On a completely different subject, what is it about physicians that makes us pussies? Somehow the previous generation of physicians rolled over and ate a huge shit-sandwich from the government called EMTALA. Our national organizations, the AMA, ACEP and the like, have acted like a bunch of perpetually-stoned good-time rock and roll maggot-infested hippies and have embraced the fucksticks at JCAHO too.
I know that the premed route is not exactly peppered with economics, logic, or business classes but please, you freaking douchebags, how in the name of all that is holy did you swallow the EMTALA and JCAHO pills? How, exactly, can you provide CABGs for all regardless of their ability to pay? The answer is, you can't, but while trying to accomplish this ass-hattery you will do it by having everybody else pay for it. In other places this is called stealing.
Could you not see, if only from a rudimentary common sense perspective, that EMTALA was going to crush you? Did you not know that when unfunded mandates have been tried previously, or their ugly father called communism, that they have failed miserably and made the situation worse?
Where were you, docs? Out on the golf course? Why were you not on the steps of Capitol Hill marching and carrying signs and threatening to strike? Why? Are you all a bunch of pussies or did you figure that by the time EMTALA ruined medicine that you would be comfortably retired? Damn your eyes for being clueless pussies because not only did you screw the next generation of doctors, you screwed the next generation of patients too.
That IS what happened, OR, in your feel-good liberalism you knew, you knew deep-down, that EMTALA would end fee-for-service and force a "solution" from above because you love government and its power and revere it with religious zeal. Better that all be in a similar state of misery than some have it better than others. OR, you were too busy working, and didn't think your colleagues and national organizations could be that stupid. WRONG!
Well good for you sunshine. Why don't you just move to some socialist heaven with closed borders and frozen social classes and live there. In the meantime you have made being an ER doc, or a doc that gets consults from me, an endless parade of entitled asswipe misery, and you have sucked the soul right from my body. You have wrecked specialty care for everyone outside of a big city. You have also wrecked the best care for the most system which we had and replaced it with mediocre care for all.
Happy now? I thought not, because there are still some in America who have more than others. Still, some rich folks get better care than that guy who ran his stolen car into a bridge abutment, drunk, while running from the police. How will you fix that? Why not go all the way and join the American Communist Party. Fucksticks. Have fun driving your Prius and drinking soy and wheat-grass shakes. Guess what? You are going to die too. Double fuckstick Deborah Peel in your face asswipe douchebags.