“Mr. President, I’m Leaving The Medical Field”: Hanging Up The White Coat: A Letter To President Obama

By: Michael Lotfi
995

Barack Hussein Obama


The White House

1600 Pennsylvania Avenue N.W.

Washington, DC 20500

Mr. President,

I was born at Centennial Medical Center in Nashville, Tennessee. My mother would later take a job delivering babies in that same operating room only a couple of years later. My parents got a divorce when I was young. There were many times during the summers when she would be forced to take my sister and me to work with her. I vividly remember the child version of myself walking the halls of the same floor I was born on in fascination as the years passed. The anesthesiologists used to bring us candy and watch movies with us.

I'm Hanging Up The White Coat Because Of Obamacare To Pursue My Doctorate In Economics And Head To Wall Street

I’m Hanging Up The White Coat Because Of Obamacare To Pursue My Doctorate In Economics And Head To Wall Street

When the holidays came, a nurse by the name of Patty Vaughn (we called her Granny), would have bags of presents for my sister and me. Donna Smith, a surgical first assistant who came to America from Canada to work in a free-market healthcare system, used to babysit us.

Donna’s two-story townhome became a 3rd home (2nd was the hospital). We spent countless nights at her house. Patty passed away when I was ten. I still remember the last box of moon pies she gave me for Halloween that year. To this day, every time I see a moon pie I think of her. Donna helped me through my undergrad at Belmont University. With tuition at $30k/year, money was tight. Donna never let me go without a meal.

You see, Mr. President, the smell of sterile operating rooms, horrible coffee, crisp white coats, and cold metal was my destiny. The first time someone ever asked me what I wanted to be when I grew up I responded, “Anesthesiologist.” I had no idea what they even did, but it was the first big word I learned to pronounce as a 6-year-old. The hospital is my family. It’s all I’ve ever known.

Twenty-one years after my birth, in the same hospital, I listened to a fetal heartbeat through my very own stethoscope as a student. You know, it’s quite magical. As the cool, metallic bell lies upon the tight skin of a young mother’s stomach, anxiety, fear and joy are all present in her face. A week before my birthday, I stood at the side of the laboring mother. There’s no other way to explain childbirth than witnessing the face of God. The emotion is enveloping. You can only try (unsuccessfully) to hold the tears back. I knew at that moment what a gift God had given me. To be allowed the involvement in such a beautiful, pure moment was not to be unappreciated.

When I started college, I knew where I was going. You had just won the election. I remember the cameras focusing in on Oprah Winfrey’s face. Tears streamed down. At the time, I knew nothing about politics. My biggest concern was a girl in my Anatomy & Physiology class I had a crush on. I paid little attention to Washington, DC.

I worked hard. Multiple all-nighters, falling asleep behind the wheel of my car countless times, thousands of shots of espresso (I actually took a job at Starbucks to support the habit) and 15k note-cards later I had graduated in the top 5% of the country. However, during those last few years, something changed.

We studied medical legislation for an entire semester. It’s no secret that the federal government has overburdened the healthcare market, which has manifested astronomical costs to consumers. However, in 2010, Democrats forced through the partisan Patient Protection & Affordable Care Act (Obamacare), which was later funded by both Democrats and Republicans.

Since the passage of Obamacare, everything has changed. When I started college I never intended to work for the government. I never thought I’d have a government bureaucrat dictate what I was worth to the market, and I certainly never imagined those same bureaucrats (who have absolutely no medical training) telling me how to treat my patients.

I remember the day Obamacare became law. I was sitting in the hospital working in the anesthesia department part-time to cover the costs of tuition. Dr. Alfery, a mentor of mine, looked over at me and said, “Run – it’s not too late to change majors.”

Your legislation has caused countless doctors to go into retirement early, opt for cash-only practices, and has discouraged bright, young minds from entering the field.

With student loans reaching $300k, incalculable opportunity costs and 8 years lost to school, students seeking medical degrees give their lives to the practice. Starting our careers at 30 while dictating to us how much money we can make is nothing short of destroying all incentive to enter the field.

Since that day, I’ve yet to find a doctor who recommends the field. People respond to my complaints, “It’s still going to be a good job.” I don’t want a “good job.” I have not fought for a government entitlement of a “good job.” I want an incredible career. That’s what I have fought tirelessly for.

I have been on a path to enter the Air Force and continue my education in medicine. I have been dreaming of specializing in pediatric neurosurgery for half of a decade.

After quite literally losing my hair from the internal conflict, considering the sunk costs and evaluating different avenues, I have decided.

I have decided that I believe in the principles of a truly free-market, and I trust the free-market. Because of this deep, internal value system I cannot, with clear conscience, continue on this path. My life has value. Such value cannot be calculated by Washington bureaucrats. I won’t allow it. Only a true free-market can accurately assess the value I am capable of.

Mr. President, I’m leaving the medical field. I’m hanging up the white coat. However, let me be clear. You have not won. Unless something “changes,” you’ve lost and will continue to lose. You will fail because you lack principle. Meanwhile, we will succeed because we are born of principle.

Regards,

Michael Gordon Lotfi

 

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Michael Lotfi

CEO, Political Director at BrandFire Consulting LLC
Michael Lotfi is a Persian-American political analyst and adviser living in Nashville, Tennessee. Lotfi is the founder and CEO of BrandFire Consulting LLC. The firm specializes in public and private technology centered brand development, lead generation, data aggregation, online fundraising, social media, advertising, content generation, public relations, constituency management systems, print and more. Lotfi is also the executive state director for the Tennessee Tenth Amendment Center, a think-tank focused on restraining federal overreach. Lotfi graduated with top honors from Belmont University, a private Christian university located in Nashville, Tennessee.

  • Doug Richerson

    Bravo!

  • William Svoboda

    He could be the first, but I would wager he won’t be the last. A Great letter.

  • Hermitt

    God bless you, Michael Gordon Lotfi.

  • missmissy68

    I love this!! I hope, but doubt, Obama will read it. I do think his bio is odd. He was born in America, why bother saying he’s a Persian-American? I don’t say that I’m an Italian-Polish-American. I say that I’m an American. I was born here. Whenever anyone asks my nationality, I say American. More people need to do that.

  • Froi Vincenton

    This is the kind of letter– or of principled Manifesto– the liberals and leftists hate.

  • Brent

    Brilliant Michael!

  • http://www.itsmyblog.com Son of Thunder

    So, he wanted to go into a cartelized field (thanks to government barriers to competition) which is also subsidized by the government (Medicare, Medicaid, pre-Obamacare insurance regulations) but now that Obamacare has passed, he is suddenly a man of principle?

    Forgive me, but I just don’t see it. Doctors are not the innocent victims that so many people may think. I believe in the free market and am 100% opposed to Obamacare, but I also don’t like hypocrisy.

    • UncommonStats™

      If he was white you’d be okay with it.. you’d be upset if you won the lottery tomorrow. You clearly hate your life.

      • http://www.itsmyblog.com Son of Thunder

        I think you just set a record for crazy

      • JThomas2121

        Wow. People who spout racism claims when there is none are obviously racist. You should seek help, uncommon. I bet you hate Ted Cruz, too, you racist.

        • Guest

          You didn’t address my other concerns.. let me recap. If you won the lottery you’d find a reason to be upset. Translation: I am calling you a forum troll. Next up.. You clearly hate your life. Translation: You’re passive aggressive. Stop trolling and grow some substance.

        • UncommonStats™

          People who eat meat are animal killers.. human rights groups need to go after these burger/hotdog eating mofos. Your logic resembles that of a grade school student. I’ve already said too much. Don’t want to overwhelm you with new concepts.

    • JThomas2121

      How are they the victims? When you have skyrocketing malpractice insurance costs because every bottom feeding lawyer convinces people that medicine is supposed to be perfect, and you remove free market competition for insurance companies, of course costs are going to skyrocket. You should really try to understand just how little doctors are compensated by Medicare and Medicaid. Now the fed is planning on cutting those reimbursement rates even more!

      • http://www.itsmyblog.com Son of Thunder

        The amounts aren’t the point. Those subsidy programs set a bottom and most people have supplemental insurance that cover the differences. Medicare and Medicaid also set the stage, along with wage controls leading to employer provided healthcare, for the third party payment system that we have now which is the main driver for rising costs (if you don’t pay for it, you don’t care how much it costs.)

        I agree about malpractice amounts. It’s ridiculous. But that’s a government created problem as well.

        End the AMA (doctor licensing), DHHS, FDA, and any other barrier to competition for the medical field, then we’ll see a free market, and then I’ll join in your cries of doctor victimhood. I think it is short-sighted and just wrong to pretend that somehow everything in medicine was a “free market” before Obamacare.

  • B Chris Scott

    An eloquent way to dispel the myth that doctors go into the field to help people..or at least doctor’s like you.

    Apologies that the profits of your “Family Business” may suffer in order to provide a fairer system of healthcare for your “fellow countrymen” (Americans).

    You’re a smart fellow, you’ll succeed in whatever you put your mind too.

    Hang up your coat, and clear the way for a person who would like to go into the field, with “healing” as their primary motivation.

    That person will be a true asset to the country.

    Good fortune to you.

    • JThomas2121

      Sadly, it’s that horrible ‘money hungry’ mentality that has paved the way to all sorts of advancement in medicine that are truly unique to the US for the past 50 years. Say goodbye to all of it.

      You can have your morally tepid doctors and nurses who won’t make much more than a teacher (like the old Soviet Union). You can wait over 9 months for an emergency surgical procedure (ala the UK healthcare system right now, which is collapsing and upon which the Democrats have molded the future of ours). You can tell the sick child or elderly individual that waiting for a cure is fair.

      At least you’ll have that moral compass to help you sleep at night. Why is it the people who cry that something is unfair are the SAME people who do nothing directly to change it, other than blame everyone else and tell government to take from others to solve the problem. Just don’t take it from them.

    • NewIntellectual

      The man who doesn’t care about his own life will be the kind of butcher you’ll get and deserve, B Chris Scott. Think about that the next time some drone of socialized medicine kills somebody you care about in the operating room by misapplication of anesthesia, and when you find that there isn’t a damned thing you can do about it because they’re immune government servants.

      And I repeat: you’ll have gotten what you deserved.

      • B Chris Scott

        Ahhhhhh, that’s what we have to look forward to? Drones killing people due to misapplication of procedures…

        Then they’ll probably rig the laws where they can’t be sued for malpractice, so that justice can’t be served.

        At the same time, they may even partner with pharmaceutical companies, in order to force dangerous yet fda approved drugs to a trusting and unsuspecting populace….

        Then, they may even trump up operational costs to take advantage of the system, charging hundreds of dollars for inexpensive treatments, and OTC drugs, trying to milk as much profit out of each patient in order to satisfy their inadequate salaries and a deeper sense of entitlement….

        This is our future?????

        Wake up.

        • NewIntellectual

          Yes, and it’s exactly what socialists such as yourself will deserve (but not the rest of us.)

          Like this, rich with irony:

          “Former NHS director dies after operation is cancelled four times at her own hospital”

          http://www.foxnews.com/on-air/the-five/article/2013/10/16/gutfeld-mono-former-nhs-director-dies-after-operation-cancelled-four-times-her

          • B Chris Scott

            OMG, here we go with the name calling. If this is the level of the new intellectuals… we’re all in trouble.

          • NewIntellectual

            “Name calling” implies some emotional epithet. By contrast, a socialist is a well defined phrase, indicating someone – such as yourself – who believes that government and society are all, which may blithely sacrifice individuals in their name. While socialism, and socialists, are in fact anti-life and generally have made the world a living hell by their thoughts put into action, it is not “name calling” to identify them.

          • Nanowired

            You have severally missed the point – all of the things he described have happened without a socialized system. So, to shorten it – All the problems you blame on socialism happened when there was no socialism, yet do not happen in countries where socialism exists. In fact, often you can go to those countries and get BETTER, CHEAPER healthcare as a foreigner.

          • NewIntellectual

            Government interference in medicine, via regulation, licensing requirements, steady takeover of medical insurance, control of trillions of dollars of spending (Medicare, etc.), has been defacto socialization of medicine for decades in America at this point. So your claim is simply false. ACA is simply adding a lot more chains to a main who’s already attached to 50 pounds of them.

            Which countries would those be, England, Canada, Sweden? Maybe you missed the article I posted a few replies ago, about the former head of Britain’s NHS dying after her surgery was cancelled 4 times in a row. There’s care for you. Or maybe you should talk with the many, many people from Canada who’ve had to cross the border or simply die waiting for diagnostics, much less treatment. i.e. look at the ugly reality rather than swallowing government propaganda wholesale.

          • Andrew Ryan

            “Maybe you missed the article I posted a few replies ago, about the former head of Britain’s NHS dying after her surgery was cancelled 4 times in a row.”

            Forget anecdote and look at the stats. England, Canada, Swede – please compare longevity rates, birth mortality etc in those countries to the US. Compare how much those countries pay for their healthcare out of taxes to the US. The UK at least pays less in taxes to the NHS than Americans pay in taxes for healthcare. And the latter still leaves Americans having to pay extra for insurance!

          • g.johnon

            “when there was no socialism”??!!
            you are talking about sometime before fdr right?

        • NewIntellectual

          And incidentally, it’s the injection of government into medicine for decades *already* that’s led to the morass of problems that already exist.

          • Atticus Dogsbody

            I guess that means that Americans are incompetent. I live in a country with universal health care and it works very well. And guess what – my country hasn’t gone to hell in a handbasket because of Socialism (Eeeek!) and doctors are still some of the highest paid professionals in the country.

    • Brandon Beumer

      you. are. delusional. If you truly stand behind that mindset then why dont you just work for free then? go ahead help out your fellow countrymen. Youre completely ignoring the fact that to get to where he is took countless hours studying and innumerable funds. How do you propose he pays those loans off with the lower wage he will now recieve. Who is going to spend that much time and money to get so little in return except for that warm and fuzzy feeling.

      Furthermore, this is not a fairer system whatsoever. In what way is you taking my hard earned money out of my pocket so that healthcare can be provided to the majority of americans who live unhealthy lifestyles can be carefored and thus reinforcing that negative behavior. Not to mention everyones premiums skyrocketing as is the case anytime that government inhibits a free market.

      So here we have fewer doctors, more patients, and a newfound disdain for their job, rising costs, lower pay. PLEASE inform me how the author is not completely right and obamacare is actually a good thing because I simply can not fathom it

      • B Chris Scott

        I’m not a proponent of Obamacare. I never said that and won’t.
        I’m a proponent for healthcare reform.

        I’m a business owner, and am getting screwed by Obamacare more then the majority that are screaming the loudest.

        The Healthcare system was broken, and if something is broken, you try to fix it.

        In an democracy, you assemble your brightest minds together to work on a solution.

        They debate and in the end deliver solutions to the public who by majority, despite race, economics, etc., give their judgement on the issue.

        If it’s settled you implement it and see the consequences.

        If it needs change…. you start the process again. But you give it a fair shot.

        But then that’s just me…. I often get accused of being too fair.

        But that’s my understanding of how it works.

        What’s yours?

        • Stacey

          The people/market is the only thing that can “fix” what is broken in the market. Government interference in the markets is the problem. They have no business in it at all. They are to protect, uphold and abide by the laws they took an oath to. They do not belong in the healthcare, housing, education, car or any other business. Each tome they have interfered, the cost of the product or service has ALWAYS gone up and quality has ALWAYS gone down. Look at the money for the department of education for a good example. One trillion in debt, no way to pay, and quality education has declined. Look at the amount of money spent so far on the “affordable” TAX…and they haven’t even gotten started yet. A giant, inefficient, self-feeding bureaucracy has been created which only adds to the cost along with what they have already wasted on the technical part.
          The problem is government collusion with big corporation is so deeply embedded in the economic system, they cannot stop even if they wanted to without it collapsing. The system is thoroughly corrupt from the top on down to the state and local levels..
          We’re kinda screwed that way.

        • Brandon Beumer

          my understanding is that the free market works itself out and that for all these people telling me and others that we should help out our fellow person who cant afford health care that they should lead the charge and donate to a little something called charity which has been around forever. Healthcare nor relatively anything for that matter can not be improved by the government.We learn in very basic economics classes that anytime you introduce more regulation and road blocks along the way of business as usual, then the machine is less productive as a whole.

          We need to escape this mindset in america that we will ever reach a perfect system and face reality. The reality is that unfortunately people die and its awful but there will never be 1 system that saves everyone for no cost. Obamacare as an option simply does not work. Furthermore this is not a time when our country should reasonably even consider socialized healthcare. If Obama was to provide and abide by a balanced budget I would be way more open to considering more socialized benefits

    • cjkw67

      really?? thats what you got out of this letter?? Must be a Liberal!! Put your analogy on any other career path.. an Engineer? an Architect?? I bet its still not ok with you for them to go into those fields for strictly monetary reasons!!

    • cjkw67

      one more thing Mr. Liberal!! THE UNITED STATES OF AMERICA IS A REPUBLIC NOT A DEMOCRACY, THERES A HUUUUUUUUUUGE DIFFERENCE!!!

    • carolina mama

      See, that’s part of the problem. Those people with the desire for “healing” won’t get the opportunity to do so. They will have the scope of treatments and services they can and can not provide to patients dictated for them, and since they will be the ones carrying the business economic risks, there will be risk constraints, some of which are actually imposed on physicians via Obamacare, that will not allow them to genuinely and sincerely participate in the medical science and art of ‘healing”.

  • Luckylady

    I loved this! Perhaps, you could someday get into politics and seek and destroy the corruption.

  • Hella

    As someone who left his medical studies to study economics and the role of government in society: please don’t stop.

  • Kristin Gladstone Thomas

    My family doctor left Canada to escape the government plagued bureaucracy that was their medical system because he saw and knew the benefits of practicing in a free market medical system. It would allow him the freedom to practice the way he wanted and attend to his patients as he chose, NOT as a government entity or politician chose. He lost money by coming here, he had to practice as a GP rather than the Obstetrician he was in Canada. Yes he made more money up there, he was paid well by the government as he was a doctor in an affluent area of Canada. BUT he chose to come to America and practice the way he CHOSE to even though it meant a downgrade in position and money. WHY?? Because the freedom to care for your patients the way you KNOW they need it and want it was more important that his own welfare. Now I may lose a good doctor because once again the specter of government bureaucracy and red tape will prevent my doctor from being the health care provider he wants to be. That is what I get from this letter too. These people want to practice HEALTH CARE, not government care….

    • NewIntellectual

      Exactly, Kristin. While any doctor should be as well compensated as he can manage, what the miserable socialists (generally incompetent slobs who couldn’t dream of doing what it would take to become a capable physician) don’t realize is the critical necessity for any independent man to work according to the judgement of his *own* mind – not the second guessing of power lusting scum who want total power and control, and never without having to suffer the consequences of their violence directed at doctors and their patients.

      • Sandra

        If all “socialists” (people who believe in universal health care) are “incompetent slobs who couldn’t dream of doing what it would take to become a capable physician,” then why is it that academia is famously leftist? And why did so many medical associations endorse Obamacare?

    • g.johnon

      your doctor came here to escape the plague of bureaucracy and to work in a free market medical system???!!
      I recommend you find a new doctor. the one you have now is delusional.
      corporate capitalism is not the free market enterprise our founding fathers had envisioned. when the elephant speaks of free markets he speaks of unfettered corporate cronyism. and the donkey brays and clicks his heels and keeps us further distracted from this truth.

  • James

    The entire system is rigged to make healthcare more expensive. Why does anyone think healthcare sometimes costs 2, 3 or even sometimes 4x the ammount as compared to certain other developed countries. I don’t deny doctors should make a decent wage.. but their schooling shouldn’t be as expensive either. The health of a nation is not something that should be privatised or profited off of.

  • NewIntellectual

    Take a look at Singapore. They aren’t crawling with socialist parasites who believe that your life belongs to them. Let America get the hell it deserved by voting in such creatures.

  • hookumsnivy

    How does this relate to Truth in media? This is a letter written by a frequent contributor to the site. While these are his experiences, this piece is not NEWS and it provides no relevant information. This is the opinion of the writer.

    I like Ben’s concept of “Truth in media” but outside of a few pieces and videos by Ben, this site is garbage just like many of the media outlets. I doubt Ben is signing off on these articles because they clearly have a strong bias.

    • g.johnon

      I dunno hook, do you really believe that editorializing is not an intrinsic part of media?

      • hookumsnivy

        Editorials have their place. A “Truth in Media” project is not the place for it. Truth in media is all about looking at an issue or story and exposing the truth about what’s really going on. Using FACTS to educate the audience instead of convenient sound bites.
        The only facts I see brought up in this piece are about his history. The guy clearly is against the ACA (understandably) and only takes his chosen side of the issue. The only interesting part of this piece is when he says: “Since that day I’ve yet to find a doctor who recommends the field” Unfortunately, he neglects to mention how many doctors he’s talked to. For all we know, it could be zero. Would those same doctors have said the same thing prior to the ACA? We don’t know that either.

        His letter to the President will be thrown away and for good reason.

  • Hooty Hootowl

    As soon as you read his Bio at the bottom, it discredits his entire piece. Single payer is the answer. Greedy fucks can suck it.

    • Steven Butterbaugh

      Single payer is guaranteed to doom healthcare. There so much evidence of this that you are not expressing anything other than pure hatred of human beings by your statement.

      This writing is good because it gets to the essence of why people do what they do. The fact that he is a writer doesn’t change the fact that we are drawn into the story because it is quintessential human motivations that gives rise to great lives and great results.

    • Shamus McFisticuffs

      “Greed” is why we have supply and demand curves. It’s why repairmen in the Soviet Union would moonlight to satisfy demand that wasn’t being met with central planning. It’s why most people in the US don’t have to call in advance to get a turkey this Thanksgiving. It’s also why med school students decide to take on enormous amounts of debt.

      Go on, tell us how you transcend all “greed” by never taking tax write-offs, or always taking the lowest-paying job, or selling a house for a fraction of market value.

      • g.johnon

        I think you have greed confused with enterprise.

  • Rick Bauer

    The problem with the free market remains that $100 Advil and $75 rental of an extra pillow (plus the fee charged for the candy striper to bring it to you) that plagues are medical bills. Perhaps this is where Michael Lofti can channel his energies.

    • Steven Butterbaugh

      You are wrong about the role of the free market in these costs. In fact for these propped up costs, you have to have something else at work – government force to keep out the competition.

      • Albert

        Powerful private entities run the government’s program, not the other way around. That’s why there are several lobbyists for every politician in Washington, D.C. And the K Street “consulting” deals.

        • Shamus McFisticuffs

          In other words, “powerful private entities” are corrupting government, so we need more government… which “powerful private entities” will end up corrupting.

          If government were forbidden from interfering in the economy, would there be any lobbyists present?

        • JeromeD

          Have to agree with Shamus here – your argument seems to be one that indicates why government intervention is the problem.

          [Private companies can go to government and get it to "change" the rules]

          • g.johnon

            that hardly ever happens. usually it’s “public” companies that drive the bus.

    • sneaky69

      yeh, if only Candy Striper’s were Candy Strippers the hospital fees might be worth it.

      • g.johnon

        nah! I aint payin 20 bucks for an aspirin so you can get a lap dance.

    • g.johnon

      no, that is the problem with unfettered corporate capitalism. the problem with free market remains that free market does not exist.

    • Rick Bauer

      All the down votes. Looks like either people don’t mind paying $100 for an Advil or work in a hospital.

  • https://www.facebook.com/pages/Liberty-Above-All/152353438273739 LibertyAboveAll

    HUZZAH! Good luck in all you do, Michael!

  • True Provider

    You’ve been a political pundit and blogger for quite some time, so when did you give up your white coat again? And why are you writing this so far after the fact? Why have most Medical Physician groups come out in favor of the ACA? Please don’t say you were dedicated to being a doctor, I know plenty of Mayo physicians that are perfectly happy getting a set salary, far less than private practice. If you really cared about helping those people, you’d realize that walking away from medicine over standards and centralized marketplace for the private (FREE MARKET!) insurance companies. You’re behaving like an ideologue who can’t come to grips with the Constitution and the outcome of free elections. Your lies about “Obamacare” are going to haunt you for years to come, your limited views is going to put you on the wrong side of history. I do hope the fame, glad handing, and back slapping is all worth it… Anyone that knows anything about the ACA knows you’re full of it, I don’t understand how a man that claims to care about the health of other human beings, would work this hard to purposely mislead and lie to them. You’re not a hero or patriot, you’re scaring people as a means to end. I’m sincerely glad you’re not going to practice medicine. I’ve seen far too many money hungry doctors in my 20+ years in healthcare. It’s time to weed those greed out of medicine, THANK YOU!

    • JeromeD

      “Your lies” (which?)…”Wrong side of history”…”don’t say you were dedicated”…”you’re full of it”…”purposely mislead and lie”…”not a hero or patriot”…”money hungry”…

      …It’s almost as if your entire paragraph was a giant personal attack without any sort of evidence other than anecdotal (example: ‘I know doctors willing to take X salary, therefore, YOU are greedy / undedicated’)

      But we know it couldn’t possibly be that, right?

      • True Provider

        Let’s start with the first lie, that he hung up his white coat recently. That doesn’t seem to be the case if you track the writer’s resume or blogs over the past three years. So how did Obama care take away his rights to practice? It hasn’t even started yet, nor was this writer in medical school. So how isn’t this a scare tactic?

        Second, the AMA, Harvard Medical School, and The National Journal of Medicine all support the ACA. Are those groups all hell bent on destroying the American Health care system? I don’t need to present facts here, Google is your friend. But yes, let’s just assume that one plausible anecdote is factual, that’s really helpful.

        Third, take a look at the Mayo system and tell me where this writers fears are substantiated. There’s a working model of healthcare that is dedicated to superior patient service, keeping costs down, and allows physicians to be doctors, not billing machines. But again, let’s believe someone that hasn’t worked as physician, but wants to blame the ACA and undermine it for his own political and bloggersphere motivations.

        Fourth, you missed the point. If the ACA is truly deterred him from practicing medicine, as a ruse of the free market principles…that’s silly. This is still a for profit system and there’s not government insurance…another point that won’t make any sense to those that want to make up propaganda to take away Americans rights to affordable health care insurance. Governors are doing this to their citizens right now. But you can say what you like Jerome, my state won’t suffer when people migrate here for healthcare because their backwards red state would rather see them die without coverage than get of their political witch hunt to kill the ACA.

        You’re so right…there’s only personal attacks here. Sheesh…

        • vongoh

          AMA, Harvard Med and National Journal of Medicine are all bloated with Big Pharma/Big Food/Big Finance money and corruption.

          The appeal to authority lacks credibility. You might as well point to the FDA and tell us what great champions of food and drug safety they are while you’re at it.

          • True Provider

            You’re right, it’s so much easier to simply dismiss argument because you’ve decided that these groups aren’t legitimate. You haven’t read the studies or research involved, but you know best! How’s that again? So forgive me, but that’s really not lending your comments to any credibility, you’re simply latched to assumptions, without considering the evidence.

          • False Provider

            To be honest, you cannot count on HMS/AMA or NIH as unbiased or objectively true organizations.

            In 1996, Institute of Medicine testified to Congress that reducing US residency positions would force efficiency into the system, to reduce costs. Obviously that has not worked and further exacerbated the problems regarding the availability and composition of physicians.

            Then in the 1970s, AAMC recommended to Congress that the number of USMGs remain static for 30 years, to avoid a predicted physician oversupply by the year 2000. This, like above, has exacerbated the problems of reality.

            You can make your appeals to organized, in-industry groups, but looking at the past track record of government’s performance when relying on this sort of evidence does not inspire confidence.

          • Sandra

            If these institutions are so biased and subjective, you should have a really easy time disproving their arguments instead of bitching about what they did a few decades ago. May I suggest that you look up “Ad Hominem attack” – perhaps in the context of logical fallacies?

  • Albert

    Bye! LOL. I think you’re doing what would have been your potential patients a favor by leaving.

  • hookumsnivy

    I wouldn’t have recommended the medical field to anyone even before the “ACA”. There was a big problem long before that. Anyone willing to do a cost benefit analysis would realize that you better absolutely LOVE medicine and think about medicine all day and night to go into the field.
    Ignoring the ACA:
    4 years of undergraduate studies
    4 years of medical school – even the public medical schools are very expensive
    When applying for residency, you only get to rank your choices and have no final say in where you end up.
    Minimum 3 years of residency (usually more and for surgeons it can be a lot more) where you work crazy hours without the benefit of a real doctor salary.
    Then you have fellowships if you want to specialize – see negatives of residency
    Board exams that often force you to fly to testing centers somewhere else in the country with costs that are astronomical.
    If you’re very lucky, you become a full fledged doctor at age 30. But guess what, you’re working 60+ hours a week, have no time for family, and a lot of your salary will go towards paying off your incredible amount of debt.

    You either have to absolutely love the idea of being a doctor, or just be flat out crazy. This was all before the ACA – which I assume will make it even worse.

  • sneaky69

    Meh. Open your own clinic and establish an off the grid med center that caters to pay as you go. Don’t just quit. There will still be millions out there that won’t get insurance.

    • max.

      unfortunately for him, he’s an Anesthesiologist, and people don’t pay cash for that type of thing… 100′s of thousands of dollars….

      • Sandra

        He is not an Anesthesiologist! He started college around the time Obama was elected, which means that he cannot possibly have more than a few semesters of medical school under his belt. In his biography, he says where he went to college but doesn’t mention any medical school. So it appears that he never went to medical school at all.

  • http://www.FailGov.org/ FailGov.org

    Just to play devil’s advocate, the American system before Obamacare was NOT a free market system. The young doctor in this article was excited to take on a career where his high salary was supported by a system that charges $20 for an Advil and $2000 for a 10 minute ride in an ambulance.

    • http://www.itsmyblog.com Son of Thunder

      Exactly. Partisan politics leads us to “take the side” of the Doctors as if the system pre-2014 was a perfectly free market system. The reality is that for the last 50 years Doctors have enjoyed a cartelized industry with barriers to entry and barriers to competition that allowed them to earn more money than would have otherwise been possible. So yeah, they have a lot of issues (malpractice, lower medicare reimbursements, etc) but they also have a lot of protections.

      For example, I personally have a Master’s level education in my field and I have a decent job with good pay. However, my job can be done (and is) by people with just a technical degree, should the employer decide that the person is capable. Therefore, the salary that I can demand is lower than it would be if my job was protected by minimum education and licensing requirements.

    • Michele

      I’m an RN who works in the ER. That 10 minute ambulance ride you mentioned would cost less that 1/4 of the $2000 figure you stated.

    • Adam_Rodriguez

      I can agree with this. The government got involved and destroyed the free market of health care for many decades before Obamacare. Obama care is using cancer cells to treat an infection that was created by the government in the first place.

    • Gaius_Vindex

      The $20 Advil was $$ that did not go to doctors, but to hospitals. It was one mechanism whereby hospitals were able to pay for caring for the uninsured/indigent. Perhaps charging everybody astronomical rates for insurance is better??

    • Jim

      I was a paramedic. You could get an ambulance ride for $400. If you needed intensive care provided to you the cost obviously went up from there.

      • http://marconidarwin.myopenid.com/ Marconi

        As if $400 is somehow more reasonable for a 20 minute ride.

  • Jay Jayerson

    Ok. Well when you are ready to actually name things that are wrong with the program instead of engaging in the age old conservative behaviour of ignoring the facts and trying to activate anger points (ty Karl Rove) in voters. Til then all I see is a lowly ball of slime who became a doctor for all the wrong reasons.

    • JeromeD

      Thank goodness you’re here to show folks the error of their immature ways of argument. No more “behavior of ignoring the facts and trying to activate anger points” now that you’re here – no, we get the tried-and-true “all I see is a lowly ball of slime” and bonus aspersions on motivations.

      Nice.

    • RogueR

      He specifically stated that bureaucrats dictating how to treat his patients are the reason. Since they have no medical training. It couldn’t be clearer.

    • Michele

      I’m always amazed when someone thinks they have the right to decide for another person what the right or wrong reasons are for him or her to become a doctor, nurse, or some other professional in healthcare.

  • Chad

    does anyone know when the date this letter was written?

  • Nanowired

    Words from someone who knows nothing about the medical profession nor obamacare. Way to misrepresent doctors everywhere.

  • iCouponAlerts.com

    ruh roh… someone will be getting an IRS visit soon…

  • Polecat

    Claims to be doctor, but is identified as a political commentator. Either way a whiner and a poor writer.

    • Matthew W.

      He’s clearly commenting on the politics which are entwined in his career. A person such as yourself may label him as a whiner, but others would call him a leader.

      • ChiariCarleen

        Sorry, but the man’s bio at the end of the article states that he is “a Persian, American political commentator and adviser living in
        Nashville, Tennessee where he works as the associate director for the
        Tenth Amendment Center.” He is NOT a physician!

        • Charles E Hoy

          Didn’t anyone READ the article?? He said Specifically, that he gave up being an Anesthesioligist.

          • Joey Burg

            He also JUST replied above and said..
            “Is it not possible to do more than one thing at once? Thanks for reading.”

          • Sandra

            How can you give up being an Anesthesiologist if you never went to medical school? He was never even on track to become an Anesthesiologist! That’s just something he said he wanted to do while working on his bachelor’s.

        • Discorset

          Lofti doesn’t claim to be a physician, sorry you didn’t fully read and comprehend the letter. It is interesting to note how many attacks there usually are on Lofti articles, parsing his writing style, grammar, ethnicity, etc. I tend to stop reading journalists I don’t like…

    • Sandra

      It seems that he never enrolled in any medical school. He sure as hell didn’t finish.

  • Adam_Rodriguez

    Don’t blame me I voted Ron Paul. TWICE. I never voted for Romneycare or Obama.

