any real life knowledge about this.

Jay


jt512


Jan 5, 2009, 1:25 AM
Post #187 of 209 (7655 views)
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
In reply to:
I'm likely the only who, as a CPA, has done the books of dozens of doctors and medical clinics, and thus seen, first hand, what the income of private practice doctors actually is.

FAIL

"doing the books", is a small part of starting and running a business.

What the fuck does that have to do with anything?

Jay


onceahardman


Jan 5, 2009, 1:30 AM
Post #188 of 209 (7653 views)
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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jt512 wrote:
onceahardman wrote:
In reply to:
I'm likely the only who, as a CPA, has done the books of dozens of doctors and medical clinics, and thus seen, first hand, what the income of private practice doctors actually is.

FAIL

"doing the books", is a small part of starting and running a business.

What the fuck does that have to do with anything?

Jay

Is your memory really so short? And you accuse others of having been lost in the argument?

The context was, starting and running a business, real life experience, vs. academic experience.


jt512


Jan 5, 2009, 1:39 AM
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
jt512 wrote:
onceahardman wrote:
In reply to:
I'm likely the only who, as a CPA, has done the books of dozens of doctors and medical clinics, and thus seen, first hand, what the income of private practice doctors actually is.

FAIL

"doing the books", is a small part of starting and running a business.

What the fuck does that have to do with anything?

Jay

Is your memory really so short? And you accuse others of having been lost in the argument?

The context was, starting and running a business, real life experience, vs. academic experience.

Experience running a business has nothing to do with knowing what doctor's salaries and expenses are, which is what the question was. It's some issue you brought up for some random reason. You're deluded if you think that some business owner in a non-medical field would know as much as I do about the expenses of a medical practice.


onceahardman


Jan 5, 2009, 1:46 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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Experience running a business has nothing to do with knowing what doctor's salaries and expenses are, which is what the question was. It's some issue you brought up for some random reason. You're deluded if you think that some business owner in a non-medical field would know as much as I do about the expenses of a medical practice

But I AM a business owner in a medical field. And you are not.


jt512


Jan 5, 2009, 1:51 AM
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
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Experience running a business has nothing to do with knowing what doctor's salaries and expenses are, which is what the question was. It's some issue you brought up for some random reason. You're deluded if you think that some business owner in a non-medical field would know as much as I do about the expenses of a medical practice

But I AM a business owner in a medical field. And you are not.

Good. Do you have an accountant? Would you say that he knows what your income and expenses are?

Jay


jt512


Jan 5, 2009, 1:55 AM
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Re: [dj69] Uninsured and need shoulder surgery. [In reply to]
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dj69 wrote:
Well doctors do have hefty salaries, but did you ever look at the premiums on malpractice insurance, they are also quite ridiculous. With a quick search, the most expensive premium I found was just over 200 000 dollars, with lowest being somewhere around the 20 000.(for an OB/GYN) Even with the lower premiums, that is still a significant chunk of their salaries. How exactly is an average OB/GYN (who on average makes 200k/year?) Overpaid? Or even paid enough?
Look at it this way.
Average salary for OB/GYN : 200,000
US federal tax for 200,000 dollar a year salary: between 33-35% depending on other circumstances (I am using .33 in this calculation.)

Average cost of malpractice insurance in Nevada (with 2002 rates): 142,000

200,000*67%-142,000 = -8000

The malpractice insurance of a salaried physician would be paid for by his employer.

Jay


HarklessDO


Jan 5, 2009, 2:00 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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First its Harkless. You still fail to answer my question. Why on this earth should I be ashamed of making a good living? If you truly are a CPA, Nutrionist and whatever else you have nearly as much income potential as I do. Why must you be upset that people do well.

Do you realize how many people I and every other doctor see for free. Do you realize that your hope of this socialized medicine run by the government is the reason I can't give the guy with no insurance a deal. It is actually illegal for me to charge you 25 dollars versus the medicare guy 50 dollars for example for a simple visit.

Please answer my question Jay why should I or any successful person feel bad cause we make a good living. It seems like with all the titles and knowledge you have I would think that you should do well. And if you aren't maybe that is the real reason you are angry and stop giving me and every other doctor out there heck because we make over 100,000 dollars.


jt512


Jan 5, 2009, 2:11 AM
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Re: [HarklessDO] Uninsured and need shoulder surgery. [In reply to]
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HarklessDO wrote:
First its Harkless.

Sorry. I meant to go back and fix that misspelling, but I forgot to.

In reply to:
You still fail to answer my question. Why on this earth should I be ashamed of making a good living?

I didn't say you should be ashamed for making a good living. I said you should be ashamed for complaining about how tough your life is.

In reply to:
Please answer my question Jay why should I or any successful person feel bad cause we make a good living. It seems like with all the titles and knowledge you have I would think that you should do well. And if you aren't maybe that is the real reason you are angry and stop giving me and every other doctor out there heck because we make over 100,000 dollars.

You could have saved yourself a lot of typing by reading more carefully.

Jay


HarklessDO


Jan 5, 2009, 2:18 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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I am not complaining about either the money I make nor how tough my life is. I am saying this is not something that you go into lightly and it has been incredibly difficult on me and more so my family. If you think it is a cake walk getting to where I am I challenge you to go to medical school.

If we all make millions, drive porches and have our servents bring us everything I think you will love it. All I am saying is that I feel I am justly rewarded for the amount of eduction, expense, and time I have put in.

Not to play the compassionate doctor card but how is the guys shoulder that started this thread?


onceahardman


Jan 5, 2009, 2:45 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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Good. Do you have an accountant? Would you say that he knows what your income and expenses are?

I do my own. It's easy. CPAs are overpaid.


jt512


Jan 5, 2009, 2:46 AM
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
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Good. Do you have an accountant? Would you say that he knows what your income and expenses are?

I do my own. It's easy. CPAs are overpaid.

If you don't need a CPA then your "business" is pretty small.

Jay


onceahardman


Jan 5, 2009, 2:52 AM
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Re: [jt512] Uninsured and need shoulder surgery. [In reply to]
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In reply to:
If you don't need a CPA then your "business" is pretty small.

FAIL

Quickbooks and Turbotax. It's what my former accountant used to use.

It's easy.


jt512


Jan 5, 2009, 2:53 AM
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Re: [onceahardman] Uninsured and need shoulder surgery. [In reply to]
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onceahardman wrote:
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If you don't need a CPA then your "business" is pretty small.

FAIL

Quickbooks and Turbotax. It's what my former accountant used to use.

It's easy.

Are you incorporated?

Jay


onceahardman


Jan 5, 2009, 2:57 AM
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Re: [HarklessDO] Uninsured and need shoulder surgery. [In reply to]
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In reply to:
Not to play the compassionate doctor card but how is the guys shoulder that started this thread?

Thanks for the perspective, Harkless.

I wondered the same thing. I even tried to help, which is what I usually try to do around here. Sometimes I get caught up in pettiness. I think I'll go back to helping now, and let jt512 get the last word in.

Good luck in your practice. Let me know if I can be helpful.

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