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	<title>Comments on: Why Should Anyone Bother Becoming A Doctor After Healthcare Reform?</title>
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		<title>By: Layton Lang</title>
		<link>http://www.youronlineinsurance.com/health-insurance/why-should-anyone-bother-becoming-a-doctor-after-healthcare-reform-243/comment-page-1/#comment-255</link>
		<dc:creator>Layton Lang</dc:creator>
		<pubDate>Mon, 04 Jan 2010 23:19:02 +0000</pubDate>
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		<description>Robert,

Your article is grossly misleading. Since the dawn of managed care penetration , the allowable amounts being paid to physicians have been going down. Physicians have been paid less for their work for the past 20 years, but their take home pay has actually risen. How is that? It&#039;s because medical practices are operated like any other industry; they learn to adapt by operating leaner and diversifying business lines. So, when you opine that physicians are being paid less and no one will want to go into the profesion is false. What is a fair wage to be a medical doctor? If you compare salaries to physicians in other countries, then the pay scale is very high. My point is, years from now, new residents coming into private practice will not know what &quot;the good old days&quot; were like.</description>
		<content:encoded><![CDATA[<p>Robert,</p>
<p>Your article is grossly misleading. Since the dawn of managed care penetration , the allowable amounts being paid to physicians have been going down. Physicians have been paid less for their work for the past 20 years, but their take home pay has actually risen. How is that? It&#8217;s because medical practices are operated like any other industry; they learn to adapt by operating leaner and diversifying business lines. So, when you opine that physicians are being paid less and no one will want to go into the profesion is false. What is a fair wage to be a medical doctor? If you compare salaries to physicians in other countries, then the pay scale is very high. My point is, years from now, new residents coming into private practice will not know what &#8220;the good old days&#8221; were like.</p>
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		<title>By: xu</title>
		<link>http://www.youronlineinsurance.com/health-insurance/why-should-anyone-bother-becoming-a-doctor-after-healthcare-reform-243/comment-page-1/#comment-254</link>
		<dc:creator>xu</dc:creator>
		<pubDate>Mon, 04 Jan 2010 12:52:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.youronlineinsurance.com/?p=1553#comment-254</guid>
		<description>The &#039;high cost&#039; of medical school is a mirage.  Most med student loans are public loans.

True most medical school graduates end up with 150k+ worth of student loans but, again, most of those loans are ***PUBLIC*** student loans not private loans.

And there are a lot of programs to help borrowers (med school or not) pay off public loans.  

Look up &#039;Income Based Repayment&#039;.  Its a program (for public student loan borrowers) that limits monthly payments to 15% of your monthly gross salary.  So somebody with $150K in student loans can still be okay making $60k/year (because again under ICR payments are limited to 15% of monthly gross).

And after 25 years of repayment, all the student debt is forgiven.

The limit for public loans for med students is $190k so for most med school graduates almost all their student debt is in the form of public student loans.

Also, for public student loans there&#039;s the &#039;public service&#039; program- if a borrower works in the public sector for 10 years their public student loans are forgiven.

There&#039;s some other programs to help people with public student loans.

Its not as bad as it initially seems as far as med school debt goes.</description>
		<content:encoded><![CDATA[<p>The &#8216;high cost&#8217; of medical school is a mirage.  Most med student loans are public loans.</p>
<p>True most medical school graduates end up with 150k+ worth of student loans but, again, most of those loans are ***PUBLIC*** student loans not private loans.</p>
<p>And there are a lot of programs to help borrowers (med school or not) pay off public loans.  </p>
<p>Look up &#8216;Income Based Repayment&#8217;.  Its a program (for public student loan borrowers) that limits monthly payments to 15% of your monthly gross salary.  So somebody with $150K in student loans can still be okay making $60k/year (because again under ICR payments are limited to 15% of monthly gross).</p>
<p>And after 25 years of repayment, all the student debt is forgiven.</p>
<p>The limit for public loans for med students is $190k so for most med school graduates almost all their student debt is in the form of public student loans.</p>
<p>Also, for public student loans there&#8217;s the &#8216;public service&#8217; program- if a borrower works in the public sector for 10 years their public student loans are forgiven.</p>
<p>There&#8217;s some other programs to help people with public student loans.</p>
<p>Its not as bad as it initially seems as far as med school debt goes.</p>
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