    • Vital Information

      You’re a big reason why Obama won both times.

      • Discorset

        Oh yeah, because Romney would have been an amazing President, for sure. Just like the Bushes but with better hair!

        • Vital Information

          No, he wouldn’t have.

          But he wouldn’t have been a Marxist acolyte intent on the “fundamental transformation” of America, either.

          And regardless of anyone’s pipe dreams, he stood a far better chance of winning than anyone else who was challenging Obama.

      • Adam_Rodriguez

        Is that what Romneycare… I mean Romney told you? Maybe you fools should have not been so vile and repulsive to the members of the Liberty movement. Maybe we might have just held our noses.

  • ChiariCarleen

    The man credited with writing this piece is NOT a physician! While I don’t expect truth from politicians of any party or persuasion, I do expect much better grammar from a man who claims to have graduated in the top 5% of his university class. Surely he should know that “my sister and I” in the sentences wherein he used the phrase ought to be “my sister and ME,” or that “use” should be “USED.”

    • azboltfan70

      Are stating FACT or nothing more than your opinion?! And if it is indeed fact, what is your source?

      • ChiariCarleen

        All you need to do is read the man’s bio at the end of the piece to see that he is “a Persian, American political commentator and adviser living in
        Nashville, Tennessee where he works as the associate director for the
        Tenth Amendment Center.” How’s that for citing my source?

        • Michael Lotfi

          Is it not possible to do more than one thing at once? Thanks for reading.

          • Joey Burg

            Michael, keep standing up for your beliefs and our rights, I applaud you sir, and am proud to have you on the team, steadfast, defending liberty.

            Bravo.

          • Sandra

            Indeed, there exists no nobler way to defend liberty than to never enroll in medical school, and then blame a politician for the fact that you left the field that you never even entered.

          • penguin_boy

            OK, what medical school and what were your years of enrollment? I think you’re full of it. Medical School is a full-time plus occupation. Belmont doesn’t have a pre-Med program, it only offers nursing and pharmacy in the health care field.

            Your timeline is also way off. If you started college “just after Obama” was elected, that would put your start date in spring of 2009. You expect us to believe that you complete a full premed course load and got into medical school before the ACA became law? Or that a first year med student would have actual patient contact? All the while working as an assistant director of a political organization?

            I think you, like so many conservatives, are lying. Prove me wrong: Name of the medical school you attended, Dates you attended. Name of the hospital that let you assist in a childbirth without any training.

    • Sandra

      He says he graduated in the top 5% of his country, not his class. Of course, graduating in the top 5% of your COUNTRY sounds like bullshit, but then again, so does the rest of this piece.

  • Matthew W.

    Astonishing how someone with such strong principles will go as far as abandoning their dear and near career to hold on to them. Stick to your guns, you may not be the one who solely encourages change, but you are one of many who will cement our beliefs.

  • nita

    sorry you left your job. but i do understand. Obama has runied our country and told one lie after other. it`s time we start with bring home all are military. Obama has turned his back on all of us even our military. I think what you did was great to prove how you feel and maybe more will follow you

  • BT

    Unfortunately the bureaucrats are rampant in hospitals across the U.S. today, and just like the schools they call themselves “administrators”. Most administrators make a salary of over 100K a year and there is one to three in every department in a hospital sucking the life blood out of the industry and destroying any hope of affordable health care, as of now it is all for profit. Here is a great example of how medicine can be ran without the high costs of the used car salesmen who run each department.

    http://www.youtube.com/watch?v=0uPdkhMVdMQ&feature=youtu.be

    I assume that soon there will be medical cooperatives where all who sign up pay a percentage of the Obummercare fine for the doctors, as well as a flat rate for medical care, but to date I have not heard of any group of doctors planning this.

    • Sinister Stranger

      The bureaucrats were there a LONG time ago dealing with insurance companies and their insane reams of paperwork. It’s not like they’re a new thing; a friend of mine just retired after a 30 year career as a hospital administrator.

      And as for the article… yeah… I don’t know anyone actually IN the medical field who actually recommended it 15 years ago when I was an EMT. I got into IT primarily because every one of my interactions with doctors was soundly negative about the paperwork, the stupid hours and the feeling that they worked for insurance companies and not for the betterment of other people. The only thing I can see that has changed is that the “body at the top” has shifted… everything else remains the same.

      OP, you’ve become disheartened with your career choice. Welcome to being a grown up.

  • Joe schmoo

    Adios MFer. What you say has zero validity in fact. The world is changing, mostly for the better. The field will not miss a right wing a-hole.

    • guitta Dabe

      Yes, only his future patients will miss him and the thousands like him. Something tells me you’re going to need many doctor visits as you age. I hope your words today give you cold comfort as you are stuck for days and days waiting for a doctor appointment to ease your pain or to have a life extending operation. Then as you rage against the “system”, look at yourself in the mirror, and realize that you’re the a-hole who helped destroy the old system and ushered the horrible new one.

    • DurkaDurka

      May the Death Panels be always in your Favor, Useful Idiot.

    • american

      Really , I feel you need to open your EYES , AND SEE THE TRUTH…I guess your another one that wants something for nothing.. Yes the world has changed , FOR the worse. Guess you and your president can take your OBAMA care ,ball it up into a small ball ,NO big ball ,and stick it up your asses so it comes out your throat, and make sure you don’t choke because there will not be a qualified DR to tend to you …

    • Justin Hilbert

      Insert a period after your statement. Start your next sentence with “In fact” then, place a comma after it and continue.

    • Travis76

      Making multiple posts from different accounts isn’t going to convince anyone that majority approves of this socialist trap.

  • DurkaDurka

    I have 7 MD’s in my family. They are all retiring or going “concierge” aka cash on the barrel head. Although, I’m not sure concierge will even be possible under this Socialist Utopian Dictatorship. Obama makes new laws at will.

    I saw the writing on the wall a decade ago and went into IT. Where Liberty is, there is my profession.

  • Former Republican

    Sounds like you are in it for the money. Wall Street here you come. If you are just in it for the money, you belong somewhere else..

    • Stephen

      But you’re in it for our money.

      • Guest

        It also sounds like he’s pissed that our government feels that they can dictate how someone should live or treat a human being when they are ill. Our government can’t even manage our country, how in the hell will they manage our health care…? Who’s thinking about the money? Sounds like all you took from that was money…

    • Travis76

      You know it’s asses like you who get paid to post from multiple accounts that make leftards look dumber then you are.

  • IowaTA

    What lab coat are you hanging up? Sounds like you never made it to med school. Probably because no admissions committee in their right mind would let you in with your motives…

    • Travis76

      What motives? Sounds like his motives were helping sick children

      • Sandra

        Can you please explain to me how it is that Obama’s policies have made it harder for doctors to help sick children?

        • Travis76

          How can children be helped when their dr.’s can’t afford to stay on the job to help them? & what about when the gov’t starts deciding which children are worth helping?

          • Sandra

            Doctors can’t afford to stay on the job? Really? No wonder there are no doctors in any other Western nation, since those countries all have government-mandated and -subsidized health care. Oh, wait….

            The government does not decide which children are worth helping. There is no law against anyone spending their own money to help any child; the government doesn’t prevent anyone from helping children.

            What the government is doing is facilitating access to health care for sick children whose families cannot afford the high cost of treatment. The government has already been doing this for years, it’s just that Obamacare expanded the program.

          • Travis76

            Yeah, REALLY dumbass. Under Obamacare it’s getting harder & harder to support themselves with student loans & trying to pay to take care of themselves & they’re families, idiot. & under obamacare gov’t panels WILL be deciding which kinds of treatment are “cost effective” & there who will get treatment. “There is no law against anyone spending their own money to help any child”? Are you suggesting the dr.’s pay for it out of their own pocket? Yeah that won’t drive them out of business. What the gov’t is doing is trying to make us all dependent on them. Obamacare is already tripling healthcare cost & forcing people to switch insurance. Just ask my cousin. & they won’t be able to take care of everybody which will lead to killing people off. Try looking up the holocaust moron. Sorry but I don’t fall for indoctrination so go bug someone else, BTW, I know you’re a paid leftist commenter so give up the pretense loser.

          • Sandra

            - A person with such a pathetic grasp of grammar and spelling should not be calling anyone else a dumbass, idiot, or loser.
            - Obama and his allies have worked to make student loan rates lower – thus making it easier for doctors (and others) to pay off their loans.
            - Insurance companies have been deciding which treatments are “cost effective” for years. Government panels will only affect government insurance. If you keep your private insurance, or pay out-of-pocket for treatment that is not covered, then the government panels will not dictate the level of your health care – just like before Obamacare.
            - No, I am not suggesting that doctors pay for their patients’ treatments. I am saying that if any private individual or other entity – a family member or a charity – wants to pay for a treatment, they can. So the government will not prevent anyone from getting treatment.
            - Um, no, I will not be in touch with your cousin. Care to provide any links to substantiate your claims?
            - I looked up the Holocaust, and guess what? It neither started nor ended with a universal health insurance mandate. Now it’s your turn to look up the Holocaust – and Godwin’s Law, while you’re at it.
            - I am not a paid leftist commentator. You have an amazing ability to “know” things that aren’t true.

          • Linda Verba Bassett

            Ah…now she’s the Nazi spelling Queen as if she’s never mis-spelled a word in her life.

          • Travis76

            Lies lies lies lies lies lies lies lies lies & more lies.

      • IowaTA

        Where did you read “helping sick children”? I read: money, money, money, I was born in a hospital, my mom worked in a hospital, I spent time in a hospital, so I want to be a doctor.

        • Travis76

          Please explain to me how someone being paid to comment gets off accusing others of only caring about money? All he’s saying is he can’t afford it. I guess in the paid commenters world dr.’s don’t need to be able to pay for food clothing & shelter huh?

  • Justin Hilbert

    “He used to bring us candy.” Not, “he use to bring us candy.” – Grammar Nazi

  • Willa Spatz Cartwright

    Sounds like YABS – (Yet Another Bullshit Story).

  • Rich

    He took a WHOLE semseter in med econ! So he must really know his stuff. smh. Good riddance, I say. I do not want a doctor that prefers my health be subject to the free market. We can still have healthcare for profit, but like education, fire, police, infrastructure, etc… we need to make healthcare a standard for all people, regardless of income.

    • FthatS

      education, police, infrastructure are all for gov’t, not the people. maybe when the people were the gov’t…. Enjoy your professional panhandling political thief opinion over a doctor’s opinion.

      • penguin_boy

        So, you don’t use the roads, money, civic water and sewage systems, if your house is burning you don’t call the evil fire department.. and obviously if you child is hit by a car you’d never call 911 to send a subsidized ambulance to take him to a county-run ER.

        Right?

  • casualty

    It’s funny how people who have not worked their butt off for 10 to 12 years living on the bare minimum have so much to say. They go to school and do homework for 12-16 hours a day 7 days a week racking up hundreds of thousands in debt and are evil if they would like it to pay off in the end. I installed wireless internet for numerous doctors who live in huge houses some with air planes, and I for one was never envious. Maybe thats because I have a degree and do not ever want to go back again. Late nights and broke with the debt to prove it. Thank you for standing up for what is right, and I hope you take into consideration the affects of centeral economic planning and fake money as you study economics.

  • hookumsnivy

    Some things I noticed in this piece:

    The author started college around 2008 (“When I started college I knew where I was going. You had just won the election”).

    March 23rd 2010: The author’s mentor says “Run– It’s not too late to change majors.” The author is probably a sophomore in college and likely hasn’t started applying to medical school yet. The author also provided very little context to this statement. Were they watching the news? Was the author falling asleep like he admits he did behind the wheel of a car? Was it a particularly difficult day in the hospital? We don’t know.

    “Mr President, I’m leaving the medical field. I’m hanging up the white coat.” – seeing as you don’t get your white coat until you graduate medical school, this is impossible. He would only be 1 year (maybe 2 if he finished undergrad in 3 years) into med school. He would know that if he actually went to medical school.

    “I have been on a path to enter the Air Force and continue my education in medicine.” So was he planning on joining the Air Force before medical school or after he was planning to finish medical school around 2016?

  • Will

    WHy should i care about anything this MUSLIM says???

    • Michael Lotfi

      Will, you do know that prior to the Islamic revolution, which many Persians fought to the death over, Persians are not Muslim. Most Persians to this day fight for religious freedom from Islam. Also, I’m a Christian- Note I say “God” not “Allah”. Thanks for reading.

      • Will

        Haha Persians AKA IRANIANS arent Muslim? what a joke. I guess you expect us to believe KENYANS arent Muslim either!

        And yeah you say God, when youre speaking ENGLISH. Allah is just the Persian word for God. Dont try to play us Americans with your “Taqiyya” lies

      • hookumsnivy

        Just ignore this troll. He clearly doesn’t understand that geography isn’t tied to religion.

    • persianguy101

      Why is this a religious thing? Will= racist. By the way….I am Persian and I am Jewish.

      • KissesandNoise

        Looking at this thread and the borderline retarded statements of the radical right AND left it appears that this story was picked up by HuffPo and FOX or something. This isn’t the typical libertarian audience.

  • Will

    Hey Dr. Lotfi, why dont you just pray to ALLAH for career advice? Maybe you can get a job as a suicide bomber!

    • LocalHero

      No wonder the US is the most hated nation on the face of the Earth. Ignorance abounds.

      • stephen simmons

        No worries, we Americans are headed right down the road we deserve.

  • FutureVet

    If it wasn’t about the money, would you still quit your dream job? I’m a vet student and will have to pay back around 250-300k when I’m done. The only prob is that I will make per year a bit above 100K (with a diplomate, another 4 years to boot). While I understand why I chose to become a veterinarian, I did so knowing the fiscal ramifications, but I know this is what I want to do forever and I’m OK with not owning a BMW or a McMansion. Oh yea, I changed career paths as a 29yo. What you are complaining about is essentially money, and you’re kinda doing doing your field a service by leaving it since you had no heart for it anyway. Good luck to your new ventures on Wall St.

    • Shari

      but you don’t have gov bureaucracy dictating and controlling you either.

      • FutureVet

        You have county, state, and federal laws that dictate and control what you do every second of your American life. Why start complaining now about this? And you do have control, its called private practice vs. Kaiser.

        • Jeff

          You are not honestly comparing the animal health care industry to the human health care/insurance market, are you? Just another clinician thinking they understand economics… You don’t have government programs that dictate/misallocate 40% of the money spent in your industry.. You don’t health insurance companies dictating what services you can provide your patients and at what price… You don’t have a ridiculously complex billing/coding system… Shall I go on?

          Lastly, “Why start complaining now about this?” is literally the most intellectually bankrupt argument someone could make. At some point, enough is enough, period.

          • FutureVet

            Funny Jeff, what exactly do you know about the animal health care industry? Where have you been lurking all these years while pet insurance and 1800petmeds has taken money away from the profession and put it into the pockets of corporations. This has completely changed the landscape of vet med and makes me and my constituents uneasy. It’ll only get worse as a greater percentage of people become pet owners. But hey, the world needs vets like it does doctors, so we push on to do our calling. Nothing to complain about when you are happy doing what you love.

      • Sandra

        Government bureaucrats have been involved with the American health care system way before Obamacare. You must hate both late-term abortion bans and Medicaid, right?

        Also, Obama has HELPED future doctors by making it easier for them to get student loans.

  • Trudy

    If you are only getting into medicine for the money than you represent EVERYTHING that is wrong with the medical world. As a nurse practitioner I make significantly less money than my colleagues with an MD after their name. Does that mean that I am of less of worth to my practice? NO, in fact the only difference between my colleagues and I is out field of study. I too have a PhD, but in nursing, not medicine. I say this to you as an ACTUAL medical provider (not just a student with a mentor) that I have witnessed first hand how the ACA greatly helps this country. Also, if you would like to meet some wonderful doctors that support the ACA, you are welcome at my practice anytime. As it stands today, those that walk into the ER with NO insurance will receive greatly discounted medical assistance, then the tax payers will most likely foot the rest of the bill when they cannot pay it. The ACA will now give those that have NO insurance (AND ACTUALLY WANT IT) the opportunity to start paying for their medical needs (rather than the taxpayers). How is that a bad thing?

    As an insider, I know how this whole thing works and I’m not of a political mind (which you clearly are) which means that I see far past the dollar signs and see through to what medicine is REALLY about, the PEOPLE.

    • Redheaded Stepchild

      Exactly who will be able to access health care now? There are still TEN MILLION PEOPLE who will not get this magical medical insurance. What about them? And what about the people whose rates INCREASED??? Will they have to choose between being forced to pay a tax (ACA is a tax, per SCOTUS) and feeding their families?

      If people want to read a decent analysis of the ACA, read Karl Denninger’s piece from today:
      http://market-ticker.org/akcs-www?post=225369
      “How Badly Will ObamaCare Screw You? Answers Here!”

      • Jerry A

        If you guys really wanted everyone to be covered, then your GOP Congress-critters shouldn’t have voted against expanding the program even more.

        • Redheaded Stepchild

          Who is “you guys?”

          Neither Dems nor GOP should have voted in favor of the ACA. It was a bill written by and for the insurance companies and BigPharma. With the exception of the changes in law regarding pre-existing conditions and keeping kids on parents’ policies longer, the ACA wasn’t designed to be a help to the people. It was designed to be a tax.

    • cooperbry

      Relatively free markets are what made the health care industry in the USA the best in the world. The Federal Government is currently in the process of “fixing” that right now. It will never be great again. :(

      • Sandra

        In the U.S., before Obamacare, we paid more for health care per capita than any other developed country and still didn’t live as long. How in the hell does paying more and dying sooner mean that we had the best health care industry in the world?

        • Jeff

          ..And the U.S. didn’t have a free market health care system then either…. We haven’t since the early to mid-20th century…

          • Sandra

            Oh yes, the good old days!

        • cooperbry

          OK, so you disagree that the US had the best health care in the world. Go back in time 40 years and tell me how it was. I can remember news reports when I was a kid reporting that Americans will live longer than most other nations. I think the US did have the best in the world at one point in time and the reason was because of relatively free markets.
          What caused it to deteriorate ? Have a look into that. I think the Federal Government had something to do with that. Look up 1973 HMO Act. Who drove a wedge between the patient and the doctor and caused people to not care at all about the cost of health care?

          • contnet

            The Romans had the best army in the world at “at one point in time”, does that mean we should continue to say Italy has the strongest military in the world? Of course not. Nor is their any evidence that the US having relative better healthcare 40 years ago was because of the “free market”. Perhaps other countries weren’t as technologically advanced at that point and their economic models didn’t have a thing to do with it? Nor is there any evidence our healthcare deteriorated rather than other countries simply improved, and continued to improve past us! Your entire historical narrative is unsubstantiated fiction that relies on the utterly bizarre proposition that the best healthcare the world has ever known was in the US in 60s and 70s and its only gotten worse since then. You can’t _possibly_ believe that.

          • Sandra

            So your proof that America had the best health care system in the world is your unsubstantiated memory of hearing from the popular media that “Americans will live longer than MOST other nations” (emphasis mine). First of all, that’s really shitty proof. But if I pretend, for the sake of argument, that it’s convincing, that does not mean that we had the best health care system in the world! There were still at least a few nations whose populations lived longer than ours. Did it ever occur to you to ask what those nations are up to, health care-policy wise, so that we might emulate them and live even longer?

          • Linda Verba Bassett

            THEN MOVE!

          • Andrew Ryan

            You move, if you don’t like ACA.

          • Linda Verba Bassett

            Sandra…I don’t need to move…I have a private pay policy and am terminally ill…stage IV colon cancer. I was given six weeks to live and I am now going on my 14 year anniversary. I’ve talked to people all over the world and guess where they want to come for treatment…HERE.

          • Sandra

            Certain American facilities for treating aggressive, late-stage cancers really are the best in the world. HOWEVER, that is just one tiny part of what health care includes – we are NOT the best in the world at detecting cancer or treating it early on. Not to mention that most doctor visits are not about cancer. Believe it or not, there is more to our health care system than your specific, personal needs.

          • Linda Verba Bassett

            Really Sandra…what do Americans fear the worst possible diagnois that they would ever receive…CANER. All illness suck. My husband died of ALS and are you going to say that’s a walk ii the park illness? SO…when you get a late stage Cancer Diagnois and if your married or a loved one gets a diagnois of ALS…then you tell me these two diseases are a breeze. I would never go to the Cancer Clinics you describe…despite what you think, the ratio for cure is very low and do you really think your OBAMA CARE is going to flip the tab on that one? So in closing, get incredibly late stage terminal illnesses and get back to me. Other wise watching paint dry is more interesting than your diatribe. GO CANCER…Betty wants the experience!

          • Linda Verba Bassett

            And please don’t be the Nazi spelling queen…I’m pissed an my fingers can’t keep up with your obvious ignorance and my obvious outrage of your note. Please…I’m done with you….until you get cancer or ALS…actually, I would block your calls. Good Day and Good Riddance your heartless bitch to even think that there are worse diseases that the ones described. Every illness is major the to person who has it and their families

          • Linda Verba Bassett

            OH…just am FYI…I do pay for my personal needs via a great insurance plan. I find it revolting that people do not even think about it as one of the top 10 things to have on their to do list.

        • W Meyer

          The Feds created this overhead which they now claim they will “fix” by putting in even more overhead. And with Obamacare, those of us who actually pay for health care, rather than riding on government subsidies, will pay the highest rates ever.

          • Sandra

            What do you mean by “actually pay[ing] for health care”? If you pay for your own insurance, Obamacare will allow you to continue doing just that. If you don’t have (or don’t use) your insurance and pay out-of-pocket, you will pay LESS thanks to Obama. Hospitals previously charged uninsured individuals far more than what they charged insurance companies for the same procedures, but that is no longer the case thanks to Obama.

        • cooperbry

          Hey Sandra, go buy your Obamacare policy and enjoy it. I prefer a free market solution (if I can get one) vs. government prescribed.

          • Sandra

            Well, since Obamacare is not a single-payer system, you are still free to use your preferred free market solution. I don’t see what the problem is here. (Also, for your information, my health care is provided by my employer; personally, I don’t stand to benefit so much from Obamacare. But I support it nonetheless out of concern for my fellow Americans.)

          • Linda Verba Bassett

            Wrong..if your able to get on the website..ha, what a joke, you will find out that you were lied to. You can only keep your doctor if they are accept Obama Care. Look how many doctors don’t accept Medicare..that’s what your going to get if they ever get the program up, which by the way was developed by a Canadian Company who was doing a whack job but Obama likes to spend $600M on a unreliable company. A US computer said they would be ashamed if they couldn’t program the site for under $1M…but no, let’s do it the Obama…send it out of the country and make us PAY FOR A TOTALLY USELESS piece of shit!

          • Sandra

            The only way you won’t be able to “keep” your doctor is if you switch to Obamacare. If you want to pay for heathcare as you did before, either through private insurance or out of pocket, you can continue to do so. Keep your insurance and they’ll decide which doctors you can see. Pay out of pocket and you can see whichever doctor you like, just like before.

          • Andrew Ryan

            Cooperbry, you didn’t answer Sandra’s question. Here it is again: “How in the hell does paying more and dying sooner mean that we had the best health care industry in the world?”

      • C4LCNCPLS

        We have never had free markets in healthcare since the early 70s. The Insurance companies have monopolies in different areas of the country, Now, if all insurance companies could compete in every state, then yes, we would have had a true marketplace healthcare system but, that has never been the case and it is because of payoffs to politicians by the insurance industry.

      • Andrew Ryan

        “…the health care industry in the USA the best in the world the health care industry in the USA the best in the world”

        By what metric are you making that judgment?

    • Lioness

      You should go back to school and learn reading comprehension! Or better yet pull your head out of Obama’s a€$ and look at what he has done to this country! If you truly think with this new law you will save money and get great healthcare then you truly are ignorant!

      Guess what? Between 2014 and 2022, the increase in national health spending (which the Medicare actuaries specifically attribute to the law) amounts to $7,450 per family of 4. Let us hope this family hasn’t already spent or borrowed the $22,500 in savings they might have expected over this same period had they taken candidate Obama’s promise at face value. In truth, no well-informed American ever should have believed this absurd promise. As it turns out, the average family of 4 has only had to face a relatively modest burden from Obamacare over the past four years—a little over $125. Unfortunately, this year’s average burden ($66) will be 10 times as large in 2014 when Obamacare kicks in for earnest. And it will rise for two years after that, after which it hit a steady-state level of just under $.800 a year. Of course, all these figures are in nominal dollars. In terms of today’s purchasing power, this annual amount will rise steadily. Are you ready to pay for this? Especially when your employers drop you down to part-time so they don’t have to pay these grossly increased costs.. Since its cheaper to pay a fine?

      States whose citizens are most likely to be uninsured are also more likely than not to refuse extra aid under the president’s health-care law. Congress defined “affordable” as 9.5% or less of an employee’s household income, mostly to make sure people did not leave their workplace plans for subsidized coverage through the exchanges. But the “error” was that it only applies to the employee and not his or her family. So, if an employer offers a woman affordable insurance, but doesn’t provide it for her family, they cannot get subsidized help through the state health exchanges. • Kids may not receive Medicaid or exchange coverage if their parents aren’t eligible and, therefore, don’t know to check. That can make a huge difference; the Kaiser Family Foundation said an average plan for an individual is about $5,600, but it goes up to $15,700 for families. Most employers help out with those costs, but not all.

    • Brittany

      Congratulations. you might be the only person in America who knows “how the whole thing works.”

    • Jeff

      Unless you have a PhD in economics, you really don’t have any authority on the issue. Sure, you can comment anecdotally about your practice, but just because you are a clinician doesn’t mean you understand the macroeconomic (ill-)effects of a piece of legislation. You DON’T “know how all this works.” If it’s truly JUST about the people, why don’t you charge $0 for all your services?

    • C4LCNCPLS

      Wrong, ACA will not give those without insurance an opportunity to buy it.
      I have no income and applied for ACA and was rejected and told to go to Medicaid. ACA is not going to help the millions who are on minimum wage. They are mostly young kids who are being made to pay the most for Obamacare. For many for them, its a choice between paying the rent/food or paying for Obamacare..

      • Jerry A

        When you have no income, then *of* *course* you were directed to Medicaid. That is a part of the ACA – it expanded Medicaid. Except in states run by the GOP that refused that expansion. If you voted for Tea Baggers, then you got what they promised (nothing). If you refused Medicaid, then you’re refusing the help you were offered. Either way, I feel sad for you.

    • hsmom2004

      “As it stands today, those that walk into the
      ER with NO insurance will receive greatly discounted medical
      assistance, then the tax payers will most likely foot the rest of the
      bill when they cannot pay it. The ACA will now give those that have
      NO insurance (AND ACTUALLY WANT IT) the opportunity to start paying
      for their medical needs (rather than the taxpayers).” And how, pray tell, ACA “give” those that have “NO insurance” the opportunity to start paying for medical needs “(rather than the taxayers).” Oh, I know, by the taxpayers paying their premiums for those who are at 400% of the poverty level or below. smh. Think about this.
      Do you handle billing and collections for the clinic at which you work? Do you accept Medicare? Do you accept Medicaid? If you do and you are still in favor of the ACA, I am shocked.
      Medicare limits what services patients can be provided and does not fully reimburse for certain medical treatments and products used to treat patients covered by Medicare. These costs have to be covered somehow – most frequently by passing those costs on to other patients and / or their insurance agencies. This is one reason directly responsible for the increased costs of medical care and insurance rates in the U.S.
      Medicaid is another directly responsible government program for the increased costs in healthcare. 1) Every couple of years, the government hires a different nationally known agency to oversee Medicaid. This company would normally accept the billing codes as provided and move on, but in their capacity of overseeing the government program, they have to change the billing codes each and every year. Frequently, they add a 0 or remove a 0 from the end of a billing code or something equally trivial. It takes 3 months to get a Medicaid payment in the first place, but if the code is not entered just so after January 1 after the new codes come out, it then takes 3 months to get notified that the hospital or clinic will not get paid until they correct the billing codes, then another three months to get the payment. This is hugely inefficient and expensive. Delayed payments of this sort also have their own inherent costs to business operations, which are again passed on to other patients. Furthermore, these additional billing code changes requires that the hospital and/or clinics either pay for new/updated software each year or hire someone to come in and change those codes for them each year. Would you like to know how I know? Because I am that person that gets hired each year to do so because I’m actually cheaper than the software they would otherwise use and knowledgeable about other areas in the business that they need to help them. 2) Additionally, the government has required that illegal aliens receive free emergency care at the taxpayers’ expense as states are required to cover those costs without getting reimbursed by the federal government. Why would they do that, because there are people in the state accustomed to Medicaid and also because telling the government that they will not comply with those requirements for Medicaid means that huge amounts of tax dollars spent by the good people of their state will not be returned to the state, but will go to other states. They are afraid of losing votes rather than standing on principle – and it is on the verge of breaking numerous states. In Texas, it is the second highest expense on the state budget. It is second only to education and is expected to exceed the amount of money spent on education within the next decade.
      There is more, but this should suffice for now. Giving the government our hard-earned money to waste it and only trickle down pennies from every dollar spent is a idiotic. We would be far better off keeping our own money and contributing it to our neighborhood needs. Without the government constantly in our pockets, we would be much more prone to do that. As it stands now, we are taxed to the hilt, so people just point others to the appropriate government agency because they’ve already been taxed for that service. We lose personally and nationally from this type of federal invasion of our persons and our pocketbooks.

      Mwill the

      • Linda Verba Bassett

        And Obama care will do exactly the same thing and much, much more.

  • Rick

    Sounds like someone is blaming Obama for not getting into med school… Atta boy!

  • yea rt

    Top 5% anesthesiology graduate in US of A. I’ll call BS on that one.

    • Jeff

      Thank you for contributing actually nothing of substance to the conversation, except your jealousy and entirely unfounded skepticism, of course…

  • Christine Nicholson Parmalee

    Obviously, reading comprehension is not a strong suit with this group. There is no reason to attack this man. Free market reduces costs, increases competition, and improves quality, regardless of what product or service you are buying. I think we will hear more stories from Doctors like this who do have principle, and ethics. I’m hoping concierge medical services will be available soon in my area, otherwise, I’ll save my ACA monies to purchase my pine box.

    • Andrew Ryan

      There’s more competition involved in the UK ‘socialist’ system. When the hospital gets the insurers to pay for it, there’s no incentive to find the cheapest provider of drugs, hip replacement etc. Whereas the NHS is able to use the free market to find the cheapest source, with businesses bidding to get the NHS’s custom.

      • Christine Nicholson Parmalee

        I’ve heard both the good and the horrific in regard to the UK system. Like everything else, I guess it just comes down to who you are.

  • Litteratti

    This is the dumbest thing I’ve read today! Congratulations!

  • Grant Garber

    Well that definately had a nice Atlas Shrugged ring to it! :)

  • Lioness

    Some of you Americans are dispicable!! Apparently you don’t understand that PERSIANS ARE NOT MUSLIM!!! Second of all you also don’t understand that his letter is NOT about how much money he will make.. It IS about what he will be FORCED to charge you, prices that are ridiculous!! You all are ignorant!! Persians ARE Christian! Many of them are Mormons as well! In Kenya they are NOT Muslims! The predominant religion in Kenya is Christianity, adhered to by about four-fifths of the population. Other faiths practised in Kenya are Mormonism, Baha’i, Hinduism, and traditional African religions. Please go back to school and actually learn about other cultures, and maybe one day you’ll be cultured! What happened to my America? My goodness I’m ashamed of our country.. SMDH

    • Sandra

      Not all Perisans are Muslim, but most of them are. What does religion have to do with this article at all? If some people are bringing up religion where it’s irrelevant, than you should explain to them why religion doesn’t matter in this context, instead of responding to one over-generalization (all Persians are Muslim) with another over-generalization that’s far less accurate (Persians are Christian).

      You are ignorant in too many ways.

      And what does Kenya have to do with this?

    • persianguy101

      Majority of Persians are Muslim. The minorities are christian, Jews and other religions.

  • PatrickHenry1789

    Oh, this guy has had to have read Ayn Rand. That was when the light went off in me anyway. So sad though to have all of this talent WASTED because of traitorous politicians. I don’t blame you one bit Mr. Lotfi, I would do the same thing. You should have saved your time and ink though. This current POTUS, if he even reads it. He’ll laugh and throw it in the garbage can.

  • moelarryandjesus

    What a self-involved, ignorant jackass Lofti is. What the hell does “graduated in the top 5% of the country” even mean? He’s full of feces.
    And there’s no such thing as the “free market,” unless this idiot wants to move to Somalia. Silly teabagger!

    • Jeff

      If you don’t know what it means to graduate in the top 5%, you should just keep your mouth shut, and keep your idiotic “free market = Somalia” nonsense to yourself.

      • Sandra

        I’d say that most people here know what it means to graduate in the top 5% OF YOUR CLASS. However, the author says he graduated in the top 5% OF THE COUNTRY.

        Jeff, would you mind explaining to us morons which metric they use to determine the top 5% of the country?

      • moelarryandjesus

        I don’t take orders from teabagger morons.

  • Jason

    Good riddance. I’d rather have a doctor that is more interested in medicine than bilking me.

    • Jeff

      Jason, I assume you work for free then? Lest you be “bilking” your employer…

      • Sandra

        There is a difference between not ripping off people in dire need, and working for free.

        • L.D.

          You and Jason clearly do not understand the economics behind healthcare. The problem has nothing to do with the doctors it has to do with the insurance and the way the United States deals with medical suppliers.

          • W Meyer

            And, as the letter makes plain, the absurd burdens the politicians have heaped on medical care.

          • Sandra

            Governmental regulation of health care in this country is nothing new – it’s been going on since before the author of this article was born. Funnily enough, I haven’t seen any of the right-wingers here complain about how the government funds scientific research that leads to medical breakthroughs that make modern medicine more effective, and often more affordable.

