To my knowledge, most doctors are trying to actively reduce healthcare costs on the end user. They don't see much of the profit, that just lines the coffers of the billion dollar for profit hospitals out there.
To my knowledge, most doctors are trying to actively reduce healthcare costs on the end user. They don't see much of the profit, that just lines the coffers of the billion dollar for profit hospitals out there.
The answer tends to be "a little bit of everything." And it's really hard to cram down the costs on someone who is already making a certain amount of money.
The costs you mentioned are the primary ones, but doctors salaries are a major contributor as well.
Watch them come to work, note the care they drive. Follow them home, note the house they live in. I've yet to see a dr in the US come to work in a civic, or live in a modest house...
When I worked on an ambulance, I'd be at the hospital several times a day - in the ER doctor lot, a sampling of the cars:
- multiple Tesla S's - 3 Porsche Cayenne - 2 Audi S5s - several Escalades
Whilst there are two sides to the story, let's not pretend that doctors live hopeless lives, saddled with a lifetime of crippling student loan debt, barely able to keep their heads above water to selflessly help people.
There is a medical group in Kansas/Indiana, I think, that was trialling the novel idea of "fixed price surgery"... looking at right on $100K for cardiac bypass.
Me? To look at my explanation of benefits, the billing for my kidney stone last year peaked at over $60K.
A fair calculation of salary is some evaluation of (years of training required * intrinsic skill required * benefit to society). If you accept that, then doctors are surely near the top.