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Physician Salaries on the Decline

Written by Jeff W on December 8, 2007 – 2:54 pm
Posted in News, Opinion |


Related Posts: Doctor Salaries, A Problem Overseas Too

Sources: American Medical Association, American Medical Student Association, Center for Studying Health System Change, New York Times

Last year (2006) a story published in the New York Times reported something troubling. Physician salaries are on the decline.

the average physician’s net income declined 7 percent from 1995 to 2003, after adjusting for inflation, while incomes of lawyers and other professionals rose by 7 percent during the period.

Some people do not think that this decline is a problem at all. Even with the decline, physicians are still making a decent salary. They aren’t going hungry. Maybe they have to forego a brand new S-class, but doctors don’t live off of welfare. And with the ever-increasing costs of healthcare, physician salaries just don’t seem as important.

It is very important. This country is headed towards a severe physician shortage. New medical schools are opening up and existing schools are expanding their freshman class sizes in response. Producing more physicians each year is not enough. Physician salaries must increase as well.

The shortage we are expected to go through is in the primary care segment. As it is, the current state of healthcare encourages doctors to enter high-paying specialties. New graduates are not flocking to Pediatrics, Internal Medicine, and Family Practice. Take a survey of any freshman medical class in the country. Many will share their desire to go into radiology, surgery, orthopedics, plastics, or dermatology.

Why? Frankly, for most, it’s because that is where the money is. Those specialties are the quickest way to get out of the enormous debt incurred during medical training. According to the American Medical Student Association (AMSA), the median debt for students at a public medical school is over $119,000 while those that go to a private medical school will carry a median debt of nearly $150,000. On top of debt, physicians make approximately $48,000 during their years during residency — which lasts at least 3 years. It could take up to 8 years for a thoracic surgeon to complete his/her training.

The stereotype of a lawyer is someone whose focus is on the number of billable hours. On the other hand, the stereotype of a doctor is one of compassion for a patient. While stereotypes can be dangerous, it is possible that in some ways they may give us a glimmer of reality.

The kind of people that go into medicine are usually people who truly care about the health of their patients. It is not a career chosen solely based on financial reasons. Today’s medical students are aware of the huge costs of training and the low reimbursements from insurance, medicare, and medicaid.

But there are many people who would make excellent doctors. They have all the right qualities but choose to go into other fields. They are discouraged from pursuing a medical career by working doctors tired of rising costs of malpractice insurance, declining salaries, bureaucratic hassles, and long workweeks. A career in medicine just does not seem “worth” the time and effort (see AMA Response to declining physician salaries).

Declining physician salaries are a big problem. It’s a big problem for the medical community and a big problem for the patient. If they continue to fall more and more prospective medical students will decide not to go into medicine because it is not “worth” it. Medical school graduates will continue to avoid primary care for higher paying specialties. And doctors will continue to order diagnostic procedures that bring in more revenue.


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8 Comments to “Physician Salaries on the Decline”

  1. pathtalk.org – Grand Rounds - Vol 4., No. 16 Says:

    [...] Jeffrey MD looks at the decline in physician salaries. [...]

  2. troy Says:

    Your site was very helpful. I look forward to more future postings. Thank You

  3. Doctor Salaries A Problem Overseas Too | JeffreyMD.com Says:

    [...] Too Written by Jeff W on January 20, 2008 – 10:30 pmPosted in Opinion | In a previous post (Physician Salaries on the Decline) I wrote about declining physician salaries and how that is bad for [...]

  4. Reforming the U.S. Healthcare System | JeffreyMD.com Says:

    [...] Reforming the U.S. Healthcare System Written by Jeff W on November 30, 2007 – 3:24 pmPosted in Medical School, My Journey, News, Opinion | Related Posts: Physician Salaries on the Decline [...]

  5. *filtered* Says:

    Phsician Salaries on the decline ! This is certainly not a good news. Come on Government, do something.

  6. Digitaldoc, MD Says:

    The decline might occur further when a single payor model of some sort comes to the US, yet physicians would like a single payor as it means less hassles over billing, coding and avoid the the insurance / administration maze!

  7. Jeff W Says:

    Which is why I believe that should we (as a country) go to a single-payer, government funded system, the salaries must increase or else a medical career will not be “worth it” to many of this country’s best and brightest.

  8. Anonymous Says:

    “yet physicians would like a single payor”

    Was that a joke?

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