          • Sandra

            So you must have been REALLY pissed when George W. Bush refused to negotiate with drug companies!

    • jbo5112

      “I certainly never imagined those same bureaucrats (who have absolutely no medical training) telling me how to treat my patients.”

      He was at least more interested in treating patients than having the government tell him how to treat them. The general tone of the letter suggests that he didn’t want his career run by the government, which is what happens when the government takes too much control over the medical field.

      New doctors are already having huge problems paying student loans on current doctor salaries, and established doctors are already having trouble keeping private practices afloat. Adding more regulations and tightening revenue streams just exacerbates the problem, and kills potential career paths.

  • Bill Hicks

    I’m a Tea Party conservative, and normally I’d cheer this decision — but Lofti is a Persian, and therefore an Evil Doer. I don’t just want him to quit medicine, I want him out of my country. He’s not an American.

    • Michael Lotfi

      Bill, not sure what you’re referring to here… My mom is from Savannah, Dad is Persian- He left during the Islamic revolution to escape Islam. He sought refuge in America were he would later meet the Southern belle I call mom. Born and Raised In The South- and damn right rebel proud. Thanks for reading mate.

      • KissesandNoise

        Silver lining: This article whether it is the title or how it has been shared has brought a lot of traffic to this page. Nearly all of the comments I’ve read are not the typical Ben Swann audience.

        • KissesandNoise

          Racist comments aside, the tone here looks like maybe HuffPo got a hold of it or something.

          • Michael Lotfi

            I was thinking the same. Some liberal sauce has linked in…

    • http://sharethisurlaboutglennbeck.com/ Gadamer too

      “a Persian, and therefore an Evil Doer.”

      Bigotry? Much!

      • Todd A Scheller

        Cowardly much?

    • decreator

      That you use the name of a great man to spew your ignorance sickens me!

    • KissesandNoise

      Is your name really Bill Hicks or are you soiling the memory of a great thinker and comedian with that stupid statement? You dummy.

    • Bioforge

      You are not a Tea Party Conservative, or an American. You are the epitome of hatred. Please find a hole to go hide in.

    • Michael Lotfi

      I’m pretty sure Bill Hicks is actually a liberal troll. Not sure why I didn’t realize that beforehand lol.

    • Our Gamehenge

      SMH , is your name Bill ZIO-NEOCON Hicks?

      Man you just disgraced the name of the unhijacked Tea Party. I’m sure you are part of the filth that destroyed it.

  • Phillip

    I just want to apologize for the ignorant cowards who’ve brought up religion or your ethnicity. It makes me sad and you didn’t say anything here to deserve that. Good luck to you.

  • S.B.

    I understand his point, yet isn’t the whole point of being a doctor to help people? I thought those in the medical field took oaths to help others, not to just make insane profits. He has a right to hang up the coat, i’m not arguing that, my point is simply this: if the money is enough to make a decent living, then why leave due to the fact that maybe you can’t buy that 2 story house? or those 2 or 3 cars?

    • dspringer57

      Then, to that I say, you DON’T understand his point!!!

    • L.D.

      Because how else are recent medical graduates to pay off their burdening school loans? If medical school graduates get the same salary as a person with only college loans it is hardly a decent wage. In order to pay off such a large amount of debt the salaries must be higher.

    • Cam Beck

      Dude, it’s none of your concern why he ever wanted to be in the medical field. He can either help you get well when you’re sick or he can’t. And it is not feasible for him to remain in the field for whatever reason(s) brought him, which means you will not have access to his services.

      Good riddance?

      Now imagine 100,000 like him doing likewise, and adding 10,000,000 more people going to the doctor when they have a sneeze. What do you think that will do to the quality of healthcare?

      • Andrew Ryan

        “And it is not feasible for him to remain in the field”

        He wasn’t ever ‘in the field’.

    • Linda Verba Bassett

      How about paying back medical loans which he will not be able to pay based on government pricing.

  • LibertyChick

    I have a very simple solution to the health care problem: go back to doing what we did before there was a health care problem: return to Major Medical Insurance (MMI).

    In 1984 I enlisted in the Navy. Before going in, when I went to the OB/Gyn the cost to me was $25. I was only making $5-6/hour and I could afford to pay that out of pocket. When I got off active duty in 1988 I went to make the same appointment. The doctors office quoted me $150 for the same exam, just 4 years later. What happened in that time? HMO’s. I was still only making $5-6/hr so couldn’t afford to pay a week’s salary for a doctor, but I could still afford my MMI which was $57/month. I was living at or below the poverty level, but still paying my health insurance.

    Insurance wasn’t designed to pay for every bump, scrape and cough. It was designed to pay for unexpected medical costs that come with accidents and disease. With MMI you could pay for your insurance for 10-20 years and never use it. But if you had an appendicitis attack and needed emergency care, it was there for you, with a deductible of $1-2k usually.

    Back then doctors had one person working for them that scheduled appointments, collected payment and assisted in the exam room as needed. Now the doctors have staffs of 8-12 people working for them to keep up with the paperwork. My doctor charges TriCare over $200 for my 5-10 minute exam, for which she’s reimbursed $60 and has to pay her staff with that, so I think she’d make more money without HMO’s. I mentioned this to a doctor at a “Doctors TEA Party” and said if we didn’t have HMO’s doctors would probably get paid $30-40/exam. He said “I’d gladly take $40 cash for an appointment and not have to deal with insurance companies”.

    I’ve mentioned this simple solution to multiple senators and congressmen. No one is jumping on it. Senator Paul told me his solution is to allow for insurance to be purchased across state lines. What is that going to save? Maybe 10%? And for how long? Once the insurance companies in Iowa are paying NY/NJ/CA prices their costs will go up and there will be no more savings.

    By the way, when I looked up MMI insurance, it is still being sold – for as low as $29/month. And the excuse used for why HMO’s are needed is so people will get their annual preventive exams. I checked on the cost of a mammogram: it’s about $100. So we’re paying $5-6k/year for insurance to get a “free” $100 exam? Oh, and “you’ll still be covered for pre-existing conditions”: my single female friend is now paying $10k/month under Obamacare.

    Doctors wake up! They can’t do Obamacare without you. Exit the system and return to MMI!!!

    • Our Gamehenge

      Thanks for that, I remember this also.

      • LibertyChick

        I put that out to all the conservative politicians who are running, and no one will go with it. As I see it, folks are in a panic and want to know they will have coverage. They will vote for anyone who will provide it, even if it’s a disaster like Obamacare. After all, remember when he first put it out there, it was going to be free healthcare. Then it was going to be low cost insurance with no new taxes to cover the costs. Now it’s extremely expensive and we’re being taxed to death to cover everyone else’s expensive healthcare as well as our own. Yeah, read his lips…

        • Our Gamehenge

          Agreed, confirmed, and yes.

          At 50, i have come to the peacefull conclusion that DC needs a complete and thorough Douche. Who and what administers the device will be interesting to see.

          Best wishes.

    • Jared

      That is the idea of “insurance”. Most people don’t claim every single itty bitty scratch or ping on their car to their insurance. Its used when you get into a wreck.

      • LibertyChick

        ABSOLUTELY! Insurance was never designed to pay for all medical expenses. It was for unexpected high cost events. Can you imagine how much we’d be paying for car insurance if we used it to pay for oil changes, new tires, new transmission? And there’d be no need to take care of your car as insurance would. People feel less responsible for their health these day. I’ve never seen so many obese people. But it won’t cost them out of their pockets to fix their health problems. Not yet. When our medical care is fully socialized, the government will pick winners and loosers. I saw recently that in a US pediatric cancer ward there was a Canadian child in every room. Their “free health care” won’t pay for the young and old to get help. Their governments advise to parents is to go have a healthy child. This is a page out of Nazi Germany: address the health issues of people 14-45: those of child bearing/army serving age. The rest have no value to the country.

        • scarshapedstar

          “Insurance was never designed to pay for all medical expenses. It was for unexpected high cost events.”

          Thaaaaaat’s not really true at all, but if we decide that we’re only going to cover open-heart surgeries and we’re not going to place any more stents or give any more blood thinners or statins, you know what happens? We end up spending a fortune on people who collapse and are brought in at death’s door.

          People who put off needed care for decades don’t have “unexpected high cost events” – they have entirely predicable high cost events.

          • LibertyChick

            Major Medical Insurance as designed would also pay for high cost predictable events. Just not for every doctors visit. Traditionally, there was a $1-2k deductible. Once that cost was paid out of pocket, then insurance would kick in. So higher cost situations would be covered once the deductible is met. A couple of thousand these days isn’t much considering my single 54yr old female friend of mine is now paying over $1,000/month to have Obamacare. Keep in mind also that when the insurance/government isn’t paying all these costs, the cost go down from fair market competition. My doctor charges my insurance over $200 for a visit. She is reimbursed $60 and has a staff of 8-10 people she has to pay with that who keep up with all the paperwork. Last year I was hospitalized for 1 night. The hospital charged my insurance $15,000. My insurance paid $1500. Gotta hunch the hospital can still make a profit on$1500/day. But if I didn’t have insurance I could be paying off the inflated $15,000 bill for years to come. So a reasonable deductible with lower cost insurance and much lower medical bills due to fair market competition will save people much more money in the long run.

          • Jerry A

            What you missed in your rant is that these policies are available today in the health insurance exchanges… under “Obamacare”.

          • LibertyChick

            Not sure if was a “rant”… can you provide specifics/links to that information? I think if folks know they can purchase low cost MMI-style insurance vs. high cost Obamacare/HMO-style insurance, there will be interest. The key to it working though is that there needs to be a network of fair market priced doctors and hospitals who charge lesser amounts so we don’t come close to maxing out our deductables just from a couple of doctor visits and screenings each year… And that we don’t get fined for not complying with the HMO-style insurance that is Obamacare….

  • Jesse Cox

    I
    say good riddance to this guy. He can take his iPod and his emo good
    looks to Wall Street if he likes. Not once does he mention getting into
    medicine because he cares for people. Instead he talks about the great
    pay, which is apparently disappearing (?): “Starting our careers at 30
    while dictating to us how much money we can make is nothing short of
    destroying all incentive to enter the field” – so his incentive is to
    make money. Good for him. He also talks about not wanting to work for
    the government, but then goes on to say he was on a path to enter the
    Air Force. Whose air force was he planning on entering? Finally, he goes
    on to talk about how principled he is. What principles has he managed
    to show us? That he quits when the money doesn’t look so good? And then
    he slams Obama for NOT being principled. You may disagree with his
    principles, and that’s fine (I disagree myself), but at least say so, instead
    of accusing him of not having principles. Mr. Lofti graduates in the top
    5% nationwide and then decides to change majors? At least he could have
    given it a shot. He could have worked in a rural area to pay off his
    bills (the government will pay them, in many instances), and
    then made his decision to go into public policy with a more informed
    position. There is so much wrong with this commentary that I’m beginning
    to wonder if it was supposed to be satire.

    • Our Gamehenge

      LOL ….

      “(the government will pay them, in many instances)”

      And WHO is inevitably liable for that tab?

      • Linda Verba Bassett

        The government will have to pay for it…do he math…not worth it but the government needs fillers (not the best of the best) And I don’t want to pay ANYONE’s INSURANCE…I PAY MINE…YOU PAY YOURS.

        • Jerry A

          You have no idea how insurance works, do you? Premiums are pooled to pay claims (and stock options and CEO bonuses and advertising and agent commissions). Denied claims = profit, for private insurance companies. This is why the US pays more than other countries, for less care.

          • Linda Verba Bassett

            I’m unfortunately very aware of how the system works…I have terminal cancer and my husband died from ALS…I’ve been dealing with the Insurance Companies and the California Medical Board for years. So yes, I can say I have a lot of experience.

          • Jerry A

            With great respect for your loss and your medical condition, I did not mean from a claims perspective. I meant aware from a financial operations perspective. Premiums are based on statistical averages and can never be considered as you paying for yourself. Your comment about not wanting to pay for anyone else’s insurance premium is kind of ironic, when premiums themselves pay for everyone else’s medical care in years you use it very little, and everyone else pays for yours when you use it a lot. That is how insurance works, pooled money and pooled risk. Other countries that have some form of single-payer health care, yes “social” health care, spread the costs and risks efficiently, including the cost of insurance itself, so they end up paying about HALF of what the USA does on medical care, per person, and get better outcomes by many different measurements.

    • C4LCNCPLS

      I think he realized that with government dictating his earnings, there is no way he can pay off his $300k school loans so he has to find a new career where he can make enogh money to live and pay off the loans.

    • ldiesel

      Jesse, apparently you were a bit closed minded while reading the letter. Before you make such comments you should have all your ducks in a row. Did you catch the part about him wanting to help people but didn’t think some governmet bureaucrat, with NO medical experience, should be dictating to him what medical help a person should recieve? Do you also understand the amount of time and money it takes to become a Dr.? I don’t think you truly understand that or you wouldn’t have made those comments. You can not make those kinds of sacrafices to get out of school and get paid pennies or to be told how much you’re allowed to be paid. The US has made major medical break thrus not from socialistic medicine but because of a free market place. I for one did not want to sacrafice medical advances for everyone having healthcare. And being forced to have healthcare. This is suppose to be a free country not a dictatorship. If someone chooses to not educate themselves, work hard and get a good job and learn how to budget, that’s not my fault and I shouldn’t have to suffer.

      • Sandra

        How do you know that government bureaucrats have no medical experience? The AAAS, a non-governmental organization, has a fellowship program that places scientists (including doctors) in government agencies. In other words, there’s a world-renowned organization making sure that doctors and scientists advise government bureaucrats, and this occurs at no cost to the taxpayer. There are plenty of doctors – real doctors, as opposed to former-aspiring-medical-students – who, unlike the author of this article, are willing to take a pay cut and work with the government in order to improve our country’s healthcare system.

  • Bioforge

    Please ignore the troll that is blasting the site. They seem to forget that the Affordable Health-care Act is almost 11,000 pages of regulation. They also seem to forget that when a soldier goes to the VA to get a new prosthetic, he is going to have to pay an addition 2.7% excise tax even though he did nothing wrong. The same people who cherish this bill now will eventually see it for what it is worth, and will demand answers only once its too late. Mr. Lotfi, I wish you the best and hope you continue to find the same happiness and longing in your next career.

    • Atticus Dogsbody

      Mr Lofti wasn’t in the medical field, ever! He’s a political commentator. It says so right at the bottom of his idiotic, dishonest letter.

      • Bioforge

        I never once said he did. I simply stated on why I agree with his letter. However since you insist he wasn’t in the medical field I must point out that he did work part-time in the anesthesia department which I am pretty sure IS in-fact in the medical field. Just FYI

  • DSCEO

    I thought America was a “tough guy” country. When did this nanny state mentality of having to be looked after by the government come into effect? Must be the results from the education system over time. Hope a free market system arises and takes over, it’s the only logical and fair outcome that I see winning.

  • ReThuglicansLie

    “And Head To Wall Street/ Continue My Work In Politics”
    Right. becasue wall street is where Politics is.

    Lotfi is a poseur.in other words a no-talent hack with no real skills.

  • Samantha

    WTF? Working in the anesthesia department part-time to cover the cost of tuition? That wasn’t an option for us 25 years ago. Part-time in a rural ER, sure, but in an anesthesia department? Are you kidding? Anesthesiologists don’t even want nurse anesthetists to practice alone; I find it hard to believe that any self-respecting department would invite some untrained kid to work for pay. Whatever.
    Physicians have been warning others to stay away from the field for decades — long before the advent of the Affordable Care Act. There’s nothing special about your mentor doing the same. In fact, if you were moping around with a crappy attitude in my OR, I would have told you the exact same thing, right before I threw you out.
    You want to talk about principles? How about that magical birth you witnessed as a student? An uninsured woman could have lost her house over that birth; many have. And that neonate with a brain tumor, whom you might have met in pediatric neurosurgery? That poor kid was born with a pre-existing condition. Until the Affordable Care Act, his parent’s insurance company could have denied him coverage. Don’t you know anyone whose final months were spent dealing with chemotherapy, radiation and an insurance company focused on profits? And you’re spouting off about principles?! Please.
    Carry on to Wall Street. It seems clear that you’re more temperamentally suited to swim with that crowd. Pro tip: Ratchet down that expensive lifestyle. If you have $300K of medical school loans on top of an Air Force scholarship, you’ve been living way too large.

    • Bev Wafford Morris

      There are a lot of jobs in the anesthesia department that don’t require you to be administering anesthesia. He could have been an anesthesia tech, which only requires a degree in a related field. A Biology major could be an anesthesia tech. Or an equipment tech, which only requires a 2 year degree.

      I get the feeling you have no idea of what you’re talking about, but you’re being very judgmental. I think it’s hilarious that you’re pretending to be a doctor, when it’s readily apparent that the only time you’ve seen the interior of a hospital was when they took you to the ER to pump your stomach after a fraternity kegger.

  • Histproff

    So you claim to hold a deep commitment to medicine and helping people. You also have a deep love of the free market. When you weighed these two conflicting loves you decided that the free market was more important? WOW! Your did have a deep commitment, but do not kid yourself, it was to making money. I, for one, am happy that you changed professions. I want doctors who love to practice medicine more than they love money.

  • studentdoc

    Lol you were never part of the medical field. With the attitude and level of intelligence this post suggest, that is a very good thing. Nothing wrong with disagreeing with obamacare but the arguments and positions you choose to take show that you are either not very intelligent on these issues or just deceitful.

    • Travis76

      You were obviously never a 6th grade graduate, TROLL

  • DocFUD

    This whole story is clearly fake. Yet more FUD from conservatives.

    • Travis76

      Troll on troll punk

  • Kebyar

    What a disingenuous turd. You want a fully free market? Somalia awaits!

    • Travis76

      Troll

      • Kebyar

        I disagree with you, so I’m a troll. How very thoughtful. Oh, wait…

        • Travis76

          Very clever…oh wait!

          • Kebyar

            FAIL. If you had anything intelligent to say, you would have said it already. Or at least parroted some nonsense from the John Birch Society.

          • Travis76

            Does make you any less of a troll to try insulting your betters losers.

          • Kebyar

            I will stop feeding you now, as you are quite pathetic, and the best argument you are capable of seems to be “I know you are, but what am I?” Conservatives, ladies and gentlemen (if any are present), happy to live in their own little deluded world and respond to any criticism with accusations of “troll” or if the subject is idealogically impure, “they’re not expressing a true conservative viewpoint.” Look up fallacies (comma) logical. Feel free to wallow in the echo chamber of your own ignorance, your own responses have more than discredited you here.

          • Travis76

            Must’ve scared ya pretty good huh troll?

      • Kebyar

        I mean, really, judging from your other comments in this thread (most of which seem to feature the word “troll”), why don’t you go back to masturbating to your sticky, yellow copy of “Atlas Shrugged” if you’re such a rugged Libertarian individualist.

        • Travis76

          I’m judging from the fact that you’re trolling that you’re a troll

        • Travis76

          Why don’t you go back & graduate kindergarten troll. I call ‘em as they are, troll.

  • jason

    It doesn’t matter how heartfelt this is. Obozo will never read it or even see it. He don’t care what the people or even his own constituents think. He has crowned himself king and he will do what a king does – destroy the kingdom. I will not comply with Obummercare. Nobody is going to be worried about their healthcare once the king starts the war against America.

    • Atticus Dogsbody

      Why would he read an idiotic, dishonest screed from a political commentator who isn’t actually in the field of medicine?

      • Travis76

        Reating shit like that won’t make true troll

        • scarshapedstar

          “English, motherf***er, do you speak it?”

          • Travis76

            Got no facts to refute me huh? Pathetic

          • scarshapedstar

            There’s nothing to refute, but if you actually read carefully you’ll notice that he said he was thinking of getting the Air Force to pay for his education. Which, news flash, you can’t just up and do in the middle of med school. No med student brags about their undergrad rank, either – that’s like a Ph. D bragging about his Montessori school.

          • Travis76

            How else is he supposed to pay for it?

          • scarshapedstar

            Loans, like 99% of med students.

          • Travis76

            Oh take out more loans to pay for the ones he already took out? Do the nation a favor & don’t run for office leftwit.

          • scarshapedstar

            …like 99% of med students, like I said. He’s not a special snowflake.

          • Atticus Dogsbody

            Hey, Illiterate Fuckwit, he just kicked your arse.

      • Linda Verba Bassett

        He doesn’t care what the medical field has to say…he only cares about golf, time off, golf, time off and Reggie Love ;)

        • Sandra

          The author of this article is not a representative of the medical field. He never even went to medical school, much less practiced medicine.

    • Travis76

      What makes you think the asshole-in-chief hasn’t already started that war?

    • Sandra

      Yes, he is poised to be one of the many democratically elected leaders to start a war against his own country. Please, go read a book.

  • Atticus Dogsbody

    Great move! I prefer my doctors to be people who love medicine not the “free” market.

    P.S. There’s no such thing as a free market.

    • Travis76

      The free market is the only way it will work otherwise here we come American holocaust

      • Atticus Dogsbody

        Punctuation is everybody’s friend, Travis.

        There is no such thing as a free market. If the government isn’t regulating the market then the most powerful actors in the market will and they will do it to their own benefit, not yours.

        • Travis76

          What’s with the 1st name crap? Are we friends now? “There is no such thing as a free market”. Sorry I’m not in the market to socialist bs tonight troll

          • scarshapedstar

            What’s your last name? 76?

          • Travis76

            What’s yours? Douchebag?

          • scarshapedstar

            You seem to have some serious anger management issues – is it meth or ‘roids?

          • Travis76

            You seem to retarded to understand reality libtard. Why do you want my last name anyway? Stalking?

          • scarshapedstar

            Haha, ok, so we can’t use your first or last name… oh no, he’s Voldemort!

          • Bev Wafford Morris

            He wants to call you. It’s one of those attractions where he tries to hide his overwhelming desire for you through a series of insults. Don’t worry, though, he can’t date. His mom won’t let him drive until he’s 18.

          • Travis76

            *gasp* that happens to me on every damn message board I’m on, LOL.

          • Atticus Dogsbody

            I’m loving this guy, scar, he’s a true moron.

          • Atticus Dogsbody

            Don’t like me calling you by the name you comment under, huh? How about Illiterate Fuckwit, then?

            Given that you level of English is that of a 4 year old, I’m pretty sure that your understanding of economics is at about the same level.

          • Travis76

            It’s not polite to call you betters by their 1st names

          • Atticus Dogsbody

            Two things: You’re not my better and I’m not polite.

            P.S. *Your*

          • Travis76

            Funny you didn’t catch it when you made the same mistake. We’re done here. I need a nap to recover from your ignorance.

          • Atticus Dogsbody

            You really are off with the fairies. In none of my comments is there a grammar, spelling or punctuation mistake. You need to stop smearing your shit on the walls and go back to grade school, you pathetic mook.

          • Atticus Dogsbody

            P.S. Time for lunch. Have a nice day!

          • Travis76

            Given that YOUR grasp of grammer is so poor trying to finish this conversation is a bust. Besides, trying to express myself monosyllabically enough for you to understand is taxing.

          • Atticus Dogsbody

            “Given that YOUR grasp of grammer is so poor”

            Oh dear! That’s the best laugh I’ve had in ages. Ask your mother to get you a dictionary, then you won’t fall victim to mistakes such as “grammer” and my naming you Illiterate Fuckwit will not seem so accurate.

  • ameliak

    Brilliantly written, Michael. I completely understand where you are
    coming from as I had a similarly conflicting love of medicine as well as
    disgust for political involvement in the field. For those of you being
    judgmental di*ks, saying that he didn’t love medicine enough… think
    about the “dream jobs” you didn’t pursue because of unwanted factors
    getting in the way, or the daily frustration you’d encounter in a job
    you love, if you were in a top-notch position and then all of a sudden
    you had some narcissistic, micro-managing, no-talent boss step in and
    tell you how to do your job, and it completely changed the dynamics of
    everything you do. There’s a lot more to medicine than just helping
    people…

    • scarshapedstar

      “all of a sudden you had some narcissistic, micro-managing, no-talent boss step in and tell you how to do your job, and it completely changed the dynamics of everything you do.”

      Yeah, he’s called the insurance man, doctors have been complaining about him ever since Henry Kaiser told Nixon about his brilliant plan to make medicine profitable by selling insurance and denying coverage.

      • Linda Verba Bassett

        Well, add a third person…the Obama care handling and having a final say so…

    • Linda Verba Bassett

      BRAVO!

  • Mike

    No one has put it plainly… this man is a liar. He is being deliberately deceptive and he should admit it. He is not now nor ever was in the medical field. He is not telling the truth about the effects of the affordable care act.

    • berky

      care to provide the proof? I don’t have proof either way, so please enlighten us…

      • RowanVT

        Well, for one, he wasn’t even *in* medical school yet.

        • Bev Wafford Morris

          How do you know that? The article doesn’t indicate one way or another.

          • scarshapedstar

            “I have been on a path to enter the Air Force and continue my education in medicine. I have been dreaming of specializing in pediatric neurosurgery for half a decade.”

            Anyone who’s vaguely familiar with medical education knows that you start the Air Force program before medical school. You do some officer training program, they pay your way through medical school, then you work for the Air Force for however many years instead of doing a typical residency.

            He obfuscated it as best he could, but he hadn’t even laced up any boots, much less taken the Oath or been given a white coat (as opposed to just buying one from from a supply store like anyone can do for Halloween).

            Brb, I’m ordering a scalpel so that I can say I’m fed up with surgery.

          • RowanVT

            That alone should tell you something.

          • Bev Wafford Morris

            He also doesn’t mention going to high school. Should I assume he hasn’t even graduated high school. It’s called logic. Even though I’m sure it’s a foreign concept to you, you should really learn more about it.

          • RowanVT

            If he was talking about not becoming a high school graduate, and made no mention of even being *in* high school, it would be the same. He’s still in middle school. Considering how he wrote this, he would have been saying “I am leaving School X because of this as a Y-year med student” or something of that ilk.

    • Travis76

      Take a hike troll

  • Bumblebee

    Good, I’m glad you’re quitting. Doctors kill 800,000 every year. That’s more than who were killed on 9/11 and the government went to war over 3,000 deaths. How come we don’t have a war on the medical field?! Oh yeah, run to wall street you scumbag. That’s exactly where you belong.

    • Adam

      First, it’s brilliantly written and now he’s a scumbag. Who are you shillin’ for?

    • Juicy J

      Just from that short paragraph I can honestly say you are one of the dumbest people I have ever seen. Go back and read what you wrote and tell me you don’t agree.

  • FactsAreFriends

    Wait…so he complains about government interference in health care and how he doesn’t want to work for the government and then says he was pursuing a government job (Air Force)? There’s a whole lot of unsubstantiated conjecture in this piece and throwing around generalities without any sort of evidence helps no one and encourages the spread of ignorance. I don’t care whether someone supports ACA or any sort of nationalized healthcare or not, but argue with facts, not unsupported statements. Get real.

    • Linda Verba Bassett

      I took it that he doesn’t want to continue to pay for his education since he will not be able to be a ‘doctor’ only a robot of the government.

      • Sandra

        You know where you can find ACTUAL robots of the government? The military!

        • bargal20

          The funniest part was when he he said he wanted to join the Air Force and specialize in pediatrics. Does the Air Force now put kids back together after blowing them up?

  • ameliak

    Lots of trolls on this story…. I recently read something that opened my eyes to the surprising number of paid shrills that work for the government, and Obamacare is definitely a topic of no exception. I would imagine the Ben Swann site has tons of them swimming around.

    • Christopher Tutt

      I couldn’t agree with you more…. It is something that many that read these comments don’t understand.

  • federico – Australia

    Why doesn’t the idiot get a job with the War Machine of the Federal Reserve with their so-called Free-enterprise that he dreams of. Either of those would suit him well by the sound of his tenor.
    F/k-wits like that should not be in the medical profession anyway – too bloody selfish too ignorant and too dangerous!
    By the way in Australia we have free public hospitals unless you want to pay a fortune – if we go to a private doctor the government will still pay our bill if we can’t afford it and we are not told which doctor see – that is our choice, we can see any private doctor we choose: paid for by Medicare. So put that in your pipe and smoke it!

  • RowanVT

    You write that you couldn’t find doctors that recommend the field of medicine. Is this true, or was it with qualifications?

    I’m a vet tech. It’s *a* medical field, just not human medicine. It’s dirty, it’s gross, it’s hard, it doesn’t pay near enough, it’s emotionally and physically exhuasting, it’s dangerous (I was bit in the face by a large dog not long ago), it’s only sometimes ‘fun’. I’d assume being a human doctor is like that, only far worse. But you know what? I love my job. I can’t dream of doing anything else. But when people ask me if I recommend it… I can’t without reservations. Because it is not a job for everyone. It takes a specific kind of individual. The “lifespan” of a vet tech is only about 3 years before they leave from burnout. I bet nurses are pretty close. A fair number of veterinarians also leave after a couple years because they can’t deal with the incredible amount of stress coming form all directions, even the people you’re trying to help as they scream at you because you can’t help Fluffy’s renal failure because they waited 6 months instead of coming in sooner. Most doctors, no matter what species they see, often lament that they were not provided a magic wand and crystal ball upon graduation.

    So of course doctors aren’t going to recommend the field. It’s a wonderful and horrific place, as you would have learned had you stayed. But you gave up.

    • Christopher Tutt

      I do believe he is talking about the government “taking control” of decisions and medicine. Not about the practice. It is funny how everyone seems not to notice the actual point that he was making.

      • RowanVT

        Or I could have been focusing on a part where I actually had something relevant to add. I’m betting that doctors were not happily, heartily, and without reservation recommending a career in medicine even before the ACA took effect. I’ve heard from several E.R. docs who are thrilled about this because more people insured means more people getting preventative care means fewer people with god-awful illnesses coming to the E.R. as last resort before they die.

        • Christopher Tutt

          And that STILL does not reflect the meaning of what this article is about… The whole article is about the resistance to the corporate government of our country as a whole. I guess you are lost on that.

  • MyHypocritDetectorWentOff

    “When I started college I never intended to work for the government…”

    “I have been on a path to enter the Air Force and continue my education in medicine.”

    So, tell me what’s contradictory here.

    Also, I’m glad you’re quitting. I’d rather have a doctor who’s more worried about my well-being than one who places more emphasis on the free market.

    • Travis76

      Shut up racist, LOL

    • Michael Lotfi

      Serving your country for 6-8 years is not the same as a career serving the government. Thanks for reading.

      • scarshapedstar

        You said you “never intended to work for the government”. If you think that’s not what you do in an Air Force residency, you might have deeper problems than you realize.

      • Sandra

        Working for the Air Force for 6-8 years is serving your country by working for the government. Who do you think pays the salaries of Air Force personnel, The Military Fairy?

        • Andrew Ryan

          Not the ‘free market’, that’s for sure!

        • David Atkins

          Republicans believe that defense spending is paid for in Magic Faerie Powder that neither stimulates the economy nor contributes to the national debt.

          Speaking of debt, arranging to have the Air Force pay your way through medical school tends to decrease the load of student loans accumulated in the process. That would tend to undercut the glibertarians who are wailing HOW WILL THE DOCTORS FEED THEIR POOR BABIES?????

  • Origami_Isopod

    Good. One less selfish a-hole in a white coat.

    • Travis76

      Yeah, how dare they want to be able to feed their families & pay their bills. Shut the hell up troll

    • Rhonda

      Have you paid the tuition of a young person working to become a medical professional? No? Then I guess you are just a clueless…what’s the word??? A-Hole!!!

      • Sandra

        There are plenty of young people working to become medical professionals who, unlike the author of this article, are smart enough to get full-ride scholarships, even at the top private schools.

        • Rhonda

          Sandra you are the expert in this? Did you go to college on a full ride? Not ALL students can get full rides, but they have passion and desire and work ethic…some /most have to pay and or go in debt. or join the military to achieve their dream of med school. It’s the facts of life. I guess in the near future, when you are waiting for 3 months to see a doc…or your kids are suffering due to the lack of doctors…remember how it felt up here on your high horse.

    • Linda Verba Bassett

      When your crying your Origami ass off because you got stage IV Cancer. …call that doctor an ass hole. I mean stage IV is really one foot in the grave, but if I were that a-hole as you said, I’d throw the other foot down the hole.

      • RowanVT

        That’s a lovely word salad you’ve tossed together there.

        • Linda Verba Bassett

          Yeah…..I thought I’d be nice Rowan!

  • paleotn

    All this angst over more people being able to afford health
    insurance? Some subsidized by the government, granted, but isn’t that better than having their conditions become acute and all of us shouldering the burden of acute care through hospital ERs? Or maybe you would rather the unfortunates just die in the streets, because you’ve got yours and frankly don’t care. That sounds about right for a Belmont grad, strung out on Ayn “Medicare” Rand. Some physician you would have made. Sounds to me like you’ve made the right
    decision. You’ll probably make a fortune pawning crappy CDOs in that libertarian paradise called Somalia. Best of luck to you.

    • berky

      haha… you actually think nobamacare is making things more affordable? please come back to reality. Your response is typical of those who can’t think outside the box. Rather than trying to make healthcare TRULY affordable, you want government to subsidize it and drive up prices even more. Go ahead and play right into the hands of the pharmaceutical companies…
      Did you ever stop to think “hey, maybe the costs need to come down instead of trying to help everyone pay exorbitant prices?”

      • scarshapedstar

        You mean like letting Medicare negotiate drug prices? Yeah, the Republicans banned that a decade ago. I’ll give you one gue$$ why.

