Nobody does!
Really? How can they know that? Are you telling me the current hospital in question KNOWS how many patients they will be losing, how much that will cost them and how much they'll get and they KNOW it won't be enough? If that's your claim, explain how they could possibly know all of that HOURS after the bill passed?
Stop changing the subject.
Most likely they know staff will leave for bigger hospitals and clinics in larger communities sooner rather than later. Nursing and diagnostic/clinical lab technicians are in high demand. We have positions advertised constantly, and many of the new hires come from smaller facilities.
The real problem is that MAGA Nation is mostly opposed to switching to electric cars and trucks, just like they've become fiercely opposed to almost any progressive changes in our society, whether it's economic, technical, or social change. If anything, they want to turn the clock back on progress, including stopping or at least slowing down the development and sales of electric vehicles. Any change now scares them and leaves them frightened of the future. So what's likely going to happen is that the rest of the world will continue to move ahead with transitioning to electric vehicles, and we'll be left behind as MAGA Americans keep insisting on driving huge gas-powered SUVs and pickup trucks. And, typically, not only are they insisting on continuing to drive gas-powered vehicles, they want to make it difficult for anyone else in America to drive electric cars too. Because it's not enough just for them to do something, everyone else has to go along as well whether they want to or not. That's how they roll.
That happens to a large extent today. It's not everybody but plenty of Indian and Nigerian doctors in rural settings and most are there because they couldn't get a job in an urban or suburban environment. Not to say they're bad but they don't necessarily have the same education and licensing path as most American born doctors.
I'm not changing the subject. If you don't understand that doctor shortages are a huge problem for rural areas and in fact an existential threat to their businesses . . . well, it would be par for the course for you I guess.
Yep. They couldn't even handle LED light bulbs.
Yeah that’s basically what I’m saying. And this bill will (1) reduce pay in rural areas, and (b) drive US educated doctors to more urban areas. So it may be happening now, but it’s about to get turbocharged in those areas.
It is. It's fortunate, then, that the Trump administration is so welcoming of foreigners, especially ones with brown skin from countries in Asia or Africa. Now that Americans can no longer afford to train to be physicians, there will surely be a long line of Indian doctors just clamoring to get in. Right?
Where are these foreign doctors coming from? Ain't no army of Indian doctors who will come to save us. Australia and New Zealand put up travel advisories against even visiting America. Why the hell would trained medical professionals sign up for endless harassment, paperwork, no political freedom, constant threat of being hurled into an unmarked van?
You can only claim them against gambling wins. It is a basket item.
My mother retired from being a medical administrator in one of the poorest counties in NC and she could tell you on any given moment at any given time what percentage of their deliveries were Medicaid and what the outstanding balance was from the State of NC on those claims. Routinely, those kinds of hospitals and clinics have to borrow funds for ongoing operations with future due Medicaid payments as collateral. Everyone in medicine knows those numbers about their facility or practice. This is EPSECIALLY true in rural counties.
That is a pretty guarantied way to only get W-2G income reported. Basically, it is a law that effectively requires tax fraud.
No argument that this bill might reduce pay in rural areas, but I suspect most American born doctors are in rural environments because they want to be there. They have family nearby or they like the lifestyle, or they started out their career in a rural environment and grew to love the place.
As someone who does healthcare pro formas for a living
Well, the average physician pay in India appears to be a little less than $35k. Maybe they go to other western countries instead but I suspect people would put up with a lot of bureaucracy to get a substantially higher salary.
It depends on the gambling. If you buy $1,200 worth of scratch offs, and you win $1,200, the government is going to tax you on the $1,200. As you point out, that's not the way with sports betting and casino games for the most part but it's not unprecedented to not allow you to offset gambling wins with losses.
No. Public interest loan repayment drives huge traffic to rural areas. That's why my wife was working in Missouri. I've seen stats -- slightly dated by now -- that a third to a half of rural physicians are there to get loan repayment assistance.
Incorrect. I can’t speak to NC, which apparently has some screwed up gambling laws, but under federal law there is no distinction in the type of gambling wins.
The average physician in India is not the population we're talking about. The average physician in India with a realistic possibility of landing a job in the US earns a lot higher than $35K. "Average" salaries in India are meaningless anyway. Large sections of the country are among the poorest places on Earth. Bihar is basically Somalia inside India. You'd have to ask where.