In response to:

Obamacare may be around, but will your doctor?

sbrown Wrote: Oct 21, 2012 1:49 PM
Currently my practice is about 70% medicaid, because I am a pediatric surgical subspecialist working in a poor part of the country. If I wasn't supported by the practice, which feels that I provide a critical service to the community, I would have left long ago. My gross pay is barely at the level it was in 2005, and there has been plenty of cumulative inflation since then. Salaried job? I'd love one. Can I have 4 weeks of vacation, 2 weeks of educational travel, and a built-in cost of living raise? I would most definitely work less hard and (in my unusual case) probably for more money. Why shouldn't I? I've been in this game 17 years and the rules keep getting worse and worse.

Over dinner with an anesthesiologist friend, we discussed his new job -specifically his "on call" schedule. He explained that he needed to get one of his partners to take his next day on call, but that it shouldn't be a problem. In fact, he said that his partners vie for these call days. I was perplexed because this had not been my experience, so I asked him to elaborate. He said that the doctors in his group get paid according to how much they work, so they compete for extra call days.

In his former group, everyone was paid the...