        • berky

          well yeah, that would be a start. but more-so I mean like helping people realize that drugs are very RARELY the answer, and typically end up causing more problems. You stated above that you are a medical student. Throughout your education, how often have you been taught about vitamin, mineral, and hormonal deficiencies and how it relates to the many illnesses that are treated every day by drugs? I’m not a med student or even in the field, but I do read a lot on the subject of alternative medicines. I’m not saying that drugs don’t have their place, but they really should be a last resort. How many people out there do you think realize that you can very easily destroy your liver with too much acetaminophen or your kidneys with too much ibuprofen?
          There are plenty of other things that would help keep costs down as well like reducing the likelihood of frivolous lawsuits actually winning or reducing the costs of college by stopping those gov’t subsidies.

          • David Atkins

            So your real gripe with the ACA is that it does not give sufficient free reign for quacks to dispense snake oil.

            Pardon me if I think the calm black guy has a better approach.

          • berky

            wow, your ignorance is astounding… go take your abilify…. but be careful… side effects include coma or death. Pardon me if I think the “calm black guy” is not taking the best approach.
            Besides, that’s not even my biggest gripe… just one of them. The ‘biggest’ gripe I have with it is that it’s just another step to trample on liberty. Fine me if I don’t want a service? F***K that… How is that right? (I do want medical insurance btw, but penalizing my freedom of choice is NOT ok)

    • tionico

      news flash: “health insurance” subsidised by government means paid for my others. Remember WHO is government tapping for these funds. I checked out what MY premiums will be.. FORTY TIMES what I’ve paid, per year, on average, over the past 25 years or so for ALL my medical care. One other note: a single payer system ALWAYS costs more. ALWAYS. And a single payer system is precisely what O’Bummertax is at its root. I’ve watched the Canadian system devolve from a decent system, good care, fast access, low premiums, (I used to live there and was in that system, so I know) to one so bad folks near the border have taken to driving south and paying cash. At least they can GET service south of the Line. Neck is in intense pain constantly, MIR needed for diagnostic work, the wait is four months.. what, is a guy supposed to turn into a zombie for four months to get a stinking picture taken so they know what the problem is? No, they drive to Great Falls and plop a G-note on the table and get the stinking MRI… tomorrow. No waiting. That system, only far worse, is where WE are headed. Unless our “repreentatives” have a change of heart, or realise if they don’t they will be turned out of office

      • erikc

        The US spends far more per capita on heath care than any other developed country, including and especially the single payer countries. The level of care received in the US is far lower than these same countries. For instance, the infant mortality rate in the US is comparable to the old Soviet Bloc nations, not Western Europe or Canada. Lastly, I am Canadian and have lived here my whole life, as has my father, who does live near the border and in the last five years has had major health issues. He has never been turned away or made to wait for life-saving operations. The ONLY reasons he will go to the US is for warm weather or a NASCAR race, and he always has traveler’s insurance when he does, because the US medical system can make a person go broke in no time.
        The Canadian system is not perfect, but I know no one–patient, doctor, nurse, or anyone else–who would trade places with an American counterpart. There may be a few, but they are delusional.

        • David Atkins

          What erikc said!

          I just want to amplify one point: the federal government already spends more per capita on medical treatment than such nations as Canada, France, and Denmark that run highly effective single payer health care systems.

          All the private health insurance that we pay, including the measures covered under the ACA, are an additional financial burden piled on top of the federal payout.

          Which is, of course, insane and is a problem that needs to be fixed.

    • Amy Smith

      Unfortunately the idea that this will provide affordable health care isn’t true. Go ahead and crunch the numbers. Or go ask someone that painstakingly signed up.

      • http://marconidarwin.myopenid.com/ Marconi

        Did, and it does make it more affordable to those who did not even have it.

        But it is not a panacea. At best, Obamacare will rein in the rampant increases we had seen over the last decade, and will provide insurance to more people.

        Rates will go up, slowly for the next few years and more rapidly as the industry settles in. But, more people will be covered, and consequently some of the exorbitant costs of people just using the ER will be curbed.

        This is a first step.

        • Linda Verba Bassett

          I don’t want to pay for your damn health care and newsflash…no one does. I bet you have a cell phone, obviously a computer, a few tats, drive a newer car (I drive a 1993 car so I pay MY own health care). And my prediction that this will be the first worst entitlement that Obama gave out.

          • Lib_IN_YOUR_FACE

            Typical right wing answer.

            Let me help you (caps lock always works best with tea-baggers): YOU HAVE BEEN PAYING FOR CRAPPY HEALTHCARE FOR THE POOR, AT A PREMIUM, ALL ALONG. NOW YOU CAN PAY FOR BETTER HEALTHCARE FOR THE POOR AT A DISCOUNT.

            Better?

      • Lucy Kemnitzer

        I am someone who has “painstakingly” signed up on the California exchange. Starting January 1, I will have coverage better than the last time I had employee health insurance (meaning more things will be covered), with a $15 copay to see my regular doctor and a $40 copay to see a specialist or a physical therapist, $15 drugs, and my cost will be, after subsidies — a dollar a month.

        Since I am somewhat disabled until I get full coverage and get some pre-existing conditions taken care of, and I live on a widow’s pension, this is golden for me.

        It could be better. My grown daughter will have to pay a lot more than me, for example. But she’ll have coverage for the first time in years.

        This is only one person, but that’s all you asked for.

        • Linda Verba Bassett

          Lucy…I thought all pre-existing were covered?

          • Lucy Kemnitzer

            Pre-existing conditions are covered — _since_ the first stages of the Affordable Care Act. However, until the rollout of the exchange, it didn’t matter whether there was insurance that would accept me, as the cost of the insurance would have been dangerously close to my whole income. So that’s what I meant.

          • Christopher Tutt

            Yea Lucy you get covered and others get canceled. So how is this helping out? How is it that EVERYONE is now MANDATED to get insurance. Then if you don’t THE IRS? Hmmm that doesn’t sound right.

            Let’s look into this IRS shall we. Let’s start out with is the IRS “government” owned? NO it is not.

            http://www.supremelaw.org/sls/31answers.htm

            So Now we have a organization collecting money from the people as a “TAX” that goes into another “agencies” pocket. That money then would be given to WHO? Let’s find out shall we…

            http://money.usnews.com/money/blogs/the-best-life/2012/07/13/how-the-health-insurance-mandate-penalty-will-work

            Hmmm sure seems like the IRS is going to get the money. WHO do they normally collect money for? Hmm once again let’s do some looking around and see what we can find.

            http://www.huffingtonpost.com/scott-bittle-and-jean-johnson/do-you-know-where-you-irs_b_96598.html

            Now a HUGE portion of the collected money goes to the Federal Reserve. Well why do we have to pay them interest. Because they print our money FROM THIN AIR and then have every citizen of the US pay back this “free money” (FIAT MONEY) with their hard work.

            So who does this money go to? I would guess that they are giving most of it to the Federal Reserve to fill bankers pockets.

      • Chet A. Morrison

        Well i just signed someone up for it for a very affordable price and did crunch the numbers and find it eminently affordable. Why do you think the Repubs are so against it being implemented/ Maybe because they know it will work, and people will like it and remember who supported it and who opposed

    • Christopher Tutt

      No all this angst over government TAKING CONTROL over our medicine. Just as they have taken control over our food, security, and about every aspect of our lives. I was born in a FREE “ER” country and that was only about 40 yrs ago. I am sorry if you haven’t been around long enough to watch our freedoms get tossed out the window because of this ever encroaching police state pushed by this tyrannical government.

  • rrose

    Being in the top 5% of graduates will not be enough to most people into med school. You’re not quitting because of principles, you’re quitting because you know you won’t make it.

  • Darek

    What a bloody idiot.

  • scarshapedstar

    How do you quit a field you’re not even in?

    Signed,
    An actual medical student

  • James

    Hahahahahahahahah, this kid.

  • Kris

    I feel that I should point out something here: attending private school and paying $30K/year was definitely not the only option. I am currently a veterinary student with minimal debt because I chose to go to a cheap, but high quality, public undergraduate school that still got me where I needed: as the youngest person admitted in my class of 100 at one of the most prestigious veterinary schools in the nation. I will end with only about $100K in loans for 7 years of college education. Being family farmers by trade, my parents have thus far not been able to help me with tuition.
    That being said, it will take a heck of a lot more debt and hard work to get me to turn away from my passion. If you felt that way about medicine, it would be the same for you.

    • Mike_McConeghey

      If you had the Feds pushing more and more controls on each of your animal healing encounters, demanding more documentation for each billable procedure, dictating the choices you are allowed to make, and the fees you charge, you might think differently… They haven’t extended Obamacare to animals… YET.

      • http://marconidarwin.myopenid.com/ Marconi

        Yes, FOX News spreads this nonsense very well.

        What additional documentation do you have to produce to a colonoscopy, for example?

        Please be specific.

        • Linda Verba Bassett

          Enough with FOX..why are you so sold on FOX…there are many other channels you can watch, read many articles and truly educate yourself instead of point fingers. This tells me you truly are not a out of the box thinker…a sheep instead of a leader.

          • Dude

            Maybe the comments about Fox have something to do with the recent revelations that they flood message boards using paid shills. Not to mention that they regularly lie, distort, and generally do whatever they can to promote the GOP. They even sued for the right to present falsehoods as “news.” Fun, huh?

          • http://marconidarwin.myopenid.com/ Marconi

            Wow! You said nothing useful in all those words

        • Linda Verba Bassett

          All you need for a colonscopy is making a appointmet , having an insurance policu and pay your co-pay….can’t be easier than that!

          • http://marconidarwin.myopenid.com/ Marconi

            Er, no. This is not a haircut you’re talking about

        • Mike_McConeghey

          I am a Doctor of Chiropractic.We only have 3 reimbursable Medicare codes. Examinations are required but not reimbursable. Our official Medicare documentation reviewer/lecturer showed us example after example of fantastic documentation that he said was inadequate, and informed us that inadequate documentation carries a fine of $2000 per visit (on a $20 procedure.) That fine is multiplied across the patient visits per year. We are required to extensively document and bill for every medicare patient, and do not have the option of not being involved with Medicare (as M.D.s do) if we have patients with Medicare. M.D.s can opt out and do private care of these folks. If you think Obama care will be the least bit more reasonable to deal with… Veterinarians just haven’t seen the power and potential wrath of the bureaucrats we have yet. God save America, or bring it back!

          • Dude

            Chiropractic? How far do your claims for “adjusting” go for treatment? Some of you quacks claim to cure infertility, so it’s rather hard to take any of you seriously.

            What made you pick this over homeopathy, accupuncture, or any other kind of “medicine” with dubious claims of effectiveness?

          • http://marconidarwin.myopenid.com/ Marconi

            DC is not a doctor. Anymore than Rush Limbaugh is one with his honorary degree

      • Kris

        Think the government isn’t involved in veterinary medicine? Look into production animal medicine practice. That is my intended track.

  • scarshapedstar

    Also, if you answered the traditional ‘what will you do if you don’t get in?’ interview question with ‘COMPLAIN TO THE PRESIDENT OF THE UNITED STATES!’, that might have been the problem.

    • Shang Tsung

      Hahahahahahahah I love this comment. It’s really painfully obvious the first part of his essay is his rejected med school application essay, isn’t it?

  • Future Medical Student

    I’m glad that your life has more value than the millions of Americans who will go untreated because of their lack of healthcare. And I’m glad that you can, with clear conscience, forsake the Hippocratic Oath and turn your back on the sick people you swore to treat. A free market is most certainly worth the lost lives.

    • Current Medical Student

      While, I don’t agree with his decision of quitting, i must say I can see why it is a problematic system. You are not treating lives and upholding the hipocratic oath, u are a puppet in a protocol based, cost determined medical system where you are but just a pawn, the first line of attack. You are no longer the healer, but a facilitator, of cost-effectiveness, and profits, not of medical care. you aren’t saving lives.

      principles of free market should’t have been in the discussion of medical care, but control on medical decisions should be.

      • scarshapedstar

        How is that any different from the insurance man telling you that they don’t cover the good drug and you have to prescribe the cheap one? Or is that awesome because that bean-counter takes his marching orders from a private bureaucracy instead of a government one?

        Also, are you really that disinterested in everything you’re learning? I know plenty of doctors who do amazing things right now even with all the islamocommunofascism. If you don’t, by all means, quit med school and let someone who wants to be there take your place.

        • greatshades

          I think you guys are missing his point. For years now there has been little tono time for a doctor-patient relationship and insurance companies run the show. With Obamacare that will expand considerably. Little time for diagnosis will become no diagnosis required. x symptom = x drug or surgery whether it is correct for that individual or not. Whatever is mandated by the system is what will be allowed – no thinking, no individual care. Might as well be a robot in t
          hat white coat.

      • Sandra

        You can’t say that he quit because he was never a doctor! He never even went to medical school, and isn’t even trying to claim that he got accepted to a single medical school. He didn’t quit – he either failed, or gave up before he would fail.

    • Yanksta

      FMS, aren’t you the pious one. It is the government mandating that the oath be forsaken. You won’t be practicing medicine as a future career. No, you’ll be managing human resources for the state. Enjoy.

    • Linda Verba Bassett

      Move to China or Russia or Canada or a number of other socialized medical countries…a person has to make a living. If I were you, I’d change careers since you are a future Medical Student. I know I would. So your telling me your some bleeding heart liberal who doesn’t want to make money…join the Peace Corps!

    • Christopher Tutt

      No but our F*CKING FREEDOM IS!!! If you wish to live in a socialistic society that is being created instead of standing up for what this country was/is supposed to be then you aren’t even worth becoming a doctor in this country of the FREE…

      • Dude

        You wouldn’t know socialism if it bit you in the *ss. Here’s a news flash for you: Technically, we have universal coverage. At least, we do in the sense that nobody is turned away from the emergency room.

        If some form of wellness care was in effect. we wouldn’t have so many people hitting the ER only after their maladies have become life-threatening. Then, as they’re uninsured, those costs are passed on to those with insurance policies. So you’re already paying for “socialism” as you’d mis-define it, and on top of that you’re paying for the most inefficient way to deliver health care.

        Well done, “patriot.” Do us a favor and actually learn something before you post next time.

        • Christopher Tutt

          Have a real good friend that is a historian scholar. : ) I research history because in some cases it will show us our future.

          Here have some History your ignorance is showing:

          http://www.theguardian.com/world/2007/apr/24/usa.comment

          This isn’t the only one that will lay out the steps… Do a little research before you OPEN THY MOUTH AND STICK YOUR FOOT IT IN…. lol Oh and wake up before we are sitting in a police state, Ops we already are.

  • ebrose

    Young docs–I practiced pulmonology and critical care medicine for over 20 years. I quit over ten years ago because of increasing government interference every year. Our practice was 65% Medicare, 10% Medicaid. Due to cuts in reimbursement, my net income dropped 50% in ten years as overhead rose. My partner and I both took administrative jobs instead. I cannot imagine practicing under Obamacare, and I think you would have to be a total fool to go into primary care today. I have never regretted getting out. For those of you already in practice, my advice is to save what you can, pay off your debts, and get out. It will only get worse.

    • http://marconidarwin.myopenid.com/ Marconi

      You do know that Medicare is socialized medicine, right? That Medicare Part D was unpaid for, and you were gorging at the public trough with that, and not really in a free market?

      Good riddance to you as well.

      • ebrose

        My partner and I took care of the sickest patients in the hospital, often getting called out in the wee hours of the morning when people like you who did not study and work your tail off until age 30 for little or no pay like us were comfortably asleep. We took care of patients regardless of whether or not they had insurance. We even took care of bums who have nothing better to do than post inane and insulting replies in the middle of the night. And Medicare Part D is for prescription drugs. It had nothing to do with medical practice.

        My partner and I both left this practice because of the increasingly intolerable hassles created by the government, and we took administrative jobs instead.
        Walk a mile in someone’s shoes before you criticize him.

        • Dude

          Teachers already got there before you, sunshine. Except they never got amazingly high salaries to pay off all of their required degrees.

          But please, copy-paste about you and your partner. We’ll assume it’s actually true.

    • David Atkins

      Back in the 80s, under Reagan, I worked in a hospital with a bunch of doctors. They could all see that big changes were coming in the financial aspects of medical practice – none of which had anything to do with the Affordable Care Act, which was then thirty years in the future – and they went to great lengths to educate the residents and interns about the coming transformation.

      If you were too stupid to arrange your affairs to protect yourself from these obvious effects, then you are probably too stupid to hack it as a medical doctor. Blaming your ineptitude on government interference is like a bartender blaming second hand smoke regulations for the failure of his bar – in fact it was a marginal operation all along that just happened to blunder over the edge at an interesting moment.

      • Christopher Tutt

        You are a shill a troll. Nothing else. Way to be paid to input slander. I believe you not and doubt 90% of what you say. Your comments are ramblings of an idiot that has done NO research on the matter of Obummacare yet criticize someone that is paying attention. SHILL.

        • Eric Riley

          Speaking of someone who’s done no reasearch on ‘Obummacare’ – you do realize that it is actually called the ‘Affordable Care Act’? And his name is spelled ‘Obama’ if you must call it ‘Obamacare’?

          But – ignoring the name calling – just what research have *you* done?

  • eaurore

    Have you considered staying in medicine but moving to another country to practice medicine?

    • http://marconidarwin.myopenid.com/ Marconi

      Yeah, like Somalia. Or Pers… I mean Iran

  • waaaa im a big baby

    I’m a medical student, not that it matters, but I think you are a total cry-baby. It is good that you are changing career interests, you would have gotten into medicine for all the wrong reasons. You only see the $$$.
    Also, you seem to be an undergrad? You aren’t hanging up the white coat. It seems like you have not even received a white coat yet. And many physicians do still love their jobs.
    Sure the system has problems, as does any system. It had problems before ObamaCare, but at least something is being done.

    • Bill Campbell

      Yeah… almost no doctors are doctors for the money, right? I suppose lawyers are lawyers because they want to help people, too?

      • M.C.T., MD

        This doctor didn’t get into medicine because of the money. i do it because day in and day out, I feel I am making a difference in somebody’s life. What do you do and how have you changed the world in a positive way?

        • Christopher Tutt

          He left it because of the way that the system is being set up. He has a set of balls I say. He actually has self worth. Apparently that is lost on you and you ignorance to this Obummacare that you have researched NONE.. If you did then you would understand why he is taking a stand against it. And if this is the way that he chose to do it he should be applauded.

          • usaok59

            Exactly! He can hardly be a real doctor if some paper pusher is telling him how to treat his patients. Lack of medical students, established doctors leaving the field, and retiring doctors, is going to make health care a REALLY bad nightmare for sick people. You know, the ones that eat Monsanto crap, don’t exercise, and want a pill for every malady.

          • Dude

            A paper pusher? You mean like an HMO/PPO denying coverage so someone up the food chain can get a bigger bonus? Or a bunch of lawyers at a hospital and another at an insurance company fighting tooth-and-nail to deny or allow coverage? Or a pharmaco slapping a patent on a previously generic medicine?

            Yeah, regulation of how insurance screws us over is “paper pushing.” I really don’t get how people like you can claim that SOME form of insurance is better than NONE.

          • usaok59

            Where in the hell did I say anything like your accusation: “SOME form of insurance is better than NONE”. I was talking about how doctors are told by a non-medical person, how to treat patients.

          • Sandra

            He has a lot of balls? Yeah, it takes a LOT of balls to never go to medical school! I bet you think that only real men get low MCAT scores.

          • Christopher Tutt

            No I think he has more understanding of history than you. I think he understands the steps towards socialism, communism, fascism or any of the like. I think that he has done the right thing for HIM and if you don’t like the choices that he made so be it. But to say that when he told MONEY (and government) to F*CK OFF did not take some balls….? I would have to differ.

        • Bob Barker

          You mean you WANT current medical students to rack up nearly half a million in debt with no job to come out making way less than market value in a subsidised system that can only shrink in value, not grow? You must not have taken economics as part of your class schedule. Pretty obvious.

      • Andrew Ryan

        Lofti goes on and on about medicine being his destiny and ‘seeing the face of God’, so he seems to argue it was a vocation, not about money. But perhaps he didn’t actually mean any of that purple prose.

  • Dan

    Good doctors make decisions based on evidence, and you failed that test. Maybe it’s a good thing you aren’t going into medicine. The government has paid for most healthcare long before Obama became President. Medicare, Medicaid, the VA, military hospitals, county hospitals have been providing care long before you were born. The FDA decides what you can prescribe. The medical board of each state decides whether you can practice. If you think a light switch has been flipped in medicine between the free market and socialism since 2010, you don’t have the judgment necessary to be in medicine. Signed, a doctor with no regrets.

    • Bob Barker

      This must be troll day on benswann.com. It’s obvious you are not a doctor, have never practiced medicine, and have absolutely no understanding of business whatsoever. Can’t blame you, group think will do that to you.

      • Bush_Did_9/11

        Actually, his profile leads to his facebook and I found that he’s got his own wikipedia entry, I looked. He’s a bona fide physician. Nice try, “Bob Barker.” Let’s meet our next contestant…

  • http://marconidarwin.myopenid.com/ Marconi

    Good riddance. A doctor wannabe who is more beholden to capitalism than to saving lives is better off on Wall Street.

    One less incompetent leech in the live-saving business is a good thing.

    • CloudNine

      That’s pretty rich. He’s simply a doctor that is unwilling to become a part of the ever-growing COMMUNIST / TOTALITARIAN State that is forming around us.

      It must be stopped, Communism is hell and will destroy the life-saving business!

      • David Atkins

        He’s not a doctor, you idiot. He punted. He dropped out. He flew the coop.

        Besides which, arranging health insurance for the working poor is hardly a totalitarian nightmare. Sane people recognize that it is merely one step out of the swamp of third world morbidity and mortality rates that afflict far too many people in this the most affluent nation on earth.

        • CloudNine

          Well you IDIOT. The point was that MarxistCare induced him to opt out of continuing his medical training – you miss the point.

          You can rationalize Communism any way you please, but America is not buying it. Insurance?? Face facts friend, this is not in any way insurance, this is forced involvement into the Medical Industrial Complex. “One step out of the swamp of 3rd world morbidity and mortality rates that afflict” the USA. Are you serious??

          You are completely mad and entirely depressing, having lunch with you would require an anti-suicide coach and removal of all sharp objects.

          Among many – I will not be a part of it and WILL NOT PAY penalties. MarxistCare is going down in ashes.

      • Reg Cheeseman

        An excellent point, if we ignore what communist and totalitarian mean.

    • Bob Barker

      What? Do you even understand yourself when you speak, or do you just read a talking point script? You understand that without capitalism in America, there would be ZERO chance of our medical field being as advanced as it is? Of course you don’t, you aren’t that smart.

  • David Atkins

    Got rejected by all the medical schools, did you? Or maybe you spazzed out on the MCATs and didn’t even bother to apply.

    In any case, you are going to find that the Market is a harsh mistress. She doesn’t care how committed you might be to your principles, if you can’t hack it you get flushed down the toilet.

    Here’s a free life hack: top 5% in the country (what ever you might think that means) is not necessarily a golden ticket to riches on Wall Street. You may be lucky to wind up in some boiler room, pitching penny stocks at toothless gomers, clearing 30K in a good year.

    Keep us informed, we are dying to read how you make out.

  • Anonymous

    When there are so many of us (most of America, I suspect) who hate our jobs, I can only feel pity for this doctor, who would still make more per year than probably 90% of Americans, for having to ‘suffer’ through his life with a “good job” (as he put it) that he worked his life for. Please, please, cry me a river into your Koi pond behind your mansion where your Mercedes is parked while I struggle to pay my mortgage.

    • Ax123man

      huh? The guy chose NOT going to be a doctor and doesn’t indicate what he decided to be instead.

      All he is saying is that he wanted to exchange his medical expertise with others willing to pay for it, VOLUNTARILY. HE is the one asking for the free market, where individuals VOLUNTARILY exchange goods and services.

      Do you have a problem with people VOLUNTARILY exchanging goods and services? Hopefully you realize that our health care system is completely decoupled from VOLUNTARY exchange. You can clearly see that in the many cash only facilities popping up whose prices are anywhere from 1/2 to 1/100 of the price of health care in our socialist system.

      You seem more concerned with the fact that there are others making more money than you than concerned that our once great American system is turning socialist.

      • Dude

        He doesn’t indicate what he decided to be instead? Did you miss the caption under his photo that reads:

        “…To Pursue My Doctorate In Economics And Head To Wall Street/ Continue My Work In Politics.”

        So he wants to contribute nothing but shuffling money to the 1% and getting bailed out by the government he hates or joining in on said government. Wonderful.

      • Eric Riley

        You keep using that word, ‘socialist’… I don’t think it means what you think it means.

        And – I would point out that America’s primarily capitalist health care system is the most expensive in the world for patients – your occasional “cash only facilities popping up whose prices are anywhere from 1/2 to 1/100 of the price of health care” that you claim exist.

      • John Martin

        you gotta be kidding- look a ceterpillar line worker who works the same 70+ hours a week all through undergrad, all through med school (now its 80+ hours) then through residency (80+) would make the same as an MD until age 53 or so. The MD works 70+ hours for no pay, puts themselves in debt about a quarter of a million, that whole time a full time worker is making money, about 12 years, 8 if they get a bachelors and they would only study about 20 hours for a typical b.s. degree. Doctors must ahve rare intelligence, and bust their butt sacrificing their entire 20′s. So I dont ever want to hear anyone who watched lost, or jersey shore, or had hobbies, or went out boozing and chasing girls or dancing and shopping whatever, complain about a doctors pay, they dont have the right. That’s like complaining about a navy selas retirement package (with is actually really nice, 50% pay for life at age 38, 75% at 48)

      • Sandra

        Um, he did indicate what he has “decided to be instead.” Try re-reading that article, keeping a close eye out for the terms “Wall Street” and “politics.” I think it’s telling that the person defending this article clearly hasn’t read the whole thing.

        Also, if cash only facilities are so popular, then why didn’t the author of this article decide to be a doctor, and then start working at one of those?

  • Marci Kiser

    What a load of nonsense. Pre-pre-med pumpkin, I hope no physician reads your med school entrance essay, because when they get to the part where you “heard a fetal heart rate with the bell of your stethoscope,” they’re going to immediately know you’re full of blueberry muffins.

    Free lesson: Hearing an intrauterine fetal heart rate requires very firm contact with your diaphragm on the mother’s abdomen. Assuming your story isn’t completely made up, what you were hearing with the bell was mom’s aorta. Period.

    • Ax123man

      strawman. Do you have something to say about obamacare?

      • Marci Kiser

        Given that the ACA more closely ties reimbursements to quality of care and physician competence, this little flower is going to go broke quickly, because no is going to pay for an OB exam where the provider charts that he “heard a fetal heart rate through the cool, metallic bell.”

        • thebeyonder

          seriously? the aorta? what disinformation. of course you can listen to a fetal heart tone with the bell of a stethoscope listening for fetal heart defects. no one pays for exams anymore, i no longer get paid for consults out of fear of being audited by the US government. so that is healthcare, i do free work because it is more costly to possibly be audited by a wanton government.

          • Marci Kiser

            1) In whatever shoddy Google search you just ran, you failed to distinguish between peripartum heart sounds and postpartum heart sounds, It is not acoustically possible to hear a fetal heart rate with the bell. By contrast, even a second-year med student knows that the abdominal aorta (and renal arteries) are classically auscultated with the bell.

            2) You’re not a doctor, and you’re not doing consults. I’d bet my license.

          • thebeyonder

            so what are you and these stellar second year med students listening for with the bell of your stethoscopes when you are listening to the aorta and the renal arteries? are you listening for stenosis? aneurysm? bruits? the sensitivity and specificity of this exam is poor. so if you don’t hear a renal artery bruit and you suspect RAS, then your done right? no further testing warranted? how about if you suspect RAS and you hear a bruit? you going to get further testing? so doing this exam step is useless, because the sensitivity is extremely low, that is why so many practitioners do not perform it. if you suspect RAS you get angiography or an ultrasound. so google search useless academic physical exam skills and you’ll find this, you won’t even find anything about listening with a stethoscope bell or otherwise in the Guide to Physical Examination and History Taking by Barbara Bates, because, I looked, because it is a useless skill. I am a doctor, a board certified doctor, and I am doing consults, and if you’d bet your license you would be wrong and you can get off your soapbox now

          • Marci Kiser

            Oh, you are just precious.

            1) If you were an MD, you wouldn’t waste time listing out the whole title and simply call it ‘Bates’, the way every other provider in the English-speaking world does. Incidentally, Bates does describe both aortic and renal auscultation, and not-for-nothing, but anyone who did practice medicine would know that a CT is a much more sensible option for RAS surveillance than U/S or classic angiography.

            2) Your Wikipedia entry on renal and aortic auscultation notwithstanding (it’s utterly senseless as I told this ignorant young man what he was actually hearing in this woman’s abdomen, not discussing the relative S&S of renal bruits), you’ve wandered way far afield of my initial call of ‘BS’ on this not-MD not-student. His essay indicates he was using “his own stethoscope,” not a fetoscope – and incidentally, the broad side of a fetoscope is called a trumpet, not a bell. So you’re wrong and wrong and wrong again, which leads me to…

            3) Yes, I am an MD (radiologist, actually) of 15+ years experience (who happens to post under her maiden name to avoid creepy internet stalkers), and have the license and dual board certifications to prove it. Also, I’m using correct grammar, complete sentences, and accurate medical terms, as is appropriate for someone with an education. You, on the other hand, consistently get the most basic medical facts wrong and do so in the sort of English one usually sees after using Google Translate on the Elder Edda.

            Soooo, yeah. I’m calling BS on Mr. Lotfi’s med school essay (I’ve read enough to know one when I see it) and your claim to be an MD who does “consults.” BTW, if you’d like to be paid for those, ask someone who is actually a doctor to lend you their ICD-10 so you can be properly reimbursed. Toodles.

          • thebeyonder

            no i am not wrong the broad side of a fetoscope is called a bell, so your WRONG!!!!!! LOL!!!!! Yeah, I am right and your wrong!!! Here it is from the manufacturers website

            A popular choice among midwives, the Leff fetal stethoscope features an unusual conductor that blocks external noise to isolate heart tones, as well as cord and placental pulses. The Leff’s superb sound quality rivals that afforded by Dopplers and justifies its high price tag. Leffs work best after 17 weeks, and are effective throughout pregnancy and labor—even through contractions and under water.

            The Leff fetoscope comes with both the large bell and the small, traditional bell.

            I

          • David Atkins

            Memo from a friend, to thebeyonder:

            The jury is still out on whether you might plausibly be a doctor in real life, but everyone is certain that you are a loon.

            If you really are a doctor, let us know where so we can all avoid that city.

          • thebeyonder

            david atkins, spit it out you spaz. blah, blah, blah, I’m david atkins I’m the worlds biggest loser and i am going to bore you to death, blah, blah, blah, man stfu already
            hey guys, i just asked a jury about this guy being a doctor, I’m david atkins and i have no life, blah, blah, blah, if you want a crappy radiologist go to providence health and find david atkins. I’m david atkins and i avoid entire cities based on someones comments about a stethoscope because that is how idiotic i am, i david atkins and i am a shithead folks

          • thebeyonder

            memo from an enemy, yawn! you bore me and anyone else you come into contact with, cyanide is your friend

          • thebeyonder

            yawn!!! boring!!!! some supposed physicians hear now the ins and outs of the billing practices of all the medical specialities. well this woman is a liar!

          • thebeyonder

            marci kiser i would not want to meet anyone that would want to stalk you, thank you for doing us all a favor and making it harder to find you. i know why you went into radiology, you are either too ugly or too socially awkward to go into any other branch of medicine. radiology, when you went into it, was for the idiots of medical school, no one wanted to do it because who would want to sit in a dark room all day by themselves? by brother in law is an interventionalist and he is as socially awkward as you appear to be, constantly with the desire to prove yourselves better and more accomplished then everyone else. Why is that? low self gratification? i am happy you read so many med school essays and find issue with my grammar. great for you. i do consults and the reason i don’t bill for them is because it isn’t worth the hassle, this is coming from the management agency for our group and our billing person. i don’t an icd 10 because i don’t bother with that, that is not my field that is why there are billing agents. it is a shame that i am spending time doing important work, such as a consult and yet our group management company and the billing community at large doesn’t suggest billing for them as it would put one at risk for an audit by medicare and it isn’t worth it. i don’t order tests for RAS, but from what i recalled the test of choice was ct angiography.

          • thebeyonder

            and if anyone is interested, radiologists are way overpaid, as marci will attest to, won’t you marci? most of these fools work is nighthawked to india, italy, etc, so most of what they do can be done overseas. most surgeons and real doctors do their own reads and don’t rely on the read of the idiot radiologists because that is what they are, idiots.

          • thebeyonder

            i am done with you marci, i am a real doctor, i actually work, i don’t punch a clock like a stupid radiologist, i work past 4pm, i don’t have 16 weeks vacation and make 500K doing nothing!!! dual certification, what a dipshit you are. certifiably an ass hole and certifiably a loser.

          • thebeyonder

            Of course its acoustically possible to hear a fetal heart with the bell. You obviously are full of disinformation. Read about fetal stethoscopes, the reason these stethoscopes were invented was to allow the obstetrician to more firmly place the bell of the stethoscope firmly against the parturients abdomen.

          • thebeyonder

            and what license do you have marci kiser? a drivers license, because i searched marci kiser physician and nothing came up, but what came up was pre physician assistant. so your a pre PA? don’t bet what you don’t have.

        • John Martin

          aca requires that healthy young people overpay for their risk so that people who choose to smoke, drink and overeat dont have to pay higher premiums. While young people tend to be liberal and naive, the issues with the rollout and multiple horror stories are making acceptance fo the ACA take too long. There is a critical period where it will be judged as a success or failure- with many dems admitting the individual mandate needs to be postponed, as the business one was, it is slowly giving the repubs credence.

    • doodls

      Nope, don’t even have to talk to a doctor to debunk that… just ask a midwife.

    • KissesandNoise

      Blueberry muffins!? Hahaha. I’m stealing that.

  • UmbrellaHolder

    Glad you are leaving the field. Another win for the ACA.

    • KissesandNoise

      ANOTHER win? Really? Tell that to the 523 people that got laid off in my hospital system. Touchdown!

      • Sandra

        Right, because it was unheard of for hospital employees to get laid off before Obama got elected.

        • KissesandNoise

          Sure they have, but these layoffs and many others across the country including the likes of Mayo and Cleveland Clinic are doing the same and saying it is a direct result of ACA. Could it be some needed bloat being removed that will make things more efficient? Possibly, but that remains to be seen. Hopefully that is the case. I’m not necessarily against a plan like this or the president, but the fact that it is strapping middle class and lower middle class people and small businesses to the benefit of insurance conglomerates makes me sort of ill. Maybe you should pay for my doctor’s visit? Wait, you are …

          • Sandra

            How does the ACA strap the middle and lower middle classes? Before the ACA, hospitals were required to offer emergency care to those who could not pay; these costs were passed down to the taxpayers, which certainly includes the middle and lower middle class. Now, with Obamacare, families that could not otherwise afford private insurance may very well receive some help from taxpayers, but the amount of money spent on their health care will not be nearly as much as what was spent previously, when emergency rooms were used for primary care.

          • KissesandNoise

            Not everybody went to the hospital before. Now we have to pay for everybody. This is just one of thousands of articles: http://www.forbes.com/sites/theapothecary/2013/09/23/its-official-obamacare-will-increase-health-spending-by-7450-for-a-typical-family-of-four/

            There are a lot of smoke and mirrors here. Healthcare for all is great, but not getting to the root of the problem – costs that are far out of alignment because of insurance fraud, litigation, and insurance gouging – just forces the burden on the rest of us. Aspirin will continue to cost $50, MRIs will cost thousands when they should cost a few hundred, etc. That’s a problem. If healthcare was more affordable at the root then more people could receive care. Forcing insurance companies and the government between doctor and patient will only increase prices and decrease efficiency despite what you are being told.

      • UmbrellaHolder

        My comment had nothing to do with your colleagues. I was referring to Mr. Lofti. Glad to have him out of the system, that’s all.

    • Luke_Cage1225

      Umbrella holder? More like you had one shoved up yr ass and then opened, idiot. The next win ObummaCare has will be the FIRST one. It has been a joke since its inception just like the tyrant its named after and the retards that worship his every word…like you.

      • UmbrellaHolder

        What a charmer!

        • David Atkins

          He misses the glory days of middle school, when his fart jokes kept his gang in stitches.

  • Reg Cheeseman

    If you honestly believe Wall Street is a freer market than your health exchanges, you belong in the financial sector.

    • doodls

      Doesn’t sound like he believes its freer. Sounds like he believes its the road to political success, and he’s right; Wall street has a revolving door to Congress.

    • KissesandNoise

      They are both borderline fascist or more appropriately corporatist. They have the appearance of a free market but they are propped by the government – in collusion with the government – where the very few power brokers on Wall St. and in the private insurance companies get rich at our expense and their profits are enforced and ensured by the force of a gun.

      • Reg Cheeseman

        Can you say how Obamacare is fascist?

        • KissesandNoise

          Well, as I stated, corporatist. It is a system drafted by the insurance companies to their benefit and enforced by the government. “Fascism should more appropriately be called Corporatism because it is a merger of state and corporate power.” – Benito Mussolini

          • Reg Cheeseman

            Isn’t that true of industry and business since the Civil War?

          • KissesandNoise

            It is probably true of any large industry since the Roman era. Does that make it right or not fascist? It was the end of the 19th century and beginning of the 20th when the powers of the incredibly wealthy took a vested interest in controlling politics and politics took a vested interest in their incredible wealth. Thus a corporatist collusion between the state and the 1% (.37% to be exact). Based on other posts of yours, you would support this view if it didn’t show your quarterback of the blue team in a negative light.

          • Reg Cheeseman

            You misunderstand me. I am not for Obama. However, I wonder why, after over 130 years, it suddenly becomes an issue. Why wasn’t it an issue in the 20s? the 80s? the 90s? the 00s?

          • KissesandNoise

            Ah, I see. I think a clever PR campaign kept the masses from questioning things like this. I think a politician like Ron Paul has shed light on how some of this works affirming some conspiracy theorists while informing another segment of the population to be leery of the status quo. I think more people would buy “too big too fail” up to the 90s. I think people generally believed more wholeheartedly in their government and if the government got involved it was for the better. We know better now. The afterglow of WWI and WWII is finally fading and I think people don’t see our government as the heroes they were made out to be. Notice how many times I say “I think.” Also, I feel if you research some of the sentiment surrounding the opposition to a central bank in 1913 you would see many wise people echoing the same trepidation of corporatism.

          • Reg Cheeseman

            I’d agree with you if you were right.

          • KissesandNoise

            ba-dum-bum, tiss

        • KissesandNoise

          Um, I already did. As I stated, corporatist, as it is a system drafted by the big insurance companies and forced through with their lobbyists then enforced by government power. “Fascism should more appropriately be called Corporatism because it is a merger of state and corporate power.” – Benito Mussolini

        • KissesandNoise

          Um,I already did. As I stated, corporatist, as it is a system drafted by the big insurance companies and forced through with their lobbyists then enforced by
          government power.

        • KissesandNoise

          My response keeps getting removed or there is an issue with DISQUS so just read my comment above again and you will have your answer.

  • Warren Senders

    The doctoral degrees offered at Belmont ( from their website):

    DOCTORAL DEGREE PROGRAMS OFFERED

    Doctorate of Nursing Practice (D.N.P.) (MSN – DNP) (BSN – DNP)

    Doctorate of Occupational Therapy (O.T.D.) — Occupational Therapy

    Doctorate of Pharmacy (Pharm.D.) — Pharmacy

    Doctorate of Physical Therapy (D.P.T.) — Physical Therapy

    Juris Doctor (J.D.) — Law

    Huh. This doesn’t really sound like med school.

    • Bob Barker

      At what point was it said he got is MD from Belmont?

      • David Atkins

        People who have suffered head trauma, or have developed brain lesions, often find themselves crippled in social settings by overly literalistic interpretations of written and spoken communications and the inability to draw any but the most simplistic conclusions.

    • doodls

      He’s been in school 5 years. Do you think he might have changed to a specialty school after graduating from this one?

    • John Martin

      he only did undergrad, and was planning on ped neurosurgery- which is like 12 years of residency.

  • mom

    Boo-freaking-hoo. Obviously your interest in being a rich doctor was greater than your interest in healing people. All the patients who will not have been saddled with your greedy-assed principles will thank you. Leave the doctorin’ to people who really care about the sick and injured.

    • Bob Barker

      You are stupid. Do you think it’s worth it to someone with no real income to take a risk of 300k or more and 8 years of schooling or more to go into a field that cannot pay back their education and then make them a profit for years to come? The average doctor starting full practice around 30 doesn’t get started in their field making full income until around 35-40 working years available, some less, a few more. The average college graduate at 21-22 gets nearly 50 working years available to them. You do the math, or are you too stupid?

      • John Martin

        a pediatric neurosurgeon wouldn’t have started until mid to late 30′s as well. It would have been better to get the degree, join the AMA and fight this from the inside, more credibility.

      • Sandra

        Not all young doctors are saddled with $300k in debt. At my public university I knew a number of students who got full-ride merit scholarships, got straight A’s, and were then offered full scholarships to medical school. (One of them went to Harvard Medical School.) So it’s possible to get through med school debt-free or very nearly so, if you’re at the very top, which the author of this article clearly isn’t. You are mistaking the author of this article – one supposedly-aspiring doctor who never entered medical school – with a large, diverse group of people who have had very varied experiences.

    • Logic be damned

      Are you human? No. Seriously.

    • BubblesinGriffinGA

      Your idiot is showing.

    • stillhuman

      Ah yes, another constructive, thought-provoking comment from a Gawker reader.

    • mom

      HOW is this stupid? He has declared what his priorities are. People may get better health care because this schlub chose to pursue another career. If he truly wanted to heal people, he wouldn’t be whining about changing careers for such a lame reason as Obamacare.

      • Liberty Lover

        So do you you say the same thing about teachers who go on strike? That if they really wanted to teach they wouldn’t care if they made a lot of money? Just wonderin…

        • Histproff

          There is a difference between making “a lot of money” and making enough to get by.

        • David Atkins

          There is a difference between striking for decent working conditions and a living wage, both of which contribute to better outcomes for your students, and giving up because you are a sniveling child afraid of the bogeyman.

          One course of action is noble and widely respected, the other gets you mocked by the intelligent and defended by the goobers.

    • Luke_Cage1225

      You are a communist idiot. Because he wanted to be successful in a field that had multiple rewards but has been fundamentally changed by a Kenyan usurper fraud, he should just accept it? Just because you are stupid, cowardly, gutless and lack the integrity to stand for something like yr own principles, does NOT mean that he should be as weak and as big a loser as you.

      • David Atkins

        Still afraid of the communists that lived under your bed when you were a baby?

        Relax. They all went away twenty five years ago, turned into good capitalists by the magic of the free market.

      • bob

        Fact free ranting again. Damn those black helicopters and their invisible control rays!

  • doodls

    Well I see this article brought out many of the hateful, intollerant liberals who would normally never be here. Good. Hope they learn something.

    • Logic be damned

      Stop with the conservative/liberal nonsense you fool. We are all Americans and we all in this together.

      • Bob Barker

        We are in it together? Funny, seems to me like a minority is simply being louder and causing the rest of us issues we want stopped. I find that separated.

        • David Atkins

          Yeah, those crazy twenty-seven-percenter Republicans have turned up the squealing to eleven and Americans don’t like it. Time for some electoral payback in 2014, throw the bums out and bring in the moderate Democrats to get some work done for the good of the country.

      • Luke_Cage1225

        YOU stop w/ yr stupid “we’re all in this together” BS when one half of the country is fighting to ensure that we remain separated, broke and bowing to a dictator.

        • bob

          Dictator? Again with the fact free ranting. You wouldn’t know a dictatorship if it fell on your head. Despite all your fevered dreams of black helicopters and FEMA camps.

        • Logic be damned

          Who’s gonna be stupid when you have no country because the two halves couldn’t reconcile with each other? Keep fighting if you want this country to die.

        • Logic be damned

          You lack of knowledge is not amusing. Step back and see who is giving the public their “opinions”. We are being divided for a reason and you are falling for it hook, line and sinker.

      • CloudNine

        There is no we anymore. Real Americas will not suffer Marxist programs – there will be change . . . one way or another.

        This nation is in a steep decline and the commie dream state of delusion about the way everything “should” be is about to have a major wake-up call when the money runs out.

        • David Atkins

          Get your head out of the sixties, pal. The dirty hippies have been gone forty years and they’re never coming back, so you do your side no favors by trying to punch them.

          And the commies went away almost twenty five years ago. You evidently did not notice, but it was in all the papers.

          • CloudNine

            Please, dirty hippies is your nomenclature – the fabian socialists have been building the beast for decades and through constant compromise of liberty . . . they are prevailing big time, yet killing this nation’s core strength and financial standing. No revolution, just daily incremental conditioning to the final collapse of capitalism and then blaming capitalism for their marxist failures.

            The commies are stronger than ever, certainly disguised in different facades – but with the same goals.

            They have infected the media, filmmaking, government, bureaucracy and certainly the gay movement is doing it’s damnedest to break the strengths that made this nation great.

            Commies never went away . . . their greatest Chicago advocate, Frank Marshall Davis, has his son sitting in the oval office with the help of the Chicago machine. (Annenberg, Ayers, Alinsky, Jarrett and many many more)

          • bob

            Since you have defined everyone who disagrees with you or likes to live in a fair and just society, then yes, the vast majority of Americans must be commies. But hiding in the woods and living a survivalist lifestyle only works for you and a few of your kooky buddies.

        • Logic be damned

          There is no we anymore? Since when? Did you stop celebrating July 4th? As long as we are all celebrating independence, we are in this together. Go stand in the fireworks crowd on July 4th with a banner that says, “there is no we anymore … real American will not suffer marxist programs … there will be change … one way or another.”

          You will find out real quick if “we” are still “we” or not.

          • CloudNine

            You twist my meaning of “we”. I meant no more we, as in the collective.

  • John Martin

    As a University professor and spouse of a medical practitioner I know the sacrifices- and you are right. Our town doc who worked until he died at age 85 (

    his book Healer: The Remarkable Life of a Hometown Country Doctor) saw up to 100 patients a day. My wife’s partner, saw 35 patients 10 years ago. Today about 24 is good, if you work 50 hours a week. You can see 35 if you are doing ob and work 70 hours weekly and give up most holidays with your family. I agree, it is red tape and frivolous lawsuits with no caps that have destroyed the field for everyone, they slow down productivity with tons of charts, doctors just are not nearly productive as they once were.
    On the other side- some fields make way too much. You can be the best cardiologist in the world but if your primary care is incompetent then it doesnt matter a bit (a disturbing trend has been that our local FP residency went from 8/10 residents being domestic to 3/10, it has recently recovered). The lopsided pay scale was also destroying medicine. Nurse Anesthetists make more than most primary care.
    Also- if someone attends a private University with tuition of $30,000 annually, they should be able to afford it. I have worked at both private and state universities. Bradley is the best around here, but besides that I would choose state schools unless you were rich.

  • Logic be damned

    What’s up with all the hate from many of the commentators?
    All that Michael Lotfi said was:
    1. He idolized medical profession from his childhood
    2. He can no longer practice the profession he loves because he believes the government legislation is too interfering.
    3. He is choosing a profession which will allow him to do something about this government interference, legally and peacefully.

    The venom being spilled by the commentators against this guy is amazing.
    “Go practice somewhere else”.
    “You are not a real doctor”.
    “You should’ve seen this coming”.
    Meaning: it’s all his fault and if he doesn’t like it he should move back to Iran.

    WTF is going on with people in this country where a guy exercising free speech about his free choice turns the whole town in to Salem Witch Hunts?

    • KissesandNoise

      Yes. Dr. Ron Paul and many other old-school doctors echo the same sentiment; big insurance and the government created a wedge between doctor and patient and built a bureaucratic mountain that drives prices up and care quality down.

    • ame

      Unfortunately, this has become the norm on the internet these days: speaking openly and freely is discouraged unless it reflects the majority opinion. Sad.

      • Disgusted

        Arguing a point with someone is not suppression of free speech. You are free to say whatever you want, minus the usual restrictions (e.g. shouting “fire” in a theatre, child pornography). If I disagree with what you say, I am not limiting your speech. I am responding to it with free speech of my own. Why do people complain that their free speech is under threat when others react negatively to their opinions? I don’t get it…

        • http://marconidarwin.myopenid.com/ Marconi

          Because such people’s idea of free speech means that you should not offer rebuttals that elicit silence on their parts on account that they are incapable

    • Sandra

      How can you say that “he can no longer practice the profession he loves” when he not only never practiced as a doctor, but he never even entered medical school? He really isn’t a real doctor – and my and others’ saying that is not evidence of a witch hunt, it’s just evidence of our reading comprehension abilities. Saying that he is not a real doctor does NOT mean that “he should move back to Iran”! (Also, he was born here in the U.S. – he can’t move “back” to the place he’s not from. Shouldn’t you know that, since you’re one of his defenders?) My problem has nothing to do with his father’s ethnicity and everything to do with the obnoxiousness of a a kid who couldn’t get into medical school blaming Obama to cover up his personal shortcomings.

      • Logic be damned

        Sandra. Avoid the real issues and play the linguistic technicalities game. Way to have a meaningless conversation. Bravo!

        • Sandra

          These are not technicalities. His falsely claiming to be a medical doctor shows that the entire article is based on a false premise.

    • http://marconidarwin.myopenid.com/ Marconi

      All that Michael Lotfi said was:

      What an obvious lie

      WTF is going on with people in this country where a guy exercising free speech about his free choice turns the whole town in to Salem Witch Hunts?

      Funny how he is exercising free speech and all those responding to hiim are conducting “witch hunts”?

      Are you really that cretiinous?

      • Luke_Cage1225

        No, but YOUR stupid ass clearly is. Do you seriously think after yr god Obumma crashes the dollar that hes going swing by in his taxpayer paid for limo and just take you away and you’ll live happily ever after??? Libtard idiot.

        • http://marconidarwin.myopenid.com/ Marconi

          My ass is clearly not stupid. It cannot think. You on the other hand can, and offering worse opinions that my ass.

          So figured out that free speech thing yet, or are you going to get your racist diatribes out first?

      • Logic be damned

        You can use the word cretinous or idiot, doesn’t make your statement any less idiotic. Ride the technicalities all the way to your doom. I don’t have time for you.

  • Pat

    You know this is just more chatter that means nothing. In the Navy we called this Bravo Sierra. Fact: Obama doesn’t care a twit because his plan is to destroy America and Obamacare is his weapon of Mass Destruction. Oh, yeah, and it’s working quite well.

    • bob

      And yet you don’t have a single fact in what you just posted. Destroying America? Exactly how? By providing poor Americans with a slightly better healthcare system that private companies will be providing at a profit to them? How terrible for you that helping other Americans is seen as a disaster.

  • F Plang

    Bananacare is legal for the same reason marijuana is illegal – follow the money. http://politicalplangetis.blogspot.com/2013/10/why-marijuana-is-illegal.html

    • KissesandNoise

      Great article dude. So true. Healthcare for everyone is a beautiful idea, but strapping a nearly broken middle class to make insurance conglomerates insanely wealthy is terrible and borders on fascism. The collusion of the banks, big power, the military-industrial complex, big pharma, and now big insurance is corporatism, not socialism and certainly not free markets. This is sort of a good step, but not fixing the root of the problem simply makes this a band-aid on a gushing wound. What needs to be fixed is the insurance scams and litigiousness so healthcare is actually affordable for real. A night’s stay in a hospital bed should be $200 not $1200. An aspirin should be $1 not $50. The ACA is fleecing the middle class to pay for these ridiculously inflated fees. Oh, and henceforth it shall be known as “Bananacare.”

  • Ronald Reagan

    Good riddance

  • unbound55

    This is nothing more than fan fiction.

    Let these next two sentences sink in fully: He is not a doctor. He isn’t even in med school.

    He’s “leaving” a field that he isn’t part of. That alone should give you an idea of how disingenuous he is.

    • Jim Atkinson

      Or these two:
      “I never intended to work for the government.”
      “I have been on a path to enter the Air Force and continue my education in medicine.”

      • SocraticGadfly

        Next, he’ll be incited the seniors’ division of tea partiers to again tell the gummint to “Keep your hands off my Medicare.”

    • CloudNine

      You forget the entirety of his narrative and discount the lack of desire to be involved in a communist enterprise that medicine is becoming. In what way can you possibly label him as disingenuous?

      Would you prefer to hear the scores of doctors that are leaving as a result of MarxistCare? His voice is legitimate, without people like him there are no doctors in the future.

      Bureaucracy running medical care over doctor’s own wishes is a sin, a communist sin.

      • David Atkins

        About 17,300 MDs graduated from American medical schools in 2011.

        The medical profession can easily tolerate the loss of a few score radical nihilists who would rather eat dogfood in their mountain refuges than tolerate a system that treats the working poor like human beings.

        • CloudNine

          Always interesting to see the Alinsky ridicule tactic, anyone that does not want to participate in MarxistCare is a radical packed up in the mountains. Your labels are worthless; liberty, personal responsibility and freedom will be making a big comeback sooner or later. Our system is a ticking time bomb.

          It’s not up to society to give or provide, but to act as a neutral power to defend the homeland, handle infrastructure and a few more bits and pieces.

          The notion of a big brother to provide for a designate class, redistribute or otherwise is at least socialism.

          Socialism is an abject failure globally.

          • bob

            Guys like you always amaze me. Then you need to reject everything society (I.e. In your mind communism) has to offer, from technology and medicine, to roads, fire departments, schools, and safe food and water. Good luck with that.

            The fact that this poster has posted a fact free rant, and this doesn’t interest you, says everything about your closed world view.

  • Numbersneverlie

    An anasthesiologist’s median salary is close to $350,000. Even if somehow Obamacare cause the average pay to be cut by 50%, you would still make $175,000. You would still be in the top 5% of Americans in terms of income. You can’t tell me that is too low of an income to continue a pursuit of becoming a doctor. Clearly you did not want to be a doctor badly enough.

    • Eduardo Blanco

      He could have made $175k a hell of a lot easier than he could the $350. Without 8 years of school, without $300k in education debt. Plus who are you to decide how much he should earn?

      • Jennifer Senn

        Exactly. But he really thinks he should! Amazing the power he ascribes to himself.

    • CloudNine

      Here come the communists! Incremental income balancing and redistribution. Only the market can or should decide the value of anything. Get government dollars out of medicine and health care all together and it will all get real – - real quick.

      Government intervention in all areas of commerce is the destruction of this great nation.

  • Seamus Ruah

    Do I detect the smell of burning martyr?

    • http://marconidarwin.myopenid.com/ Marconi

      No, but I would like to

  • http://marconidarwin.myopenid.com/ Marconi

    Wait till they regulate Wall Street. Where will he go next?

    • Luke_Cage1225

      Wall St and DC have never been closer.

  • SocraticGadfly

    I call bullshit on you. Beyond the fact that you don’t actually have your MD, you’re perpetuating myths about Obamacare, and seem to have wanted to be a right-wing political agitator all along.

    • Luke_Cage1225

      Translation: You yrself are a left wing Libtard agitator and hate when anyone dogs yr beloved dictator. The truth hurts and it will hurt when yr dumbass actually learns the truth: yr god the Kenyan has sold you out and he NEVER loved you.

      • SocraticGadfly

        Actually, I’ve a Green who didn’t vote for Obama either time, you nutbar. Of course, you show your bilious hatred throughout your comments, as well as spewing more untruth.

  • rx7ward

    poseur

  • Andrew Tutten

    This story is bullshit. If he thinks he’s working for the government he must have failed his medical legislation class. Private enterprise still holds all the insurance and medicare/medicaid were around long before he started having qualms about his profession.

    Either it’s bullshit or this doctor wannabe is a complete idiot.

    • Luke_Cage1225

      YOU are bullshit and a barely functioning retard if you don’t understand what MANDATE means. Bureaucrats make decisions, NOT doctors.

      • mr. sarky

        Unlike the present medical system, in which insurance companies never ever intervene to dictate what treatment can be used,

      • zackthedog

        Um, no. Actually *insurance companies* still make most of the major medical decisions in this country–directly or indirectly–and will continue to do so under the ACA.

    • SocraticGadfly

      It’s also bullshit because A: He never got his MD, and therefore can’t leave the medical field because he was never in it.

  • Sam Leizerman

    Your petulance is astounding, and the fact that your primary concern is monetary in nature, you have no business in the medical field.

  • Jim

    Oops. He’s not a doctor.

    • Artoo45

      Or a med student. Or a journalist.

  • Cohesive

    This is a sign that our system is fundamentally flawed. After reading this article and talking to my brother the orthopedic surgeon, I have concluded that the main motivation to enter the medical field is for money, accolades, or “incredible careers.” Who would you rather have as a doctor? The guy who wanted an “incredible career”, or the one who just WANTS TO HELP PEOPLE? Socialism isn’t the problem, nor is capitalism. Monetarism is the problem. Statism is the problem. Volunteerism is the only answer to all of this bullshit.

    • ClassicalLiberal

      You don’t go into medicine solely on the basis of wanting to help people. You get into it because it interests you. It fascinates you enough where you constantly ask important questions and search for the answers. If your sole objective is to help people, then there are a great many cheaper ways to do that than go to medical school.

      • CloudNine

        Medicine existed and flourished before federal intervention. The communist style program stands to dismantle our medical care system. We are no different that the USSR of 1989, except that we are the reserve currency and can borrow/print our way into the delusion that we are a-ok.

        It is the government dollars that inflated the price of health care in the first place. Can we think for a second that all those government bougt Hoverounds and endless dollars into medicine have not inflated the cost to all Americans?

        Government intervention and manipulation of private markets is the boom and bust we are all living through.

        • zackthedog

          Government inflated the price of health care, did it? Let’s see: In 1960, before the government seriously “got into health care,” what procedures were available for cancer, heart disease, joint replacement, and any number of other severe medical problems? Is it *just possible* that advances in medical diagnostics and treatment have increased the cost of health care? Hmmmm?

    • Alaska

      Volunteer? Are you saying all doctors should just volunteer? Who would spend hundreds of thousands of dollars and eight plus years in school just to volunteer. I get your point, but doctors are not just magical people who can provide for their families by volunteering full-time out of the kindness of their hearts. They choose their jobs the same as we all do. They choose the profession because they care about people and love the field, and they want to make the money to pay back school and provide for a family. The two can go hand in hand.

      • Cohesive

        I was really trying to illustrate that until we as a society get past the current paradigm of thought that locks us into a monetaristic view of the world, little will change. The current political dichotomy is a farce. I realize a volunteeristic society is a ways off. I just think that’s where our thoughts need to take us if we are to fix our current predicament. I believe money is merely a control mechanism, by design.

    • DBCII

      Are you saying that all doctors should be volunteers? I’d be interested to see how that works. The fact is, people get into the industry for many reasons, including money, helping people, general interest in a specific specialty etc. People are motivated by different things, all of which can drive someone to be an excellent doctor.

  • Artoo45

    So, you’re not even a real med student . . . or a journalist. But, don’t feel too bad, you’re young and way hot and pouty, so try the catwalk, I think you’ll hit it big there, Zoolander.

  • Keely Godwin

    As a physician for the past 15 years, I’d like to point out that you weren’t in it for the right reasons. There are plenty of opportunities to continue to serve in medicine without all of the fuss you’re concerned about. Get this through your pouty little head, though: The Government has been involved in the practice of medicine for at least 70 years. If you think for one second that Medicare wasn’t already dictating the care you are able to give or not give (even to fee for service or traditionally covered private insurance patients) then you no nothing about medical economics. There is very little difference here, other than that you’ll have more patients with access to insurance and therefore likely to preventative care services and therefore better overall health.

    • Bush_Did_9/11

      Thank you for your comment.

    • susan g

      An accurate and an excellent response.

  • kd

    Douchy photo is unnecessary

    • KissesandNoise

      Ha!

  • Jane

    douchebag liar is missing from bio

  • melinka

    So you were going to become a doctor in the hopes of becoming rich? what about helping people? what about doctors in third world countries that make the equivalent to minimum wage in the US and yet love their careers? I believe you were in that “path” for the wrong reasons

    • Tex2112

      Your point? Your beliefs don’t matter only his for him…

      • LOL

        He just made this point, yours?

    • stupid people

      are you retarded? the amount of pain and suffering that go into becoming a doctor isn’t worth a “good job”. no one would ever do that just to help people. are those people gonna pay his hundreds of thousand of debt.

  • susan g

    You didn’t LEAVE medicine. You were never IN medicine. You actually have to graduate from medical school (one of the hardest things to accomplish) to be considered IN medicine.

    • Tex2112

      Your point?

      • LOL

        The point was established, did you bother to read?

      • susan g

        My point? My point was quite clear. In order for his statement that he was leaving medicine to have any validity and to be in fact true, he would have to at the least BE in medical school, something he never accomplished.

        It’s quite clear to the majority of those who read the article that he is misrepresenting himself. Starting with the picture of himself in a white coat and stethoscope.

        You are a s__t stirrer Tex. I see that you like to ask people what their point is when they have very clearly made their point. Perhaps you have a problem with reading comprehension.

        • Tex2112

          So you decide what ‘leaving medicine’ or ‘being in medicine’ means. Did not realize you are all knowing and seeing. His point is, if people have to change their direction because of government behavior, the government has become to invasive in our lives. By consenting to be governed we cannot give the ‘state’ power we do not have ourselves and his point is that the ‘state’ has affected his choice, and his freedom is being altered by the government. “Our legislators are not sufficiently apprised of the rightful limits of their power; that their true office is to declare and enforce only our natural rightsand duties, and to take none of them from us. – Thomas Jefferson, Letter to F.W. Gilmer, 1816″
          Again what is your point? He is allow to ‘pursue’ any dream he wishes and if he left is dream of medicine, (which is how most of us read it) then he is entitled to his say. Get over the ‘in medicine’ thing…

  • Praxis

    Value is what society determines. When gov’t determines it, it’s simply another dictatorial commodity and thus un-valuable. It’s a fool’s errand to divine.

    I don’t blame him. I’m apt in many fields, but I wouldn’t tread anywhere near the healthcare industry, or many many others specifically for reasons elucidated in this letter. I have experience with it. It’s sad to the extreme of madness and there are no good options on the table. The only good option I foresee is nothing. Nothing is an option. It was prior to the 20th century when the hippocratic oath was the guide, however unscientifically misguided at times.

    There is no better way to destroy a market than to allow ignorant buffoons masquerading as regulators and bureaucrats to call the shots.

    Good luck people. Failure is inevitable.

    Who and with what ideas pick up the pieces… That’s the important part. I’ll be in that debate for sure.

  • TheAnthonyRyan

    This is a response from one of my friends on Facebook, can you address his points? Thank you.
    The reason the media isn’t reporting that is because that guy is full of shit. Believe me, I have a front row seat to this and am every bit as much invested in the realities he is talking about as he is, because my wife is a doctor, less than a year away from entering her full practice. I’ll try to take his points, and then explain why Obamacare is actually freaking great for doctors, and worse for the country.
    1. The Federal Government has overburdened the healthcare market. This goes back to 1986 when Regan’s administration made it illegal for hospitals and emergency rooms to refuse services to patients who couldn’t pay. They also didn’t bother to provide any funding to cover hospital costs along with that bill, so those costs got passed along to patients in the forms of higher fees, and also generated more costs for the hospitals in trying to find some way to recoup losses on patients that could pay, which also get passed along. So it is undeniable that hospitals have to treat people that they should morally and ethically treat, but that they will not get compensated for. By requiring hospitals to see that population, it drove lots of poor people to the most expensive health care options possible.
    NONE OF THIS OVER BURDENS THE GOD DAMN HEALTH CARE MARKET. What does is the fact that AMA and other medical organizations limit the supply of health care. We could train more doctors. Other country’s doctors certainly like to come here, so we could accept more visas. Simple economics says that based on price, supply should have gone up to meet the demand, but it hasn’t. You’re dealing with artificial scarcity on the supply side of the equation, which creates an overburdened health care system unable to respond to demands. It sucks that the Regan administration provided no funding for the patients they required hospitals to see though. Seems shortsighted.
    2. I never thought I’d have a government bureaucrat dictate what I was worth to the market, and I certainly never imagined those same bureaucrats (who have absolutely no medical training) telling me how to treat my patients.
    More bull. The government has been doing this with Medicare and Medicaid for quite some time. There is really no difference here between insurance companies and hospital corporations dictating patient loads, appointment times, and prescribed tests and treatments and the government commanding a specific fee for its population of patients. Fact of the mater is MOST ‘Mericans will still have health insurance, meaning that hospitals and doctors will continue to be able to collect payments the way they have been. ACA cements the facets of health care that progressives didn’t like to begin with: Payed by insurance, provided by employers. If ACA was a massive shift towards a single payer system, then there might be more merit to this, but it isn’t, and there isn’t.
    3. Your legislation has caused countless doctors to go into retirement early, opt for cash-only practices, and has discouraged bright, young minds from entering the field.
    He needs to prove this beyond his own anecdotal feelings. I know a large number of young doctor very well that are still excited and committed to the field. Does my anecdote cancel his? Better question, how many med-school classes started the year with open seats this fall? What’s the ratio of applicants to seats for next year? According to information provided to applicants at SUNY Geneseo, “. Applications to medical schools have increased to nearly 36,000; however, there are seats available for less than half. ” That is to say, for every seat in a med school, anywhere in america, the most conservative ratio is 2 students to 1 seat. In reality, “Univ. of Buffalo received 2800 applications for a class of 135. Schools like New York Medical College report receiving 10,000 applications for 190 seats.”
    That being said, it is true that increasing medicaid does run some risk of limiting availability of care, in so much as some doctors will refuse to work for the fees medicare pays. On the other hand, I can’t imagine that those doctors were taking patients who couldn’t pay at all to begin with, so that feels like a moot point.
    4. I have decided that I believe in the principles of a truly free-market, and I trust the free-market.
    He either being intellectually dishonest, or he’s painfully unaware of the realities of medical economics in America. If he believed in a truly free market, then he would rail against the supply side shortage that keeps doctor incomes as high as they are. If we had as many doctors as price says we should, the average doctor would be paid about as much as the average lawyer. Probably around 80-100k a year. But as I pointed out before, supply is artificially limited, to keep prices high, which hey, not free-market!
    ACA is a horrible peace of legislation that tries to meet a real need. there’s a ton of reasons its bad, and it doesn’t even get close to fixing the problem of healthcare costs, while increasing the burden on a large number of people. But this guy’s article is full of nonsense talking points that don’t bear up under the weight of reality.

    • Praxis

      So essentially you’re debating against the semantics of nepotism, bureaucracy and network (aka clique) entrenchment. Fair enough.

      I don’t see how this interpretation is any more or less valid than the object under study. It looks like all is invalid perhaps save those professionals providing service – cash only. Everything else is manipulated. Am I wrong there?

      A solution to the insoluble is a solution now because otherwise, some people will lose money, face, credibility, monopoly for doing a piss poor job. Oh wait, that’s how the world actually works.

  • Sherman

    This is silly sh*t. This is just his excuse for not being able to make the grade in school. He isn’t even a doctor. How can he know what the impact of Obama is on his practice? Boo hoo hoo.

    • msm

      His opinion aside. I can tell you that here in my Indiana community I’m seeing the same thing…doctors retiring early…leaving their private practices….limiting their patient load to those with only the best insurance coverage…no new patients…etc. When I called a medical reference service for names of available doctors I was told, in no uncertain terms, that we will be seeing drastic changes in the quality of medical care in this country and they won’t be positive changes.

      • bob

        Nicely made up conversation. But totally untrue. What is happening is current private practitioners are being generally bought out by large medical groups and thus is causing some older doctors to retire. But more and more students are entering the medical field and thus the number of total doctors in the USA is growing. Just look at the statistics of medical school enrollment; the numbers are continuously rising. Damn those pesky facts!

      • bob

        Nicely made up conversation. But totally untrue. What is happening is current private practitioners are being generally bought out by large medical groups and thus is causing some older doctors to retire. But more and more students are entering the medical field and thus the number of total doctors in the USA is growing. Just look at the statistics of medical school enrollment; the numbers are continuously rising. Damn those pesky facts!

      • Sherman

        Well see how this shakes out in the long run. These doctors who are quitting may be saying more about themselves than about Obamacare. Sounds like these doctors are only in it for the money.

  • Sherman

    Don’t let the door hit your a*s on the way out.

  • AJS

    If you are saying “he doesn’t know what he is talking about because he is not even an MD” then you shouldn’t be putting in your opinion either (unless you are in fact an MD) I would love to see feedback ONLY from MD’s or those in the medical field, rather than people who read these articles to take part in a debate. Thanks

  • Fletch

    Sherman, Why don’t you do some research, this guy graduated in the top 5% of the NATION from belmont. He can EASILY make the grades. Awesome article brother.

    • Doctor Biobrain

      Top 5% of the country? How is that even determined?

      Seriously, that should have set off your BS detector right away. If he graduated 5% at his school, that’d make sense. There’s no way to track this nationwide. That was a BS line, all the way.

    • rrose

      Graduating in the top 5% means his grades are probably not high enough to make it into med school.

  • Metropolis

    Sorry but there is nothing wrong with a National Healthcare where doctor prices are regulated. This is common practice in the UK, France and Germany. In America many are without a healthcare or in debt. I do not agree with you at all on this!

  • Patriotliz

    You have to start by attacking the invalid notion that everyone has a “right” to healthcare. No one has the “right” to the labor/services of another person. That’s immoral. That makes doctors slaves of the State. RIGHTS are things you intrinsically have as a human being, given by God (not the State), that no government can/should give or take from you. And anyone who thinks otherwise, is in favor of totalitarianism. There’s no humanitarianism that utilizes “forcible taking” (aka, redistribution by Government) of money, labor or services from one human being to give to another.

    • Doctor Biobrain

      Could you please point me to any law that says any doctor is forced to work for free? Anything?

      I have a right to free speech. Doesn’t mean you have to pay to let me speak. I have a right to bear arms. Doesn’t mean you have to buy me a gun. You’ve got a confused idea as to what “rights” mean.

      • Greg Terkanian

        Your right to free speech is also in the process of being taken away by this administration. North America is soon to become synonymous with North Korea.

        • Doctor Biobrain

          Greg, could you point me to any specific things the Obama administration has done to take away my freedom of speech? And I mean actual things he’s done, not theories as to what he might be doing based upon what you heard from some guy on the radio.

      • Patriotliz

        Your 1st paragraph makes no sense. No doctor is forced to do anything except if he is controlled by a Fascist government. If a doctor doesn’t want to be controlled/enslaved by a Fascist government then he/she can wisely choose not to be a doctor like Mr. Lofti or seek asylum in a free country.

        Your 2nd paragraph supports my argument. So, even if you think you have a RIGHT to health care (you actually have the RIGHT to purchase it for yourself while we still have some remnant of a free market) but, NO YOU DON’T have the RIGHT to force ME, the taxpayer, to pay for your gallbladder surgery via a Fascist Government. So just WHO is “confused” as to what “rights” mean? Let me refer you to the US Constitution to clarify for you what RIGHTS are and to clarify the limited powers of the Federal Government.

        • Doctor Biobrain

          Uh…you were saying that doctors had become slaves. And I was responding to that, because I was pointing out that doctors aren’t forced to work. They don’t even have to leave the country or anything. If a doctor chooses to not help a patient, that’s their choice. And we hear about doctors doing that all the time, when they refuse to accept new patients or patients that don’t have the right insurance. Doctors aren’t slaves and aren’t being forced to work. Did you not realize this?

          But your new comment seems to be an attack on taxation; which is a different point entirely. I mean, first off: This is a democracy. And that means that the voters choose their representatives, and those representatives write laws that we’re compelled to obey; even if we disagree with them. That’s the whole point of democracy, in that you agree to follow the rules even if your side loses. That’s what it’s all about.

          As for paying for surgery, sure, we’ve had laws on the books for several decades saying you have to pay for surgery for people on Medicare and Medicaid, as well as people in the military. But if you’re talking about ACA, that doesn’t involve taxpayers paying anyone’s medical care, besides those on Medicaid. That’s covered by insurance. Do you have a problem with insurance too?

          And for the record: The Constitution says specifically that the federal government is responsible for interstate commerce and promoting the general welfare. And it also says that the judicial branch is the one that determines how to interpret the Constitution, and they’ve declared that the government gets to do these things. So that’s it. Case closed. You lose. The Constitution says you’re wrong. Deal with it.

          • Patriotliz

            A slave of the STATE is anyone who is deprived of their “pursuit of happiness” to work legally in the free market system. Doctors are discriminated against with this PROGRESSIVE Soviet style totalitarian CENTRALIZED planning that controls medicine–1st with Medicare, then Medicaid and now Obamacare. No other profession is so discriminated against in the private market as are doctors–> Slave of the STATE. They may not be able to work in a FREE MARKET that is totally distorted or phased out by totalitarian government control such as Obamacare.
            As to taxation w/o representation—how many Republican representatives voted for Obamacare? And in fact, the Supreme court had to twist the term mandate and call it a tax in order to find that particular part constitutional. I WILL NOT agree, as a doctor, to follow the “RULES” of a centralized government authority that interferes with my medical care of my patient. But of course a doctor like you (if you are in fact a dotor and that would be tragic) won’t understand that because you would make a “good little Nazi doctor” who follows the rules. Tyrants have been elected by a democracy multiple times. I can’t believe there are people so incredibly stupid as you and so in love with totalitarianism that that are completely incapable of learning from the multiple horrors and tragedies of socialism. Any further replies from you pushing your idiotic, un-American and unconstituional centralized bureaucratic control of Medicine will only further validate how stupid you are. Knock yourself out.

          • Doctor Biobrain

            But doctors aren’t forced to accept Medicare, Medicaid, or any insurance they don’t want to accept. They can choose to accept whatever payment they want to accept and can decline patients if they choose to. They can choose to accept only cash or get paid in chickens, if that’s their preference. So how are they slaves?

            And how are their medical decisions being interfered with by the government? I’d like specific examples, please. So far, you talk a big game but haven’t really said anything real. Just lots of talk about tyrants with little talk of specific tyranny.

            And no, Republicans didn’t vote for Obamacare, but a majority of representatives in Congress did vote for it and that’s all that counts. We had elections and the people who won the most votes gave us Obamacare. That’s the essence of democracy. It’s not about being “right.” It’s about winning elections.

            As for personal representation, I live in Texas so I don’t get anyone to represent my interests. Not only do I not get a Senator to represent my interests in the Senate, but they gerrymandered my district so badly that my House member lives in San Antonio, eighty miles away; all because they know I live in a liberal city and they wanted to deny us our proper representative. But they have the majority, so that’s what they get to do.

            Democracy means you can’t always get what you want. And it’s people like you who are the true tyrants, as you imagine you get to decide for everyone else how our government should work, even if the majority of us disagree with you. That’s tyranny. Sorry guy, but the Constitution says who determines what is and isn’t constitutional, and it wasn’t you. And if you don’t like that, then stop pretending to support the Constitution, since you obviously don’t.

    • http://Atomdavis.com/ Atom Davis

      you have a right to fire services or police in an emergency. Logical progression.

      • sara56

        No, you don’t. Police and fire services are paid for by the county they operate in, via tax collection. There is no right to that service. When tax revenues are down, police and firefighters get laid off. Atom, you have to realize somebody has to pay for those services. They are not free.

        • http://Atomdavis.com/ Atom Davis

          never said that your right does not correlate with a responsibility.

          • sara56

            Yes, you did. You stated a person has a right to fire services and police. And as a logical progression to free healthcare. I stated, somebody has to pay for it. See, the problem is somebody else has to provide that service that you have the “right” to, So you are taking the rights of someone away and giving it to another. i.e. socialism/communism. It doesn’t work. There are already more people in the US getting government aid than full time workers, per the census. Free isn’t free when you have irresponsible people taking what responsible people have.

      • Patriotliz

        No..you don’t and it is not a logical progression, Police and fire services are not rights. Basic human rights are those things that cannot be taken from you by someone else. You can have the “expectation” of services if the community agrees to hire people to provide those services for the benefit of all.

    • JoJo58

      You’re so right LOL. What amazes me is that EVERYONE in the US receives health care…IF they want it. If you’re poor, there is medicaid. The problem is (besides the huge amount of illegals breaking the system) that young people don’t think they should have to PAY for it because they’ve been brainwashed into thinking they were “special” and are entitled to whatever they want. This country has managed to raise a generation of spoiled, uneducated, unskilled BRATS. Like Cindy Vinson from the Bay area whined, “”Of course, I want people to have health care,” Vinson said. “I just didn’t realize I would be the one who was going to pay for it personally.”

      What the problem is is health INSURANCE. There was a time not so long ago that medical/dental insurance was a perk and an enticement to get the best employees.

  • LS

    “Self entitled future anesthesiologist/wannabe obstetrician/pediatric neurosurgeon gives up dream of career as a physician in the United States Air Force because he doesn’t want politicians dictating his pay” Makes perfect sense to me…

  • Dinto

    What a bunch of crap!! Don’t want to work for the government, yet you were going to join the military to advance your education?
    Come to Canada were everyone has the right to health care…doctors still have an excellent career!

    • fedupwithobama

      We have all heard about the “free” health care in Canada and England and how long you must wait and why so many of their citizens come to the US for treatment. Our own doctor brought his father from Canada for an MRI and other extensive testing because his father was put on a very long waiting list. Also, Canada, England and Germany do not have over 300 million citizens. We also spend a little bit more on our military protecting the free world while these nations spend a little bit toward their defense. I’ll take our excellent health system over theirs any day!

      • DoctorInTheUK

        Do you know what those three countries have in common? Better life expectancy than the USA. You can keep your expensive MRIs (we’ve got plenty too thanks, we helped invent them after all) but perhaps you should learn a bit more about what you’re criticising as it makes you look like an idiot.

        • JoJo58

          Yeah…right. I enjoy reading about patients being neglected, dying of THIRST, drinking the water out of vases, and then there’s the “Liverpool Care Pathway” where hospitals are bribed into and rewarded for letting old people die. Another article from the UK was discussed allowing parents to kill a child up to the age of three because their personalities weren’t fully formed yet.

      • Stephen Lawson

        fedupwithobama,

        I have friends in England, Germany and Canada. Their health care systems are not nearly a good as our privatized system born of free market economy.

        The PPACA is a socialist plot to rob Americans of freedom and liberty. Everything this administration does is an assault on the Constitution. Socialists don’t know any better, yet they continue to risk life and limb to come here.

    • JoJo58

      Yeah. Is that why people that need care travel to the US? I’ve heard that it’s easier to get medical care for a DOG than a human. But…please STAY in Canada and keep that welfare socialist medicine.

      • rrose

        Actually, Canadians flocking to the US for healthcare is a falsehood.

        http://content.healthaffairs.org/content/21/3/19.full

        • JoJo58

          so I guess that canadian documentary was a lie.

          • rrose

            Statistics provided by an independent entity vs. an unnamed documentary. Yes, the documentary can be assumed to be a lie.

    • Stephen Lawson

      Dinto,

      My wife is Canadian. She suffers from schizophrenia and lives on a disability pension near the Psychiatric hospital in Quebec where her mother worked for over 50 years.

      If we had some insurance reforms in place to remove life time caps and pre existing clauses, perhaps my wife and I would still be together. We are still married and deeply in love, but her condition bankrupted me so she moved back home with her mom to get further assistance.

      This health care system in the United States is not perfect and generally anything the government touches gets worse. I believe in the free market economic system. The PPACA is an albatross and everyone knows it. Stop trying to save or defend this nightmare piece of legislation that was crammed down the throat of Congress on Christmas eve 2009 before anyone had a chance to read and consider what was into it.

      • DancingFlower

        FINALLY…a Canadian with some sense. BUT if anyone cares, this is just a start of prophecy..one of the many things to come….faster and faster…..

        • Sharyn

          Got THAT right!

      • midnight rambler

        So you believe in the free market economic system, including applying it to healthcare – yet at the same time, under that system, your wife (and you, unless you abandoned her) would be one of the crazy homeless people living on the street because any treatment would bankrupt you? So you depend on the socialist system of Canada for her crucial medical needs? How the hell does your head not explode from cognitive dissonance?

        There is no way to eliminate lifetime caps and bans on people with pre-existing conditions without mandating coverage for everybody. Otherwise, only people like your wife and those with cancer or other expensive conditions will sign up, and insurance companies would go bankrupt. End of story.

        • Stephen Lawson

          Midnight,
          Are you on drugs? What are you, maybe 20 something years old? You have no experience and opinions growing out of your ass? Maybe you have cancer of the brain and everyone knows it but you. Better yet. Your parents abandoned you because you look more like the mailman than your uncle Bill. Whether you have a debilitating disease or not, your brain fails to work in real time. Gibberish, your rant is sheer gibberish. End of story. Puke!!!

          • midnight rambler

            WTF? Jesus man, get a grip. You’re calling my comment a rant?

    • edjax

      Everyone in the US has “the right to health care”, the problem is that about half of the folks don’t want to pay for it.

    • DancingFlower

      Its awfully funny at ALL the Canadians I know living here are spouting this SAME crap. If it is so good there why are you here? Please…go back there and stay.

  • Philly Doc

    Michael,
    I am a doctor, have been for >25 years. I recommend the field to many. I can think of no career more rewarding. Many of my colleagues would still recommend the field. You can omit paragraph 13 of your rant. I would not however recommend the field for you. You clearly lack what it takes. Best of luck

    • Stephen Lawson

      Philly,

      We all have a calling. Let the Tennessee Stud do what needs to be done. The PPACA needs to be destroyed, repealed, defunded not delayed. The Obama administration needs to be stopped. Clearly this man has a higher calling.

      • bob

        And that higher calling seems to be tea party political pundit. The rest of us applaud this step to help millions of poorer Americans.

        • Stephen Lawson

          The PPACA is doing nothing good for this country. You need to learn something about economics and political science. Typical under educated progressive liberals with over blown opinions with no facts to back them up. Media brainwashed, only capable of parroting rhetoric they heard someone else say. The PPACA act was a piece of partisan treason shoved down the throat of a democrat controlled congress on the last day of session before the GOP took over the House. It is a socialistic take over of private industry giving the fed undue control over private industry under the guise of humanitarian cause. “The rest of us” you refer to are blind uninformed sheep being lead to the slaughter.

          • bob

            Wow, your anger and hatred of anyone who doesn’t agree with you has overwhelmed your ability to be rational. Good luck with that.

            The rest of us like facts which show that not only will millions of poor Americans, like yourself, now have a chance at getting reasonable healthcare, it will be done by private industry at a profit. Darn those pesky facts!

          • nail44

            What pesky facts ? The liberal talking points you got form obama ? How about 2500 new regulations, how about 500 billion in new taxes, how about the only way to insure the poor is by sticking it to the taxpayer. Yes Facts, they are pesky huh. Total economic collapse on the horizon !

          • bob

            Poor angry white guys like yourself are such a hoot! You actually believe what you hear in the right wing echo chamber and don’t bother to do the slightest checking on your ‘facts’. $500 billion in new taxes? Great made up Heritage Foundation/Mitt Romney figure that not a single economist agrees with and was completely debunked 2 years ago. It’s the reason you get embarrassed again and again and again.

          • Stephen Lawson

            I was reading the Columbia Regional Business Report yesterday. They ran a series of articles on the implementation of the PPACA. They published a list of percentage of uninsured across the 50 states. Health insurance mind you. Texas has the highest percentage of self insured 37%, like me. Massachusetts had the lowest at 7%. On average it appears to be around 20% nationally. So, having removed moral hazard from the equation and mandating coverage and centralized regulations, I would say over 60 million new customers to a captive industry should line the pockets of a lot of corporatist interest in Washington. Why do the minions think this is in their best interest?

          • bob

            First, you’ve just argued for single payer, congratulations! Second, you left out one very interesting fact. Texas has the highest percentage uninsured in the country and Massachusetts has the lowest. Why is that? Possibly that would be due to Mitt Romney and which is almost exactly what ACA is implementing too?

          • Stephen Lawson

            Bob, you need to seek help. Maybe a socialist centralized Statist regime is your idea of good government, but that is not what made this country great. In the beginning the federal government served one purpose, by the consent of the states to provide national security. You want to expand the tit of government to mean what? You obviously know very little about economics or political sciences. I commend your attempt at it, but suggest you study more and keep your opinions to yourself to spare yourself anymore undue embarrassment.

          • John Avignone

            Stay away from high albedo polished surfaces, lest you find an ugly monster hiding there.

          • bob

            Fascinating. You continue with the personal attacks since logical and facts completely elude you. You clearly are a Mitt Romney care user, yet claim it will destroy America if other Americans have the same access. You mooch on society but claim this as a right to yourself. And then you make an utterly crazy claim about the defense of the USA being the only purpose for the federal government while saying I don’t know what I’m talking about. Maybe you should start with reading the constitution of the USA and the amendments to it. The actual writers of it disagree with you completely.

            Frankly your arguments are going more and more off the rails. Very sad for you.

          • Stephen Lawson

            Bob,

            You can run, but you can’t hide behind a veil of anonymity. Nothing is free in this world. I am surprised you daddy didn’t teach you that. Another interesting lesson in life is this: If it looks to good to be true, it probably is. Kind of like the mouse trap. Set out a piece of cheese and what for the trap to close around your neck. Ooops, have I let the cat out of the bag. Aw snap.

            SLL

          • bob

            Personal attacks again, Stephen? How sad for you that your arguments are so weak. You clearly don’t understand the concept of an insurance pool and how it works. Try, try again.

          • Sherman

            The medical industry may be “private” but it clearly is not a competitive free market.

          • John Avignone

            Yes, everybody is crazy and stupid, except for you and Alex Jones. But of course.

            Man, talk about delusions of adequacy…

      • Sherman

        His “higher calling” appears to be mental illness, avarice, and ignorance. And we’re not sure about you.

      • John Avignone

        Clearly, this man is a loonytoonian jackhole.

  • Monaka der Hund

    This is strange. In my home country Germany we have had compulsory health insurance for ages, and still terms like “Dentist” or “Anesthesiologist” are synonymous with “rich guy” (or girl). “Filthy rich” actually.
    You must be doing something wrong in the US.

    • Stephen Lawson

      Stay in Germany. I know a few German entrepreneurs here in the states. Certainly we have differences, but we respect each other and they are here making money. That says something for our free market economy. Socialism is not why people come here and I don’t see people flocking to Germany, except perhaps Muslims looking to infect your culture like cancer. Hopefully your socialized medicine can find a cure for the Muslim cancer.

      • Waitwhat?!

        Sadly bigots like you infect ours.

      • Monaka der Hund

        Sorry, I can’t stay in Germany, since I don’t live there. Who cares for muslims infecting countries? Yes, there must be something good about your free market economy, and exactly what does this have to do with wages in the medical profession?

        Dear Stephen, you have just wasted your time writing a “reply” that doesn’t even remotely touch on the point I am making. Let me try again: In Germany, a country I happen to know, doctors are typically wealthy, and in Germany health insurance has been compulsory for decades (to be precise, compulsory only for employees). The US are a country that I don’t know, but if American health insurance drives doctors into poverty, you must be doing something wrong.

    • edjax

      Is it possible that you are unaware of what “Filthy rich” actually is? Then again, maybe this has nothing to do with money.

      • Monaka der Hund

        I doubt there is a globally agreed-upon definition of “filthy rich”. In my dictionary, it means rich enough to not to know what to do with all your money.

    • midnight rambler

      In the US as well, anesthesiologists are the highest paid doctors. They’re usually the biggest expense in surgery, more than the surgeons.

  • Karen

    You won’t be missed. Irregardless of what kind of health care system we have had, have now, or will have, you and too many other doctors are in it to chase the almighty $$$$. You don’t give a crap load of beans about your patience. It is the money hungry medical and pharmaceutical industries that put us where we are. Glad your leaving.

    • nail44

      I think you are nothing more then a liberal shrew. I had a bad injury that almost cut my hand off in Florida, the doctor put it back together wonderfully and it works fine now. He was a plastic surgeon, he asked if I had insurance, when I said no he charged me only $350.00 for the whole thing. Not after the $$$ on that one. I agree some are but the many I know personally these days are not. They are leaving the practice because they won’t be able to treat the people the way they need to be under osamacare ….. wake up, and talk to some doctors in your area before judging them all in one.

      • bob

        Except with ACA, you also would be covered and the doctor would have been paid instead of you being a moocher. And as for doctors leaving the field, unfortunately you are just wrong. Current medical school admissions show an ever increasing number of doctors going into the field.

        Lastly your continual personal attacks just show how weak your arguments over ACA really are.

        • Jlc27

          The doctor was paid.

          Most docs I know charge much less for cash transactions because they don’t have to pay an employee’s wage to deal with the time and BS of a bureaucrat or insurance company.

          • bob

            If what this guy says is true, $350 doesn’t even vaguely cover the costs of reattaching nerves, blood vessels, bone and flesh of an almost cut off hand according to my couple of orthopedic friends. Maybe it would cover the actual cost of just a single nurse during the surgery. He just got lucky that he didn’t get stuck with a $10,000 bill but 99.99% of the time the uninsured patient isn’t this lucky. Now is that acceptable to anyone, especially those of you who claim they are part of the ‘let them die if they aren’t insured’ school?

          • Jlc27

            You are talking to people in the high priced system that doesn’t even post it’s prices anymore for customers to shop around. They don’t have any idea what a market price is. They only know the price of places that charge $1000 for 3 stitches or $1000 for an ultrasound, when I can go to the clinic down the street and get one for $70.

            You should check out the free market, you would save a lot of money.

            http://www.bloomberg.com/news/2013-07-28/heart-surgery-in-india-for-1-583-costs-106-385-in-u-s-.html

            http://reason.com/archives/2013/03/13/the-obamacare-revolt-physician-fight-bac

            Large Surgery even competitive: http://blog.independent.org/2013/08/07/stunning-results-from-california/

          • bob

            Actually the medical free market in the USA has been shown to be completely out of control and only one aspect of that is the refusal of medical system to publish prices. If you mean, though, going to Europe, that bastion of socialized medicine, then, yes, you can get a much better price for any type of medical need, and many Americans do.

      • Sherman

        Guess Bob told you.

    • Sharyn

      patients.

    • MSMerri

      Regardless*, patients*, you’re*

  • Donna Polles

    This guy is nothing but a shit-stirrer! Look at his bio. It’s funny how he says he was born in Nashville, but in his bio it clearly states he’s “Persian” (why use such an outdated word? Persia has been IRAN since 1935!). Also, if there was ANY way to figure he graduated in the “top 5% of the country”, it sure wouldn’t be a graduate of Belmont!

    Also, this guy is not, and never was a doctor! The photo of him in a white lab coat with a stethescope around his neck is VERY misleading. He NEVER attended med school!

    AND, if he’s so concerned about becoming “rich” off other people’s misery, that’s not going to happen at Centennial Hospital (which is owned by the conglomerate, Tri-Star Medical!)…if he’s so gifted and lives in Nashville, why not go to Vandy or St Thomas?!

    On to his BS points…he doesn’t want to “work” for the government, yet wants to go into the Air Force? Huh?! LOL

    IF he was ever pre-med, he would know that medicare, medicaid, and all HMOs have been dictating doctor’s fees for decades! The ACA is no different.

    I’ve been “poor” since 2008…yet I can’t get ANY medical “entitlements” because my kids are covered under their father’s medical insurance. So should I pull them off that so I can get covered by medicaid? I could, but I don’t.

    So, every time I get sick, I end up waiting until its really bad, then going to the ER where they send me home with prescriptions I can’t afford to fill! Guess who pays for that ER visit?

    The healthcare situation in this country is a disgrace. The ACA, while flawed, is a step in the right direction to everyone getting quality healthcare without doctors and hospitals getting screwed over by people like me who can’t afford to pay for it!

    • Susan Maree Jeavons

      Do you actually know what is in the “affordable care” act? You might want to read it, or at least part of it. So you’re OK with the RFID chip being implanted in your body? Of course they say it’s for tracking your health info. But it is more than that! It is not affordable. Those who have actually succeeded in filling out the papers, have found their payments have doubled or tripled, and the deductibles are so high they can’t afford them! So how is that affordable?

      • Donna Polles

        Susan, yes, I’ve actually read the entire thing, thank you very much…have you?
        RFID chips…LMAO!
        As for people’s health insurance changing, that’s a load of crap, take your own advice and read the actual LAW, don’t just go by what partisan websites tell you.
        Everyone who has health care can keep what they have…no one is telling them they have to change at all.
        No one is saying they even have to buy into the ACA! If they don’t, all they have to do is pay a MAXIMUM of $95 a year.
        Please be more informed before commenting.

        • Tom Dorman

          REALLY YOU CAN ACTUALLY KEEP THE INSURANCE YOU HAVE TELL THE 300,000 IN FL THAT ARE LOSING THEIRS ALONG ALL THE OTHER HUNDERD OF THOUSANDS OF OTHER WHO ARE ALSO LOSING THEIRS ALL OVER THE COUNTRY

          • Donna Polles

            ROFL! Please Tom, do your research.
            Lastly, on your keyboard, on the left, under the “tab” key is another button…please push it and it will stop the CAPS.
            See? You learn something new every day :)
            Peace

          • Doh

            You can keep your coverage… as long as it meets minimum coverage guidelines. The problem is most individual policies prior to the ACA barely cover anything so they are having to be discontinued. This is also the reason behind claims by the right that premiums are going up a lot for individuals. They are comparing the absolute minimum coverage plan pre-ACA to the new ACA plans which cover a lot more. Prior to the ACA you couldn’t get most of the new coverage items for any amount of money on an individual policy.

        • libknot

          I’m going to have to throw the bull sh#t flag Donna. I do not believe for one second that you read the entire ACA. The penalty is $95 or 1% of your income, whichever is greater, for the 2014 and increases in 2015 and 2016. 2017 and beyond, the penalty is $695 (will be indexed for a cost of living adjustment) or 2.5% of taxable income, whichever is greater. Please be more informed before commenting.

          • Donna Polles

            Please don’t even try to think you know who I am or what I do.
            I am more informed than I care to be LOL
            Yes, the $95 figure is for the first year, but there will be changes as the ACA evolves. But it has to be given a chance to do so.

          • libknot

            Don’t flatter yourself. No where did I suggest that I was trying to know who you are or what you do. Haha!! Progressives “evolve” and everyone else lies and flip flops! Dear Leader forgot to mention during his never ending campaigning that this colossal cluster called the ACA would force many employers to stop offering coverage and/or cut hours to get around the stringent regulations and line the pockets of the insurance companies. The ACA is a power grab plain and simple.

      • Sherman

        RFID chip? What, are you goofy? Please list the exact paragraph of the ACA where it states that. If not, shut up, sit down, turn off FAUX News, Rush, and little Glen, and read a book written by a sane person.

        • Tom Dorman

          YOUR SO RIGHT SHERMAN AND THE BOOK YOUR SO SURE IS TO HELP YOU WAS WRITTEN BY A VERY INSANE GROUP OF PEOPLE

      • John Avignone

        You’re in luck, Susan! We’re having a clearance sale on designer tin foil hats this week only! Stop by today and find the one that says “You.”

        • Tom Dorman

          NO JOHN YOUR THE LUCKY ONE OVOMIT IS GIVING OUT THOSE NEW REPLACEMENT BRAINS YOU NEED ONE

          • John Avignone

            Anyone have their subliterate all caps moran to English dictionary handy? Jaybus…

            Have you always been an imbecile or have you recently suffered a severe closed head trauma? Why is it that so many on the right are utterly unable to use their ostensible native tongue with anything even remotely resembling fluency?

            Oh, right, I forgot. Stupid.

      • Kent Straith

        There’s no RFID chip. That’s insanity.

    • Tom Dorman

      ACA FLAWED THATS NOT EVEN A CLOSE DISCRIPTION OF OVOMIT CARE ITS ONLY ABOUT CONTROL AND TAKING AWAY OUR RIGHTS
      OUR MEDICAL PROBLEMS COME FROM OUR GOVERNMENT FROM DECADES OF REGUALTIONS AND THE TREASONIUS ASSWIPE IN OUR WHITEHOUSE OR NANCY POPOSIA AREN’T TRYING TO HELP US THIS IS ALL ABOUT DESTRORYING OUR BELOVED COUNTRY PERIOD AND UNTIL YOU PEOPLE WAKE UP AND UNDERSTAND WHAT OVOMIT CARE IS ALL ABOUT ILL CONTINUE TO BE LOCKED AND LOADED BECAUSE THEY ARE COMING TO CONTROL YOU
      YES KEEP BELIEVING IT CAN’T HAPPEN HERE IN THE USA IT ALREADY IS HAPPENING HERE

      • Donna Polles

        LOL Tom! You and Susan Maree Jeavons would get along great! Just make sure you wear your tinfoil hats :)
        And it’s crazy people like you who really shouldn’t own firearms!
        (and I firmly believe in my 2nd Amendment right)
        You just sit in your recliner in your double wide with your gun at the ready and wait for them to come and take away your healthcare and firearms
        No, really, just sit there and wait…it may take awhile til they get there, but they’ll come…so…DONT MOVE! Don’t leave your trailer for ANY reason! They’re out to getcha!
        LOL
        Have a great day :)

      • Waitwhat?!

        YOU FORGOT TO MENTION THAT B HUSSEIN O PLANS TO USE THE UNITED NATIONS ARMY TO TAKE PERMANENT CONTROL OF OUR BELOVED COUNTRY AND THEN IMPLEMENT SHARIA LAW!!!!!!!!!! (Sorry for the short sentence)

  • sutopia

    Unfortunately, some doctors in the US are practicing medicine with the end goal that is more financial than helping in nature. In my opinion, there is more than one way to evaluate wealth – sometimes it isn’t measured in dollars and cents, but in successes, lives saved and advances made. It is a pity to me that your love of money would outweigh your love of the science and art you practice. Perhaps you should pursue a career in hedge fund management or banking instead of the noble profession of medicine.

    • notfromIdaho

      I believe he has a love and passion for helping others. But also has $300,000 in student loans that he has to repay. How do you suggest he do this?

      • Donna Polles

        This guy never attended med school! He does NOT have anywhere near $300K in student loans!

      • Susan

        Another issue with the US system, unfortunately. Paying $300K for med school is ridiculous – but, well…does anyone in another profession say, “Oh, I need to earn x to pay back my student loans?”

        My husband is a pilot – his schooling cost well over 100K for 2 years. He has paid it back. He made it a priority. We have a modest home, modest cars, and don’t spend too much on jewelry or other status symbol items.

        We also live in Europe and have doctors who are friends of ours. They love MEDICINE. They earn decent wages and work under Universal Health Care systems. Their paychecks aren’t their motivation to practice medicine. Practicing medicine is their motivation to practice medicine.

  • Susan Maree Jeavons

    Mr. Lofti, I admire you so much for writing this letter and speaking the truth so eloquently. I don’t have much faith that President Obama will care enough about your letter, to even give it a second thought. You see the man has no conscience. He cares about nothing but his power. That power is destroying America, and I am afraid, soon more people will see just how determined he is. I pray I am wrong. I hope you never give up on your dream. You are a wonderful young man and it is our loss, when you do. I wish you the best, and God Bless you.

    • Sherman

      Congratulations Susan! Your prayers are answered.

      • Jettero Fletcher

        Well played Sherm!!

    • Jettero Fletcher

      Susan, feel free to set down the Ted Cruz kool-aid and learn a little bit of context regarding our “wonderful young man”. Oh, maybe google “context” first if that’ll help.

      • Beeta

        Ted Cruz is sure making you guys nervous… How original you are.. If we are referring to O as a young man look again at the gray haired old man.. And we Have seen enough of him to do us many life times…

        • Jettero Fletcher

          Pfft, who’s “You guys” pray tell? I have a profile pic holding a @#$%ing M-60? Guess I’m a anti-gun tree hugger huh? Although, you probably think this guy’s really a doctor, so what should I expece.

          And about Teddy Cruz…It’s pretty sad when folks look for their “paragons of Americanism” from a Canadian.

    • Kent Straith

      I have to take issue with you on the “speaking the truth” part. Mr. Lotfi is not a doctor, and did not ever attend a day of medical school. He hung up a white coat that he never earned, and I could buy at any medical supply shop.

      • Beeta

        He said these words as a figure of speech.. He had a dream of being a doctor… that dream is gone. As a figure of speech he says that he is hanging up his white coat.. Or bowing out of that profession. You people are trying to tear a man apart just like dogs on a rabbit. He did not say he was a DR. It was his dream and ambition but the overall circumstances now have dashed his dream . He had the dream since he was a small child. So in a sense the dream of wearing that white coat is gone. In his sadness he said he had to hang up the white coat, aka the dream of being a Doctor. geeeesh people today are so angry and full of hate that they tear a man apart because they want to twist a story to suit their hatred… You people need God and stop the Hate..

        • Kent Straith

          Actually, no. That dream is NOT gone. Or, maybe it is NOW, cause this rant isn’t gonna make it any easier to get into medical school. That dream is still (technically) very much alive. He has the freedom to apply to medical school, take three years of classes followed by punishing exams, and then do a soul sucking, walking dead, 100 hour weeks internship, followed by a residency, and then a fellowship…assuming he didn’t flame out at some point along the way. If that dream is gone, it’s because he decided that the unyielding purity of his political world view was more important to him than his career “choice”. This guy is as much in the medical field as I am in the espionage field because I saw Skyfall. I believe he said he wanted to pursue pediatric neurosurgery, so if he wants to stop whining about life, put away the world’s tiniest violin, and get on about the business of saving little kids’ brains, that’d be just super.

        • Waitwhat?!

          “people today are so angry and full of hate that they tear a man apart because they want to twist a story to suit their hatred”?!
          You have the nerve to state that right after applauding Susan for claiming our President has no conscience and only cares about power?
          Use intelligent statements and while you’re at it, don’t push your religion on others.

    • Beeta

      Great post Susan!!!

  • Gayla

    Mr. Lofti, I’m glad you’re leaving the field. If you aren’t happy with a “good job” that only pays decently instead of outrageously, I don’t want you caring for my health. I want to be cared for by a doctor who is called to the profession, not one who can leave it because it’s not going to pay enough! Clearly, you are NOT called…or you would not have the choice to leave. President Obama is not after power, he is the epitome of the idea of “principle”–he is focused o n achieving equal rights and equal care for all citizens, not only the ones who can afford to supplement your greed. The medical profession in America began with country doctors who made housecalls to needy patients and agreed to be paid occasionally with chickens and casseroles, because they believed in the Hippocratic Oath that you would have had to take upon becoming a doctor today. I am glad the medical profession is changing, so that only those who are interested in pursuing it because they truly want to care for people do so…not people like you who are now disappointed that they won’t be making a ridiculous amount of money on the backs of people who make a fraction of that amount.

    • peterhaddad

      ObamaCare is about control, which is power. Sorry if you cannot understand that. It’s clearly illustrated by the 8 foot tall stack of regulations created since 2010. What is also becoming clear is it is inflicting more damage to people than helping. Hundreds of thousands are getting cancelled while barely thousands are signing up. Some that are losing insurance they have are in the middle of a major illness as well.

      The medical profession isn’t changing. The Medical industry is being put in government control. And they’ve imprisoned people into a broken paradigm.

    • glenn

      Can you think of another profession that takes as many years, as many hours, as much knowledge.. accrues as much debt plus interest on that debt trying to pay it back.. and involves decisions that literally involve life and death that nobody else has the knowledge to make?

      I don’t know. Maybe you are right. Maybe decreasing reimbursement while increasing cost of education, interest rates on the loans, and demanding more work to be done on more patients in the same amount of time IS the answer…

  • D Bro

    I can’t believe all the negative comments. Doesn’t anyone believe in free markets or self determination? It costs a lot of money to become a doctor because of the AMA and government control. Why should he not make as much money as he wants? Wouldn’t you rather a person have an incredible career versus a job? Government intervention in the free market has does nothing but raise costs tremendously. Go check out OKSurgery in Oklahoma City. Dr. Smith and partners post their prices on their website and it’s so reasonable I want to hurt myself just to go and visit him.(Just kidding). They exist outside of government intervention as much as possible and make money doing it. What is wrong with that? The amount of charity work is up to the individual doctor. Now, I do recall Dr. Ron Paul being required to do charity work but he freely made that choice.

    • Jettero Fletcher

      The negative comments are because this guy’s a FAKE DOCTOR!! Come on Bro, we conservatives have battles to fight but SURELY don’t need to hang our banner on this doofus!!

      • MV

        If the negative commentators would THINK before being negative – the author does make some good points. Consider how many people might choose to not pursue a medical degree, but rather pursue a degree as a lawyer or with a goal to be a government worker …where suing doctors or controlling doctors might pay better! Imaging the trade off – 3 years of post-grad school to be a lawyer…or 4 years med school + 4 or more years of internship/residency/etc. …to become a doctor – whose decisions can now be challenged by people with less college/medical knowledge, etc. ….Why invest lots of time and money if the deck is stacked against the medical field. That is how I read it, and I can’t see why I would want to knock the author for ANYTHING he said. But I see lots of defenders of ObamaCare and government intrusion into the medical field ready to attack him. Wonder why they are so defensive…. Let’s face it, lots of ‘real doctors’ are going to retire earlier than they might have otherwise, others will set up concierge practices and opt out of having to deal with government controls….and then there are those ‘future doctors’ who might decide it isn’t worth the pain to do so. Just what we need – more lawyers and fewer doctors. So we essentially nationalize medical care, add 30 – 40 million patients without insurance (and about 10 M could afford but chose not to buy insurance, and about 12M are illegal aliens…why are they freeloading?…so we ruin health care for the 8 to 18 million that didn’t have health care insurance??) and we are not adding to the number of doctors – but will loose them? How is this going to work out?? Probably quite horribly for the nation as it helps us into further financial collapse.

  • boogaloo

    How ignorant and selfish can one person be? So much for fluid dynamics and the idea that doctors are intelligent.

    • Jettero Fletcher

      Pretend-doctors…

  • ST

    He was never even IN the field! He went to college and then decided not to apply to medical school. What white coat…you never had one?! As a physician this letter is sort of ridiculous coming from someone who never even went to med school.

  • kellymbray

    I feel it is best that you did turn in your stethoscope, even though you were never actually in med school. You are far more suited to waders and a shovel since you seem to be much more apt at spreading bull****

    • Jettero Fletcher

      Kelly, this is the comment that I wish I would’ve thought of, thank you.:)

  • John Avignone

    How, exactly, does one leave a field one has never been in? Oh, right. You lie. I think you’re going to need a better Halloween costume than your fake doctor look. Just sayin’…

    • Glenn

      John.. a doctor is a doctor LONG before they start medical school, finish residency and finally start practicing on their own AT LEAST 8 years later. If they weren’t, they wouldn’t sanely make it to the age of 30 working 70-80 hours a week racking up $300,000+ in DEBT while the majority of their friends are working less, making money, and saving for their future. Technically you are correct, he didn’t actually leave the field in the sense that he was a practicing physician and gave it up. But, If you dreamed of being a doctor for 15 years, and took all the necessary courses in high school and college to even have a shot at being accepted into medical school – then choosing not to pursue that career would feel the same way.

      You may not agree with his opinion about Obamacare, but that article was written with passion, not lies.

      • John Avignone

        He never went to medical school, ergo he’s a liar and you’re a sucker.

      • John Avignone

        WTH are you babbling about? This guy never went to medical school, nor is it remotely possible that he racked up $300,000 in loans at a 2nd rate clown college like Belmont. That makes him a lair and you a sucker.

        • Jettero Fletcher

          John, with respect, the clown program at Belmont is accredited..:)

          • John Avignone

            True. It’s actually a decent school on the lib arts side. But a full fours years only runs $41,000 at full tuition. Obviously this guy didn’t take $300,000 in student loans.

        • Kent Straith

          Belmont has pretty high rankings, and basically, most people in the music business who is anybody went there. I have no idea what their pre-med program is like, and maybe it’s not a strength, but it’s a good school.

      • Jettero Fletcher

        Hey Glenn, I wanted to be an astronaut once. I guess I really AM an astronaut, according to your definition right? lol good Lord people…

      • Kent Straith

        1. Your classes in high school are completely immaterial to acceptance to medical school. Classes in high school get you into college, not med school.

        2. A doctor is NOT a doctor before they’re a doctor. That’s why there’s a title. That would be precisely the same thing as my saying I’ve always believed it’s my destiny to marry Brooklyn Decker, and have chased that dream for the past six years. No, haven’t technically met (yet), but Andy Roddick has stolen my marriage to Brooklyn away from me by meeting, dating, and marrying her.

  • This is suspect

    How exactly does one graduate in the “top 5% of the country?”

  • DC Hellfire

    It’s okay though – the President has inspired millions to become imaginary patriotic warriors for freedom and justice. If we lose a few imaginary doctors along the way, so be it.

  • John Avignone

    How, exactly, did you manage to rack up $300,000 in loans when 4 years at Belmont clown college runs $41,000 at full tuition?

    You never went to medical school and there’s no way you racked up the debt you claim, therefore you, sir, are completely and utterly FOS. But it’s a frickin’ HOOT to see how many gullible loonytoonian idiots buy into your glaringly obvious BS!

  • Phuong Nguyen

    What you called a Free Market is not affordable by more than half of this country. No one likes beaurocrats, but Obamacare helps those who never dare to put their feet in a hospital because they can never pay for the cost that those of you doctors just charge us, to now have a chance to buy an affodable health insurance for themselves. Thank God that those people like you don’t get into the medical field because we need those who have more willingness to help people than just earn a big salary and affraid that the government is going to limit your earnings.

    • Richard StJohn

      Never dare put their feet in a hospital? In truly low income areas like the Bronx N.Y. the E.R. is more like a general practitioners office. The poor know they can’t be turned away. 85% of people had insurance. We’re changing everything for the other 15%, It is beyond reason. In case you hadn’t noticed more people have lost health insurance than have gotten it.

    • keefer1958

      Do you know how many people get benefits from the government and how many people pay for those benefits? We are “upside-down now. More people receiving than giving. Look it up. The system is collapsing as we speak.

    • Drew

      I lived in a place for three years where they had a healthcare plan similar to this. I went in to see a doctor because I had a hole in my leg. They assigned me a random doctor who had to have been my age (20) or even younger. He looked at it and gave me some heartburn pills and told me to drink water because he said I had gastritis…He really cared but didn’t know what the freak he was talking about.

  • iSoar

    Utter nonsense. Good riddance. You will not be missed.

  • Guest

    How would he feel if he were one of the millions who got a college education with loans to repay who had their jobs ripped out from under them? Or if he lost his job and had to go without medical care because doctors think they deserve so much more than everyone else? This country is falling apart because a few people have way more money that they need and way to many people struggle to even survive a day. And no! They do not struggle because they are lazy, they struggle because those who have too much want more and refuse to pay decent wages to hard working people.

    • johngalt

      *too *’murica

  • Jettero Fletcher

    So let’s get this straight. You’re hanging up a lab coat you DON’T EVEN HAVE!!! I don’t see anything about you being a doctor. Guys, THIS is why the majority of the country thinks us conservatives are NUTJOBS!! We walk around, go to work, pay our taxes and hang the American Flag outside our front door. Yet the problem is, we let THIS guy be the voice of conservatism in the storm. He’s not even a doctor, talking as if he is one!! Good gracious man, where’s your integrity??

  • M.C.T., MD

    What a crock of SH*T!!! This guy never even went to med school, much less residency! My man, you have some gonads: you very cleverly try to give off the impression that you a physician, when you are nothing more than a political hack with a Bachelors degree. When you have sacrificed blood, sweat and tears through med school, residency, AND fellowship the way I have, then maybe I will listen to you. Don’t you dare try to pretend to be a doctor. You were obviously never even worthy of my profession.

    • Sandra Woodard

      YOU ARE ILL

      • Albionini

        Oh really? What’s your official medical diagnosis? Or maybe you are an imaginary doctor, just like Mr. Lotfi.

    • Drew

      Lol, you can always tell how highly people think of themselves when they put MD at the end of their name. You probably introduce yourself to people on the street as “Doctor so-and-so”.

      And I am curious, just how did you sacrifice blood through med school? My buddies are pretty deep into it and they have said nothing about losing blood.

      • M.C.T,MD

        Drew: It is a FIGURE OF SPEECH. Don’t know what that means? Google it (that’s probably how you do all you research anyway).
        Keep up with your personal attacks: it makes no difference to me. After all, you have yet to come up with a cogent defense of Mr. Lotfi’s blatant misrepresentation of the facts.

        • Drew

          Man, look how condescending you are. You don’t know my background at all. I’m not defending the writer. I could careless about this guys article. It’s written with rhetoric that is not based based on anything but over passionate bias. What I can’t stand more than anything are pretentious people like yourself. Get over yourself. If you want, throw down a rope and I’ll pull you back down to earth.

  • EpiRen

    I, too, wanted to be a neurosurgeon. I’m hanging up my white coat because of this article. You’ve robbed the world of a great, future, maybe neurosurgeon.

  • Kent Straith

    I once talked to a guy who said he “went to Miami University to be a plastic surgeon” until he changed his mind. I asked him how long he went there, and he said two semesters. I asked him how his two semesters at Miami had any relevance to plastic surgery, because it was his freshman year, and he’d only have taken pre-reqs that had no bearing whatsoever on medicine. He said “yes, but plastic surgery was my plan.” That guy reminds me of this guy.

  • Mr. Incredible

    Love how our liberal losers attack the messenger. They use the same lies about the ACA that the promoter and the Democrats did in 2009. When people of integrity speak they expect to be believed. When they are not, they let time prove them right! The lie that Obama is isn’t going to take much time!

    • Jules

      Why do you think this guy has integrity?

      • Drew

        What makes you think he doesnt?

  • Sam

    So let’s get this straight: The kid wants to be an Air Force officer, but he “quit” medicine because he didn’t want the government telling him how much money he makes? Tragic loss. Especially after he lost sleep making flash cards!

    As someone who’s actually a doctor (in the “graduated from medical school” real definition of the term… not the “one day I thought about being a doctor and wore a costume” definition this author uses), I’m happy going to work. Ignore this kid.

    • Nice Ride

      I hope you actually are a Dr. though I doubt it. Many of the Dr. in my area have sent lettes stating specifically they will need (extended notice) to treat anyone with an ACA plan.

      • Doh

        Funny that, considering pretty much everyone will have an ACA compliant plan by Jan 1. The plans that don’t cover enough are being discontinued, as you probably have been made aware by Fox News. The doctors in your area are apparently all Republicans trying to scaremonger.

    • keefer1958

      Good luck getting paid when this new system collapses. Young people NEED to sign up for insurance to pay for the older peoples’ insurance. That will not happen for at least two reasons. 1) When a young person graduates college, THERE ARE NO JOBS. 2) Young people will NOT pay those outrageously high premiums. I don’t blame them. The medical field is dying and it is 100% the fault of obama and the democrats. Of course, when obamacare falls apart, “single-payer” will be forced down our throat next. That’s been the democrat wet dream for decades now. The “transformation” obama promised us will be complete.

      • Doh

        There are plenty of jobs, I get several job offers every day. However there might not be high enough demand for even self-entitled brats like Lofti to find work, which is entirely different.

    • Drew

      Dude, get over yourself.

  • The Establishment

    Leaving aside the very first line where the author invokes the president’s middle name (Hussein) as an anti-arab prejudice-inducing dog-whistle for those that subscribe to that line of prejudicial thinking, this letter is rife with problems.

    - Nowhere in the ACA are there any sorts of limits on how much doctors can make, nor will it cause bureaucrats to tell doctors how to treat their patients
    - The author makes a baseless claim that the passage of the ACA has caused doctors to retire early and opt for cash-only practices, and “discouraged bright, young minds from entering the field.” On what basis does he make this claim? Where is the evidence? Extraordinary claims require extraordinary evidence. I have heard of no such evidence, and the burden of proof is very much on the author in this case.
    - The author goes on about the “free-market” (sic) in relation to health care, which leads me to believe he knows very little about a) the principles of a free market, b) the economics of health care, or, more likely, both. The health care “market” is very much a captive market, and profit motives are the last thing that’s needed in ensuring adequate treatment our nation’s sick and injured.

    I’m sincerely glad that this man is avoiding the medical profession. The last thing I’d want when sitting in an emergency room is to have a doctor thinking about how much profit they’re going to make off treating me, or deciding not to treat me based on a profit-motive. This man was not a doctor, he wasn’t in med school when he “quit,” and good riddance even if he had been.

    The ACA isn’t perfect, it’s not even close as it leaves the parasitic, middle-man insurance companies intact, but there are improvements over the previous ways of business, so it’s a step in the right direction.
    What’s really needed is a universal single-payer system for basic healthcare, with elective/non-basic treatments/procedures being left to private insurance or out-of-pocket. But you know, that’s socialism, which is basically the devil, and it only works much better for just about every single other developed nation in the world.

    • Nice Ride

      Your absolutely wrong. Doctor dentist and even physical therapists are being ask to sign up for exceptance of ACA pay plans. Unfortunately there is no list of the rate that would be paid for procedures.

      • kellymbray

        Just like they were asked to sign up for insurance pay plans before ACA. They can choose to take cash patients and no insurance. This has nothing to do with doctors reimbursements. That has been under the insurance companies thumb for decades.

    • Tom Van Dyke

      Except, I have a friend, a nurse who is making $27 an hour, but due to the effects of Obamacare she will be laid off within 6 months as she has been warned by the hospital. They are hiring new nurses at $13 an hour now and are getting rid of the experienced ones that make more. She is trying desperately to get transferred into another department so she will still have a job. Obamacare is going to take all incentive to work hard and succeed in the medical field. Many people will start dying because of mistakes that these undertrained replacements will make. Besides, I predict in 2-3 years Obamacare will run out of money and will go belly-up without a new infusion of new taxes, and I PRAY, they don’t raise taxes for it, I hope a Republican is in office before everyone gets raped by the tax man. My taxes personally went up 1% and my bosses payroll taxes shot through the roof causing them to require me to pay $669 a month for my benefits that used to cost $250.

      • kellymbray

        Since when did AHA have to come into effect for a business to hire cheaper help? That is an old trick. If they were unionized they would have rights.

    • keefer1958

      “Leaving aside the very first line where the author invokes the president’s middle name (Hussein) as an anti-arab prejudice-inducing dog-whistle for those that subscribe to that line of prejudicial thinking, this letter is rife with problems.Leaving aside the very first line where the author invokes the president’s middle name (Hussein) as an anti-arab prejudice-inducing dog-whistle for those that subscribe to that line of prejudicial thinking, this letter is rife with problems.”

      Stop crying about an imaginary “DOG WHISTLE. ” If barack hussein obama doesn’t want people using his middle name, he can change it. Even better, he can resign and people will forget about him sooner or later. The sooner the better. Good riddance, hussein.

      • b2k123

        I assume that you always refer to people by first, middle, and last names then, right? Why emphasize the President’s middle name if you weren’t implying something disgusting?

        • http://josephalessio.com/ Joseph Alessio

          How about Ralph Waldo Emerson, Arthur Conan Doyle, Henry David Thoreau, etc. etc.? We must be disgusted by them! How horrible! It’s his middle name, big deal.

          • Doh

            In your particular examples, which are all authors, they choose to be referred to by their full fml names. Most do not.

            Its clear you are a racist as well trying to defend Lotfi, what you apparently don’t realize though is racists as a whole in the US don’t take kindly to those with any ‘foreign’ (non Anglo) last names either, so go back home. ;-)

          • http://josephalessio.com/ Joseph Alessio

            Nice try, but try again. First off, how do you say I am racist, and defending Lotfi, when I mentioned absolutely nothing about either in my comment? I think Lotfi’s a bit weird, and while racism is a popular subject, you’re the only one who brought it up here. “It’s clear you are” simply homophobic and assumed I was gay because I am wearing a scarf in my profile photo, using your logic (or lack thereof).

            Secondly, you’re the racist in this picture. If I were to “go home”, I’d be staying right where I am now, since, while I’m quite a mix of ethnicities, I have a good portion of Native American blood in my veins. So, kindly take your unintelligent gluteus maximus back to wherever you came from (the basement of the internet troll-house most likely) and stop perpetrating your racist nonsense on descendants of the First Americans. Oh, and next time, put your name next to your nonsense.

  • John Perkins

    Don’t worry. BAMACARE is drying up as we speak. It and He will soon be gone.

  • Patty

    I know a few doctors retiring early because of Obummercare, It stinks, and it is a disaster.

  • Guest

    Republicans didn’t vote for this, either in the House or the Senate.

    • kellymbray

      A majority in both Houses and signed by the President. That’s all that matters under the Constitution.

  • Drc

    As an actual neurosurgeon, I just want to help you out. You say you’ve never met a doctor who would recommend the field? Where, here is one. I love my job. I get to take care of interesting people with really complex problems and I’m well paid for it. Anyone would be lucky to have the career i have. i worked hard for it, and I’m also privileged to have it. You are not “hanging up your white coat.” You have never even been accepted to med school. You have never practiced medicine. You have no idea if you would have the chops. This piece is naive and arrogant and demeaning, politics aside. And by the way, I am fascinated to learn what “graduating in the top 5% of the country” means. Please do explain.

    • luv42kids

      Thank you Drc, more scare tactics. My daughter is in medical school, and looks forward to taking her oath, especially the line: That I will be an advocate for patients in need and strive for justice in the care of the sick. Bless you.

    • Drew

      Lol, talk about arrogance.

    • Andrea Royall

      As a nurse who has worked with some of the best neurosurgeons,neuro-intensivists, and neuro-specialized anesthesiologists in the US; I cannot imagine those guys ever accepting some overblown bureaucrat with zero medical knowledge dictating their practice, or mine for that matter. I never thought I would be thankful that an injury would take me out of bedside nursing. That day came when SCOTUS declared ACA legal as a tax.

  • Jennifer

    I think the author is speaking in a metaphor…….look between the lines

    • Jettero Fletcher

      Then he should disclaim. Him not disclaiming it isn’t an oversight. It’s an insult to us readers because he’s counting on a large segment of us to “take him at his word”. Far-right conservatives, centrists, far-left Libby wingnuts should ALL be offended that he thought so little of the readership to try to pass this off. But, this is BettySwann after all…

  • RawManRaines

    Replace Rep/Dem “Divide/Distract and concur party” with the Human Party and return government to its first state – a public servant doing the will of the people as they work for us and we let it become what it is and we are the only ones responsible for what it continues to be and our own ruin or success – it is our time and our move? Get pissed or something – make it happen…

  • Summer Day

    Has anyone seen the fully manned gunboats patrolling in Louisiana?? http://www.youtube.com/watch?v=Uu3mqjHB9R8

  • PhMDMPH

    Medical student here. This is the some of the most uninformed and pandering writing I’ve seen in a while. I don’t think many conservatives would approve of doctors commanding salaries of $300,000 to $600,000 per year (non-academic; specialties such as neurosurgery, radiation oncology). There is no justification of such profit from illness, especially if doctors/specialists can’t guarantee a 0% preventable complication rate. I go to one of the top 5 most expensive medical schools in the U.S., and having had a financial analysis done, I can say that even Family Medicine (~$140,000 per year) would give me a comfortable life, even graduating with $300k in loans.

    • Brianna Aubin

      I don’t understand. Why do I care about your salary as long as I am not required to pay it myself? And don’t tell me that I’m required to pay your fees if I want your work. There’s a difference between voluntary exchange, even an expensive exchange for a product I might desperately need, and being forced to make that exchange at gunpoint.

      • kellymbray

        Your reply makes no sense. The subject of the article is rate of return and post educational debt.

  • bullshit

    what a crock of shit. You’re no longer going to help people because of the affordable care act?

  • noneya

    So government artificially increased the cost of healthcare to consumers and you were okay with the ways that that benefited your field. But now attempting to lower that cost consumers you’re pitching a fit taking your ball and going home. In a free market you would likely be worth less then either of the government solutions, so don’t try selling your opposition to government intervention as a defense of the free market.

  • Howard Gardella

    I thank God for men who stand against the wickedness and tyranny of our Governments Attitude towards:
    We the People

  • b2k123

    As a current medical student aware of the potential impacts of the ACA, I personally thank you for not entering into the medical field. The study and practice of medicine requires critical thought and an interest in humanism. Since you clearly do not understand the importance of providing healthcare to the uninsured for both economical and compassionate reasons, you do not belong in this field.

    • c4Ncersurvivor

      Agree with you. He obviously doesn’t even know what the ACA does. And he makes a lot of false claims. This is all false propaganda.

      “Your legislation has caused countless doctors to go into retirement
      early, opt for cash-only practices, and has discouraged bright, young
      minds from entering the field.” <–Really, do you have data for that "doctor"

      Oh, the extent people will go to proclaim their selfishness and disguise their political agendas…

      I am thankful you are not going to be a doctor–as a medical student and a childhood cancer survivor who falls into the category of "pre-existing medical condition."

      Thanks again, for hanging up your white coat. If there is not something deeper that drives you to be a doctor, something deeper than money–say the love of people and wanting to heal the ill–you don't belong in medicine–and I am relieved you will no longer be a doctor.

  • CongratsOnTop5%
    • CongratsOnTop5%

      cool selfie tho!

  • Kellie Nicholson

    Michael Lofti, you apparently don’t understand that health care is not about making doctors wealthy, but about saving lives. If you have a problem with your pay, then let the market figure it out without lobbyists buying out our politicians to favor the insurance companies.

  • disappointed

    Lotfi didn’t give up anything, he was never admitted/did not attend medical school, though this entire article is determined to obscure that truth. A lot of people start off college as pre-med. He’s just another person who quit during undergrand. No great loss to the healthcare system.

    And, if he had taken a valuable spot at a medical school, shame on him for taking the space away from someone who would have finished and gone on to do good work.

  • Leyla Shams

    Michael Lotfi,

    I don’t understand what your point is in this article. And if you believe in the free market, and we have been under this free market system, why can I not afford health insurance after years of school and receiving a professional architecture degree? The free market works for some, but unless it works for all, it is not truly free.

    I feel like this article is an embarrassment to doctors who enter the field because of the love of healing.

    sincerely,
    Leyla Shams
    fellow “persian” american

    • Michael Lotfi

      We’ve not been under a free market. We’re simply putting the nail in to coffin. As I stated, “It’s no secret that the federal government has over-burdened the healthcare market, which has manifested astronomical costs to consumers.” Government internvention is what has caused you not to be able to afford your healthcare costs- And so, many have opted for more intervention, which will only cause more economic dead weight and higher prices (as seen by skyrocketing premiums the the majority of plans offered). wann_ on

      • MAlbinoniMD

        Answer me, Mr. Lotfi: did you even do a day of a medical subspecialty fellowship? What about a residency? What about medical school? You answer other people’s comments, so I will be waiting you your response to mine.

      • jre

        “It’s no secret that the federal government has over-burdened the healthcare market, which has manifested astronomical costs to consumers.”

        Granted, this is a complex topic — but the statement above is, purely and simply, false. You are entitled to your political views, and it is your privilege to change careers because of those views. But your readers are likewise entitled to speak up in response when you say something which is untrue. Good luck in your new life as an economist — judging by the above, you will need it desperately.

        • Steve Sordoni

          I was hoping you’d explain why that statement wasn’t true instead of mocking someone.

          • jre

            Happy to help. Explaining why the statement isn’t true looks like this: http://economix.blogs.nytimes.com/2012/12/21/medicare-spending-isnt-out-of-control/?_r=0 Mocking someone looks like this: Gee, Mr. (not Dr.) Lotfi, I really, really hope you will reconsider your decision, because the medical profession seriously needs more people who will put their personal ideologies (and potential careers as right-wing radio gasbags) ahead of any possible opportunities to help sick people.

          • kellymbray

            Hahahaha…bingo.

          • Dave

            not really sure…… how this explains how that statement is not true……

          • Andrea

            The statement can’t be untrue, it’s just a statement of his feelings.. but I think many people find his prioritizing his own selfish (and somewhat confusing) goals above the needs of the sick to be kindof off-putting. I think everyone agrees that capable doctors have earned a respected place in society, and should have access to health as they give it, but this dude hasn’t even finished school yet. He’s worse than the ‘entitled’ Obamacare stereotypes he claims to pit himself against.

    • Steve Sordoni

      This isn’t a free market system at all. If it’s run by bureaucrats who are calling it a free market. That is the point.

    • Dave

      because….. you chose architecture…….. and probably mismanage your money. A free market is only free when it is free from coercion.

  • enkelin

    The AMA has made sure there is NO such thing as free market in medicine.And that has been for the last 80 years

  • Daniel

    Sure Dr. Lotfi, and you’re part of the problem. Just because you went to medical school you’re not satisfied with a “good” job; you want an “incredible” job. You feel you’re deserving. Why?
    Why do you and so many of your colleagues expect to be multimillionaires on the backs of your patients. Yes, I know you’re only part of the problem. Greed in the health care industry is systemic. You only want your piece of the golden pie. You freely chose a career with great expectations. It didn’t work out that way. Guess what? Talk to the millions of other people with the same experience in their chosen careers worldwide. You love the free-market system. Good. You’re experiencing it first hand. Suck it up.
    Consider the average trucker who works long hours to pay off his rig so you can enjoy fresh fruit. Or the first responder, who by the way earns a fraction of your income, puts their LIFE on the line to save yours. And many others who never had the opportunity and privilege to receive your education. Even your coworker who swings the mop to keep your workplace clean, worries knowing they will not get the same health care for their family that you take for granted for your own. With all this going on around you, you still have the gall to complain about your lowering income and opportunities. News flash, Lofti… many of us worry just about surviving.
    America has given you every opportunity, yet you show no gratitude. Even if you can’t relate to all the people I’ve presented to you, learn from your own mother. Put your head down (as opposed to up your ass) and work. Do what you were trained and took an oath to do. Improve the quality of health for your patients and humanity. Count your blessings, not your dollars.

    • Vera

      Incredible career and job are different. Wanting some kind of autonomy to practice medicine away from the bureaucrats who are telling you how to do your job and how fast you should see patients isn’t greed. I’m an ICU RN and I don’t work with many rich doctors. The ones I do work with who make a considerable amount of money are NEVER home. I’m sure some of our cardiovascular surgeons and anesthesiologists make half a million. The same guys who will spend all day in the OR because there were unexpected complications, spend several hours in the room after the patient gets to ICU and are back by 5 AM. You apparently don’t understand the level of responsibility that comes with medicine, or you’d know not to compare it to truck driving.
      Most doctors don’t go into medicine so that they can try and squeeze in 30 patients a day. Most didn’t realize they were getting into a system that rewards costly procedures and punishes doctors (through lack of reimbursement) for trying to spend time educating patients.
      It’s not a free market system when CMS does everything possible to reduce the amount of money it pays and also binds the hands of the healthcare team.
      I can’t imagine you’re in healthcare.

      • Daniel

        Vera, sorry to disappoint. I was a paramedic in a major Midwest city before retirement. In no way did I intend to imply that all providers share this man’s attitude. I know many fine ones whom I’m proud to work alongside. I’ve also known some whom see personal wealth as their only goal. I stand by my career comparisons. Don’t be a snob because of your education or station in life. Like the truck driver, many people put all their energy and commitment into performing good work. I value their contribution to the community as much as anyone else, Including doctors and nurses. Take the time to know your neighbors. You may learn a valuable lesson on life.

      • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

        THANK YOU! These morons on this blog believe that every doctor is a Hollywood plastic surgeon driving a Ferrari and living on top of the hill in a castle. (nothing wrong with that btw.)What’s happened to our country is disgusting. The have nots are so jealous of the haves that they have convinced themselves that it’s anyone’s fault but their own. They all want “their fair share” now, which doesn’t belong to them. It’s stealing.

  • Rebecca

    As a current medical student, I do not feel “discouraged” by the current health legislation but actually quite invigorated – and I’d say 95% of my medical school class feels the same way. I spend a lot of time working with an organization that provides health care for the homeless in a major US city, and not only does this lead to better health outcomes for our patients but also lower overall costs to society based on the reduction of ER visits and long hospital stays. Our organization is the oldest health care institution in the world to provide health services for the homeless, and has proven that this results in a reduction in spending, decreases the incidence of homelessness, and produces an overall benefit to society. The point of the affordable health care act is to produce similar results on a national level. Perhaps when you learn more in your chosen career of economics, you will discover that this is indeed the case.

    • MD

      Maybe after you talk to practicing physicians, or better yet become one yourself, you’ll fully understand what reality is all about. You aren’t really in any position to comprehend what this “tax” is about because you are still in school. Such a shame you are under the dillusion everything is all going to come out smelling like roses. If only things were that simple.

      • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

        I don’t think you are a doctor for one second. Every survey taken of doctors shows they are against Obamacare. Any boob can SAY they are a doctor when they’re actually blogging from their parents basement. In an actual survey of doctors, not basement bloggers…60% said Obamacare will have a negative impact and only 22% think it will have a beneficial impact. That’s 3 to 1 against. http://www.forbes.com/sites/scottatlas/2012/10/11/what-do-actual-doctors-think-about-obamacare-now/

        • Marco Serpas

          you’re a boob blogging from your parents basement.

          • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

            very original Marco.

          • Marco Serpas

            Thanks, just having some fun. I respect your passion.

        • http://bannedsorcery.com/ Bryce Anderson

          Dueling links!

          http://www.newrepublic.com/blog/jonathan-cohn/99827/no-doctors-dont-hate-obamacare

          Your link is making a big deal of an online survey (ick) with a less than 2% response rate. It’s hard to consider that a reputable analysis.

    • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

      Don’t believe this post for a second. And even if this is true that is YOUR position. You want to work for the Peace Corps. then more power to you. But the stark fact is people go into medicine not just as a community service, but to make money. Duh. If you want doctors and surgeons to work for whatever the gov’t feels is “fair”, then why doesn’t the gov’t pay for their schooling. If you really think obamacare is good for medicine and will attract the same brilliant minds to the medical field, and you are being truthful that 95% of your medical school colleagues are happy about this gov’t takeover, then it means the brightest minds have already chosen other fields.

      • Marco Serpas

        Your argument loses power as you are mentioning “even it if this true” which means you are not able to validate nor refute the claim with any logical basis If you think it is “fair” that certain medical providers and insurance companies can rip you off, then make a line with the brainwashed kids. Sir, you apparently suck at golf as much as you do thinking on your own.

      • Andrea

        Since when did ‘brilliant minds’ equal ‘desire to be a millionaire’? Never that’s when. Brilliant minds go where they are attracted. They don’t have time or care about the other stuff.

        • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

          How silly. You really believe that doctors’ go through 20 years of schooling at the cost of around 1/2 million dollars and in the end they don’t want to have something to show for it? They want Obama to tell them how much they can charge or how much they are worth. It’s a silly-naive position.

          • b2k123

            Hey buddy – you a doctor? Because if you aren’t, shut up! If medical students and doctors already in the field are in opposition to this letter about medical professionals, doesn’t that hold enough weight to be a valid opinion?

  • Estefania

    You didn’t even make it as far as actually becoming a medical student, you have no white coat to hang!

  • Lyle Hopwood

    You fell asleep behind the wheel countless times? You need to rethink your life and try not to endanger so many people with your choices.

  • AlsoAFakeDr

    How misleading. He’s never even been IN the medical field.

    To LEAVE the medical field, one has to be IN the medical field. Simply taking a picture of yourself with a white coat and stethoscope doesn’t count. The title and picture accompanying this letter are Red Herrings. Frankly, I find insulting to actual medical professionals that he chose to represent himself as one of them when he clearly is not.

    Other issues I have with this letter include:
    1) He never intended to work for the government and yet was on a path to enter the Air Force.

    2) He wanted to be a pediatric neurosurgeon… after learning medicine in the Air Force. If there is a worse place to learn pediatric neurosurgery than the armed forces, I can’t think of what it would be.
    3) He is now studying for his doctorate in Economics. Which means he has a masters in economics. Which begs the question: Why did he get a masters in economics if his lifelong dream was to get into medicine?

    Thankfully, Mr Lotfi isn’t going into medicine. He’s going into politics. Further into politics, actually. Starting with a self aggrandizing letter to the President.

    • kellymbray

      I mean seriously, look at his picture. Lab coat and stethoscope from the
      Halloween store, headphone in his ear to cut off reality, pouty stare,
      hipster beard….it simply screams “I am a tool!”

    • medocadvikian

      I can’t find any reference to a Dr. Lotfi in anesthesiology anywhere!

      • Marco Serpas

        That’s because he never completed school.

  • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

    This outcome was obvious to anyone who cared. The left doesn’t care. The A.C.A. had nothing to do with improving healthcare or services, but to redistribute wealth. Not a single doctor I’ve spoken to like Obamacare, and many will no longer accept many insurance plans. This was predictable if they cared at all. Doesn’t matter if website works, doesn’t matter that rates went up not down, doesn’t matter that doctors opting out and lines will increase…it’s all about taking from taxpayers and giving to non-taxpayers. Or more precisely, taking from Conservatives and giving to LIberals.

    • medocadvikian

      I have no problem with Obamacare and I am a Doc! The 30 million uninsured today use the emergency room as their primary care facility. The costs are astronomical and it is the insured that pays this cost. What you can expect is a reduced premium when you don’t have to pay for the uninsured. Basic coverage will be available to all and if you want the gold package, you can buy it!

      • williethemayor

        ……………………..was no different ( humans using E.R. as doctor offices )prior to medicare/medicade?
        can you concede on the point of that the HIGH cost of medical care, just as higher education ( goverment student loans ) came after the goverment got into the medical field, ( i.e. medicare, etc, )
        also the willie has a bone to pick with the medical field, i.e. doctors, who DO NOT teach dietary to its patients, ( which most will help with symtoms, preventive care, and even curing some dx’s).inwhich they would rather pass out pills, then get theyre hands dirty…..( how in the heck would any doctor would want to prescribe dangerous drugs like ritalin, ssri’s, etc, etc to kids )

      • Heather A Burns

        medocadvikian obviously has private, employer-provided insurance. Because if he hadn’t, he would have been to the Healthcare.gov site (or not, because it is not even working), and seen for himself that premiums have gone up. We are still paying for the uninsured, because they are still uninsured, if you want the gold package, you will have to pay the government for “their” gold package; because if you have your own private gold package, the government will fine you for not purchasing theirs, and eventually we will see that there will be a huge influx of homeless because of this legislation and all of its new taxes. You may be one of the ‘fortunate’ people who is relatively insulated from the law right now, but eventually, you will feel the squeeze too.

    • http://bannedsorcery.com/ Bryce Anderson

      The ACA has *everything* to do with improving health care. Unburdening the emergency rooms will cut costs and improve health care. Reducing readmission rates will cut costs and improve health services. Digitizing medical records will cut costs and improve health services. Identifying ineffective treatments and drugs will cut costs and improve health services.

      I’ve not seen evidence that premiums are going up for people whose plans already met one of the “metal” certifications (bronze, silver, gold, etc.). Most everyone I’ve seen complaining about huge spikes were only carrying very limited health insurance plans. These plans were like negligees: you may technically be “covered,” but going outside is risky.

      As for the “not a single doctor I’ve spoken to” crack: http://www.newrepublic.com/blog/jonathan-cohn/99827/no-doctors-dont-hate-obamacare

  • Marco Serpas

    “. Only a true free-market can accurately assess the value I am capable of.” I wonder if you are capable of not ending a sentence with a preposition…with all your smarts and all.

    • Lauren

      You’ve got to be kidding me? Yeah this guy may have come on a little strong but who on this shitting Earth cares whether a sentence ends with a preposition or not? No one with a life; that’s who. His argument was not made invalid by a dumb grammar error. He was going to school to be a doctor not a damned English professor.

      • Marco Serpas

        Well, we can rule out English professor and Anesthesiologist now can’t we? His arguments are made invalid by the mere fact he was never in the medical field and begins the letter with stating he is leaving the medical field.

        Now, if he really cared about being a doctor, or about people (other than himself), he would realize how much a medical doctor means to society. But I guess if he can’t make the money he wants, that should mean less than the government controlling medicine. He is right that medical school isn’t cheap, but that’s also part of the broken system and his failure to realize that particular tidbit makes me think he isn’t the smartest guy on the planet and people reposting this don’t really want to think critically.

        • Jim

          This is one of Obama’s paid shills! The administration has troll’s to defend it on every social network .They troll around and attack on a personal level anyone that disagrees with them . Jim

          • Marco Serpas

            HAHAHA- so disagreeing with a bad article makes me a shill trolling to defend an administration? Please look up insane asylums in your area and check in.

          • davking

            No, “disagreeing with a bad article” does not make you a troll. Disagreeing with a bad article by attacking the author personally does make you a troll.

            Troll.

          • Marco Serpas

            This man is unqualified to write this article. A false premise produces false truths. He is not a doctor, he was never in the medical field, his arguments are unsupported speculation.

            Troll around some more davking, troll on

            ———————————————-
            ———————————————-
            IIIII davking IIIII

            ^^that’s a bridge, and you’re the troll under.

          • davking

            I’m not going to bother with you anymore after this comment. You have proven yourself to have no credibility.

          • Marco Serpas

            “I’m not going to bother with you anymore after this comment. You have proven yourself to have no credibility.” Thank you forfeiting- it gives me more credibility by the minute.

    • http://bannedsorcery.com/ Bryce Anderson

      Marco: Ending a sentence with a preposition is perfectly valid English. It’s just bad Latin, and the practice ruffled the feathers of a handful of 19th century, overeducated academics who thought English should be more like Latin.

      • Marco Serpas

        Bryce, that’s cool.

      • davking

        A typist once sent a draft back to Winston Churchill, complaining that he had ended a sentence with a preposition. He replied back “This is the kind of nonsense, up with which I will not put!”.

  • medocadvikian

    Dr. Lofti confuses government job with government payment. He is rejecting his career before Obamacare actually starts. The same arguments were used when Medicare was proposed. Yes, the same Medicare that subsidized his education.
    Dr. Lotfi won’t be gone long, however someone will have taken his place at the hospital so he will have to start over again. This will give him yet another reason to rant about healthcare.

  • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

    Wow the left is out in force huh? I think thou protest too much. Don’t like the message, attack the messenger. That’s right out of the Obama handbook right? You guys are clueless and pathetic.

    • Marco Serpas

      So if people disagree they are leftists? How narrow minded.

      • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

        No, it depends on their position. Certain positions are indicative of left wing progressives. I’m just calling it the way it is.

        • Marco Serpas

          It’s sad that our political debate has turned this way. We simply label positions to create polarization, even when each position provides excellent points.

    • Andrea

      Uh.. Obama did not create progressive politics. He is way more middle of the road than most people characterize him as. The ACA is hardly socialist healthcare. More than anything, it’s a policy designed to reduce healthcare costs by reducing the strain that the unisured have on the health system. I could really give a crumb for politics, but I know my history, and I can use logic, and logic and numbers say uninsured people cost the healthcare system a ton, and that insurance companies are out of control. It’s a shame that congress had to go all ideological and couldn’t be bothered to be adults and figure out a better solution, but here we are.

      • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

        Andrea, how exactly will this lower healthcare costs? Did you know that with Romneycare that the state used to pay 25% of it’s state income taxes for healthcare before Romneycare, now they pay 40%. Did you know that the wait time to see your doctor for the first time in Mass. is now 60-120 days? Did you know that they are considering trying single payer in Mass. because they can’t tax enough to pay for it they way it is? Did you know that trips to the E.R. in Mass. have gone down insignificantly because of the long waits at Dr.’s offices? We are talking about a very small portion of the population that didn’t have access to insurance. (didn’t have it because they couldn’t afford it.) Rather than “cut them a check”, so to speak, this administration did a power grab of 1/6th of the economy. Every sales pitch Obama gave us, “if you like your policiy you can keep it.”, “premiums will go down for everyone”., “If you like your doctor you can keep your doctor…and on and on are all lies. None of them are true. Premiums before subsidies have doubled and tripled. Why can’t you see the obvious? This wasn’t about better care for the sick, we could have done that without killing the whole system, this was always about power and redistribution.

        • http://bannedsorcery.com/ Bryce Anderson

          [citation needed]

  • anatolyg

    No where in there he talks about WHY he has a $300k college bill. Would his life be easier if he didn’t have essentially a mortgage to pay back for his education?

    What specifically was so “free-market” about healthcare prior to the ACA? Certainly not the fact that a large percentage of our population (about 15%) was uninsured and their costs were transferred directly to those who were insured – as far as I remember, Adam Smith didn’t write about a free market being such that some paid for others expenses.

    What specifically is this guy’s issue with the ACA? He writes – “I never thought I’d have a government bureaucrat dictate what I was worth to the market,” yet, government boards have determined reimbursement rates WAY before the ACA. How does Medicare set their reimbursement rates? Not through acts of God – through a committee run by the Feds.

    I very much doubt that in the long run the ACA will reduce the efficacy and quality of our healthcare. I believe what it will do is remove the profit motive. And if that means that guys like Lotfi quit – so be it. For all the wealth created by the pre-ACA healthcare system, very little of it reflected on the general quality of healthcare as measured by the WHO – ranked 37th in the world, while costing the most. No where did Mr. Lotfi give suggestions, offer criticism.

    This was simply a hit piece by a guy who is seeing his wealth potential go away. So, I hope he and guys like him go away and let us have a reasonable discussion in this country about the cost and quality of our healthcare – without all the demagoguery or hyperbole.

    • Heather A Burns

      No? Why don’t you take a look at what the switch did to just a small portion of the medical community and patients in the UK when, in 2006, they switched to state sponsored dentistry. I figured I would just give you a small example of what is coming since you seem unable and unwilling to see the truth before you, or even hear it from someone who is actually in the field.

      By the way, his letter was not an expository on the effectiveness of healthcare in America. It was a personal letter, written by a doctor, to the President, who had just derailed his “American Dream.”

      • Andrea

        But what is his ‘American Dream’? To provide sick people with help? Or live in a mansion? I say good riddance.

        • Heather A Burns

          LMAO … Seriously? It doesn’t matter what his dream is. It is his, and his alone, just as our healthcare should be.

      • http://bannedsorcery.com/ Bryce Anderson

        It really sounds like his “American Dream” was derailed by Rush Limbaugh and all the other Right-wing trolls who have been spreading misinformation about the bill. The real effects of the bill are quite modest:

        * More people with health insurance
        * Fewer people with “catastrophic coverage” that doesn’t cover
        * A slight increase in the number of patients using Medicaid
        * A greater focus on preventive medicine
        * Hospitals becoming more obsessed with preventing infections and other complications that will require readmissions
        * No need to worry about patients exceeding “lifetime caps” or being prevented from getting insurance by pre-existing conditions

        None of this can be spun into “the government is telling me how to treat patients” or “the government is dictating how much money I make.”

        The dude’s “American Dream” was derailed by his own bizarre obsession with some mythical “free market.” There wasn’t a free market in health care before Obama stepped in. There wasn’t a free market in health care when he decided to enter medical school. He’d rather toss the $300K he’s invested in his education than take the time to understand how health care actually works in this country.

        Such is the power of right-wing vitriol. Sad.

  • Grisp

    Good riddance. Not the kind of person we need or want in medicine anyway (and not even a med student to begin with).

    • Andrea

      Seriously. What exactly made him hang up his coat anyway? It is still unclear to me. Based on the article, it seems just ideological, which makes me question why he got into healthcare to begin with.

  • Gondo Rin

    What…the…f**k…

    I don’t even know where to begin to comment on this garbage. Get over yourself.

  • Diane

    Well said Michael. Yes it is sad and you are very correct. You are on the front lines. Obamacare is forcing private practice doctors to leave their practice, and must work for the government…if you don’t like it “Leave”. I don;t blame you at all for leaving. Major downside, you are a good Dr. You actually care.

    And you are correct again, Obama doesn’t care. Ego, Politicians with insatiable desire for the power they have or may obtain…but worse, is a Political system that is out of control w/ “cronyism.” Remember Bush’s famous words during Katrina to FEMA Bush appointed lackey? “You’re doing a heck of a job Brownie!” The Guy was deer in headlights!

    These politicians give positions to their “buddies” cause Johnnie is dumb as a door nail, but you give me what i want, (Congressperson, Senator) I’ll get your looser friend, family member, mistress, whomever a good job, doesn’t matter if he/she can’t find their way out of a paper bag. DONE DEAL!

    America, wake up! If your on the internet, you have the power to locate the truth in public records…Not listening to New Channel 4. Unless you like bunny farts, and cotton candy fluff pieces, that have no merit to their stories.

    Remember GE owns NBC…And Obama hired the CEO of GE Medical to create jobs in America. GE is the first to send ALL medical manufacturing and jobs to China. WHO is getting the tax breaks?

    Speak out at this election and VOTE! But know who your voting for. Corruption DOES start in the small towns…Where do you think your Congress & Senators came from???

    Lets dumb the lackeys! We still can regain control of our country…by standing together.

    God (YES, I SAID GOD!) bless us all…We need you more now than ever.

  • Marco Serpas

    I would like to point out also that “Persia” is not a country and there are no “persian-Americans.”

    • Chris W.

      Really? Did you just say there is no such thing as Persian-Americans?

      Pretending to know more than someone else about something you obviously know nothing about is a good way to look ignorant.

      http://en.wikipedia.org/wiki/Iranian_American

      “Iranian American is used interchangeably as Persian-American, partially due to the fact that Iran was called Persia officially prior to 1935; as well as the fact that Iran and Persia continue to be used interchangeably since classic times.”

      Also, I could add that many who choose Persian-Amercian over Iranian-American do so for (obvious) political reasons.

      So, what you really meant to say was “that should have been a hyphen and not a comma-space”, correct?

      Wow.

      • Marco Serpas

        Chris, excellent observation despite your lack of proper analysis. Thank you for using Wikipedia as it is the greatest source of knowledge known to man, I believe it was one time called the “Encyclopedia for Dummies” but I am not so sure. I digress, that is correct, prior to 1935 Persia could have been a term to use when describing someone of that region. However, since those countries underwent nationalization, a person’s origin can better be described by their nationality. Hence the reason no education person will cal someone a “Persian-American;” partially because it is also offensive.

        Here is a link with actual educational knowledge, and not what some kid wrote on Wikipedia:

        http://www.ancient.eu.com/image/265/

        I have spent enough time with the likes of you.Toddles, sir.

        • davking

          “You just got served and pwned.”

          Ah, a classic case of projection.
          What an asshole.

    • Chris W.

      Or, to put it more precisely,

      “The Persian people are an Iranian people who speak the modern Persian language and closely akin Iranian dialects and languages. Their origins are traced to the ancient Iranian peoples, themselves part of the Indo-Iranian branch of the greater Indo-European peoples.
      The term Persian translates to “from Persis” which is a region north of the Persian Gulf located in Pars, Iran.”

      http://en.wikipedia.org/wiki/Persian_people

      • Marco Serpas

        Chris, excellent observation despite your lack of proper analysis. Thank you for using Wikipedia as it is the greatest source of knowledge known to man, I believe it was one time called the “Encyclopedia for Dummies” but I am not so sure. I digress, that is correct, prior to 1935 Persia could have been a term to use when describing someone of that region. However, since those countries underwent nationalization, a person’s origin can better be described by their nationality. Hence the reason no education person will cal someone a “Persian-American;” partially because it is also offensive.

        Here is a link with actual educational knowledge, and not what some kid wrote on Wikipedia:

        http://www.ancient.eu.com/image/265/

        Do you need more clarification on the subject?

        • MSMerri

          Before you offer your services as a proofreader, you might want to climb down off your high horse; grab an English grammar book; and look up “comma splice,” “run on sentence,” and “sentence fragment.” Just a suggestion…

          • Marco Serpas

            Thank you for the comment. I will be sure to proofread more of my posts when I pay myself some money to do so. Please provide examples or pass on riding your high horse. Just a suggestion…

          • SoSoToasty

            Alas! The age old “do as I say, not as I do”, more-over and otherwise known as, “I’m a bossy arrogant asshole, but my false sense of entitlement holds me less accountable than you!”

            Congratulations!

          • Marco Serpas

            I didn’t write a letter to the President in this scenario. Neither am I writing posts directed at him. My proofreading services are only rendered for serious documents sent to the President.

            I congratulate you in your feeble attempts to call me an asshole simply because I believe in coherent arguments and syntax.

          • MSMerri

            I know the rules for using quotation marks, commas, and semi-colons; thank you very much. I used the semi-colons to separate my list of instructions to you, each of which could stand alone as sentences; this was a correct usage of semi-colons. I could also have used commas to separate these phrases, since they were short and could have been viewed as items in a sequence that were all one sentence; it’s actually a writer’s prerogative to use either semi-colons or commas in these instances. I used quotation marks around the terms I was suggesting that you look up, which was also correct. Btw, for future reference, commas and periods always go inside quotation marks; semi-colons and question marks usually go outside (but there are exceptions). I have no desire to have any further discussions of these points with you. The only reason I did it in the first place was that you seemed to think the author’s mistakes rendered his letter to the President useless, and offered your services as a professional proofreader. I was surprised, given your apparent lack of understanding of the most rudimentary grammar rules. Until you arrogantly made fun of my comment, I meant nothing personal… well, maybe the high horse comment was a little personal… Have a good night!

          • Marco Serpas

            Thank you for the comment. I’ll be sure to keep that in mind when I write and proofread letters to politicians.
            Which will be most likely never.

        • truth

          As a person who interacts with people who identify themselves as “persian american” on a frequent basis they could care less about whether a region nationalized or not, and would still identify themsleves as persian american and would be offended to hear you call persian american an offensive term. Why don’t you try pulling your head out your ass and interacting with some instead of flaming someone and labelling their terminology as racist. Is it offensive to call someone Latin American?

          • Marco Serpas

            In my experience most people of Persian heritage rather be identified by their nationality as “Persia” does not entirely describe them. For example, can you use the word “Persian” to describe the ethnic Kurds who span from Turkey to Iran?

            As a person of Latin Americna descent I would be offended if you called me Latin American. As it is very broad. I did not label someone’s terminology as racist either, simply uneducated. All though the line between the two can be blurred sometimes.

        • Chris W.

          You have got to be kidding me. You have no right to tell people from that region, or their descendants, that they can not self identify as Persian-American. It is their heritage, and millions of them choose to self identify as Persian rather than Iranian.

          Hell, that was the official name of their country until less than 100 years ago.

          • Marco Serpas

            You are right, I have no right to tell people from that region how to identify themselves. I refuse to use old, outdated terms to identify people. Should we still use African-Americans or revert back to the old
            way to identify people of African-American descent? I am sure if we had it your ignorant way we would identify Mexicans as Aztecs. I mean that is your point right, that we can identify people of certain regions by their ancient empires correct? Have to not read how large Persia was in ancient times and how the region underwent nationalization? Do we still call people from Italy something to the tone of Romans? No. Duh.

            Not sure how I am racist considering I am of mixed race. I think you are simply ignorant and that’s okay. You are obviously dimwitted.

            Chris, the spoken language is mainly known as Farsi. Parsi is the older use. However, Persia was pre-Islamic and many devout muslims rather be identified by their religion or home country as it gives a better sense of their identity. Once again your ignorance shows. I am sure you are scrambling for your wikipedia right now.

            I am not sure why you are bringing your sister into this conversation. So for what it’s worth, it’s worth nothing.

            People from Iran can identify themselves as Persians, sure, but Iran is so unique in their history (as you mentioned the coup, the Shah, the Iraq/Iran war) that most identify with their proud nationality identity. Also, “Persian” is used by ignorant people, such as yourself, who do not see there are differences. You are assuming this man is Iranian. By calling someone Persian you are pretty much denying their national history and identity. I hope someone just calls you “anglo-saxon” so you may feel somewhat cheated.

  • paladin712

    Unfortunately, health care has not been free market for years. It’s only going to get worse when immigration passes. I applaud you for your hard work. I’m sure you’ll be a success whatever you do.

  • Walt

    Not the first time I’ve heard this. My family doctor of 15 years is leaving his practice and going back to Truck Driving (this was how he paid his Med School). Obamacare and hospital policies have him working a weekend a month for free – (when you treat welfare patients and illegal aliens, you don’t get paid). Further, insurance companies are paying less and less and trying to dictate what he can and cannot do. He said he was working less and making more as a Truck Driver.

    • Rhonda

      not to mention malpractice costs.

    • http://bannedsorcery.com/ Bryce Anderson

      Nothing in Obamacare forces anyone to treat illegal aliens. Nothing in Obamacare helps illegal aliens get insurance. The requirement that emergency rooms have to treat everyone with life-threatening illnesses or injuries was put in place by Reagan, and to be blunt, any policy that allowed emergency rooms to turn away the dying would be inhumane.

      When you treat welfare patients, you do get paid. Medicaid arguably doesn’t pay enough, but it’s a far cry from “you don’t get paid.”

  • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

    Here’s the bottom line, Obama lied to us. Some don’t care that he lied because they are getting free stuff because he lied. All they care about is that they are getting more free stuff. 14 to 20 million people who buy private insurance because they are self employed or do not get insurance at work are seeing their rates double and triple. Obama got 5 million more votes than Romney in the 2012 election. Had these people been told the truth, that Obama knew was the case in July of 2010, but lied about in 2012 saying you can keep you policy, that you can keep just catastrophic coverage and you can keep your doctor… had he told the truth the vast majority would have voted against him. No one would vote for paying double and triple…sometimes $10,000 more a year. He would have lost. How anyone can argue that a blatant lie like this is acceptable are just liars themselves and looking to benefit from other’s hard work. The Republicans called everything that is happening now. They called prices rising. They argued that you can’t add 45K people to the insurance pool, for free, and many of them sick already and expect rates to go down like Obama said they would. The Liar In Chief. Even some on the left are outraged.

    • Rhonda

      not just self employed rates rising…our employer participated insurance began rising as soon as Odrama breathed the words Affordable Healthcare Act. We have been paying double in premiums, and our deductable went from $1500 to $7000 per year…so it’s been hitting us for a couple years now.

      Romney tried to warn us all…but ya know he was just a capitalist, anti feminist pig. Right!?

      • truth

        It’s also essentially identical to Romney’s healthcare system in Massachusetts. You’re doing yourself a disservice when you say either of them give a damn.

        • Rhonda

          did I say Romney would have been the answer!? No…I said he tried to warn us about this plan. But everyone was so focused on how horrible he was…they couldn’t hear him. Until they change the way we elect a president, we are stuck with idiot crooks.

      • dbau12

        Yeah….I think Romney was a sexist capitalist anti feminist pig. See, that’s what’s scary, I’m pretty moderate, I see the left as an unacceptable alternative to racism and white men’s iron grip on Congress. I’d love to side with the conservatives, but their response to every Obama wrong doing is to support people who are literally insane. Aside from being all those things Romney is as far as I’m concerned, he’s also from Massachusetts, an incredibly rich state so utterly out of touch with how the rest of the nation lives that I cannot fathom why anyone would think it’s a good idea (unless you yourself are extremely wealthy) to go with Romney. I will say this much, if I ever run for office, it will be as a centrist democrat or a moderate republican. If you want politicians who support your view (which is legitimate as my parents are in the same boat you are) you have to start shying away from assholes. The radical Left is no alternative, but nor was Romney. Ever. Thank God he’s not president. At least this one has the capacity to anger us all enough that we can have some true shake ups of this nation in the next 20 years or so.

  • arielia

    Exactly! I did not renew my nursing license. I can see the handwriting on the wall. They will be able to force you to do things that violate your conscience as a prereq to licensure. It is coming so myself and many in the healthcare field are leaving. Have fun with that Obama. Oh, I forgot! Obama and cronies do not have to live by Obamacare as he exempted his friends, congress, and unions for this mess. Have a nice day

    • http://bannedsorcery.com/ Bryce Anderson

      Congress is not “exempt” from Obamacare. That’s a flat-out lie.

      Quite the opposite, in fact. The Republicans slipped a provision into the law that basically forced Congress and their staffers off of the normal federal health insurance plan, and forced them all to get their insurance through the insurance exchanges. In short, Congress is more thoroughly enmeshed in Obamacare than any other employer in the country.

      The supposed “exemption” is just a waiver that allows Congress to continue paying the money they’d already been spending on employee health insurance, by paying the same amount to the exchanges instead. This is something that all employers will be allowed to do starting in 2018. But since Congress was forced into such a relationship with the individual exchange market early, a waiver had to be granted.

      Nothing nefarious is going on here. The fact that Democrats voted for such a provision shows that they’re not afraid of the insurance exchanges, or of Obamacare in general. That should inspire confidence.

    • Marco Serpas

      Can you please cite where in the ACA this exemption is stated?

      “Oh, I forgot! Obama and cronies do not have to live by Obamacare as he
      exempted his friends, congress, and unions for this mess. Have a nice
      day”

  • Christy Day

    I have worked in the Health care field for over 16 years and left it 2 years ago. we are worth more than he thinks we are and more and more will leave the field! Obama’s cronies and Obama’s family and every one else that was exempted from it should have to take it. Or Defund it, Repeal it and Burn it! It is a shitty law and no one should be forced to take something they do not want!

  • staytrue

    So very true, my fiance is also in the health field and is leaving.. It was also his dream.. We can only hope that tomorrow will be a better day and those who are blinded will wake up and see the “change” that is taking place… Good luck to you

  • Michael Lemen

    I believe it was with your story that I saw the name Donna Mascola, My name is Michael T. Lemen ([email protected] ) and I’ve been trying to find Donna for a very long time. She was a xray tech at Prince Georges County General Hospital and I worked with her and I miss her greatly. If I’m mistaken that you may know her I apologize for bothering you and please disregard my e-mail. If you do know her I’d like to know if she would possibly communicate with me. Thank You Very Much

    • cjkw67

      good luck!

  • Lia

    Sadly, I feel sure the president will never read this, or even hear about it, because he could care less about the fallout from his blasted uncaring ACA. Sickening! My own doctor will soon be leaving the field.

  • Spec Bowers

    Don’t leave the medical field. Do what tens of thousands of your colleagues have done. Leave behind the middlemen of insurance companies and government bureaucrats. Practice the way you and your patients want. Decline to take insurance, Medicare, or Medicaid.

    • http://bannedsorcery.com/ Bryce Anderson

      How is that supposed to work exactly? He’d be left treating only a handful of people who were independently wealthy enough to self-insure.

      • carolina mama

        Not necessarily. There are physicians who are trying new options in reimbursement systems. It depends on how well those new options succeed.

      • TonyWestover

        Plenty of doctors already do it.

        So how does it work exactly? Just fine, that’s how.

        • http://bannedsorcery.com/ Bryce Anderson

          That’s a glib and uninformative answer. What percentage of doctors do this now? How many more could refuse to deal with insurance before they couldn’t find any more independently wealthy patients? How would extremely expensive treatments be handled under such a system? And if the system you propose is widely adopted, where will that leave the people who rely upon insurance? Fixed-income seniors with Medicare, or a mom with two kids and two fast-food jobs who relies on Medicaid?

          • carolina mama

            I’m not meaning this in a hateful manner but how much do you understand about how our healthcare system works? Particularly in regards to reimbursements from third-party payers? Do you understand the use of cost-shifting mechanisms to maintain a profit margin that allows a business owner to stay in business?

          • Spec Bowers

            Whether or not I propose this system, more and more doctors are declining to take Medicaid, Medicare, or insurance. These doctors are perfectly willing to provide enough information that the patient can make an insurance claim, and deal with the paperwork, the partial reimbursement, and the delayed payments. Since doctors are doing this, the Medicare and Medicaid systems had best find a way to deal with it.
            For those on private insurance, most of them have a high enough deductible that they end up footing the entire bill anyway. Paying directly to the doctor instead of going through the insurance company, is much simpler and more efficient.
            As for extremely expensive treatments, many of those treatments are much less expensive when the doctor bypasses the insurance company. See a WSJ article about how a surgeon and his patient reduced the out-of-pocket cost from $20,000 down to $3,000. The ideal solution is to have catastrophic insurance that you hope is never needed – just as you hope your fire insurance is never needed. Someday the politicians may actually allow insurance companies to offer policies of that kind. In the meantime, people will have to pay over time the same way they finance a $30,000 car, a $100,000 college education, or a $250,000 house.

          • TonyWestover

            Well my dad’s a doctor and we talk about this frequently, so don’t presume to tell me that I’m “uninformed”. Instead, try to know what the hell you’re talking about instead of flaunting your lack of information.

            Many doctors already refuse to accept Medicare because its payouts are such crap and they’re threatened to be even crappier periodically without the Doctor Fix. Also, many doctors work on a cash system since insurance is a burden and a waste of time. Working on a cash system allows their patients to more easily negotiate prices. You don’t need to be “wealthy”. Instead, you — and I mean specifically you — need to actually leave your sheltered life and experience the real world.

            And maybe if you experienced the real world, you’d learn of this thing called charity. You don’t give to charity?

        • Marco Serpas

          It works just fine? You’re retarded. We are only two spots ahead of Cuba in the WHO ranking. That’s right…communist Cuba…so how is it that we are doing “just fine” when 36 other countries are doing better?

          http://www.photius.com/rankings/healthranks.html

          • TonyWestover

            Oh wow, the Socialized Medicine World Health Organization doesn’t look kindly on America’s system. Whoop dee doo! And yes, it is a Socialized Medicine WHO as one of the criteria that hurts a country’s ranking is *wealth inequality*. It’s also irrelevant if the treatment for an illness exists to the Socialized Medicine WHO because if someone is able to get it in a system and someone can’t, that counts against the system so they penalize systems that don’t *redistribute wealth*. Also in the rankings are infant mortality, which is hilariously skewed in countries with Socialized Medicine (what a shock that governments would lie about their own programs). Infants can die after a week in Socialized Medicine countries and not be considered live births — because I guess 168 hour births are the norm out there. In countries like the United States, we actually do this thing where we treat humans with dignity and say they’re alive when they’re freakin’ alive.

            And if the United States system is so bad, then why is it a world leader in medical tourism? Answer that, retard.

          • Marco Serpas

            If the WHO was a socialist organization, Cuba would be ranked number 1. Explain how that doesn’t happen. Idiot. So, by your logic, Japan (ranked 10) is a socialist country right? So, read on tardbag and you will find some other sources who agree with the WHO.

            So because the WHO ranks the US poorly it is socialist? Wow, well then, I guess FIFA is also a socialist organization. Let’s also take a look at other organizations who rank the US poorly and just label them as socialists. What a moronic point of view.

            Your unsupported claims are mere regurgitation of something you’ve heard. Your arguments are unsupported. I will tell you one thing- the US has a top 3 highest per capita expenditure of health care (search the WHO pdf for rankings) without being in that top 3 spot for healthcare. THIS hurts the ranking. It has nothing to do with redistribution of wealth.

            Can your brainwashed self get that through? Here is a source that may help you:

            http://www.huffingtonpost.com/2013/08/29/most-efficient-healthcare_n_3825477.html

            http://www.bloomberg.com/visual-data/best-and-worst/most-efficient-health-care-countries

            Yes, the US is a world tourist location- mainly for the world’s elite. Which means if you want treatment in the U.S. you’ll get it but it’ll cost a pretty penny. However, your argument loses power by mentioning this because other countries outrank the US in medical tourism.

          • TonyWestover

            “So because the WHO ranks the US poorly it is socialist?”

            No, retard — sorry, tardbag. It’s because they have Socialist criteria. It’s not my fault your reading comprehension skills suck and you’re only capable of vomiting nonsensical leftist talking points.

          • Marco Serpas

            They have a socialist criteria? How so? Can you provide a source document? Do you know what is a source document? Again, your claims are unsupported. LOL I read that correctly, you claim they have socialist criteria but fail to back it up with any logical argument or evidence. Good job there puppet, your master would be proud.

            Oh wow, calling me a leftist. Excellent default argument for the dull and stupid. Please do yourself a favor and get educated, you make us conservatives look bad. Can you even define socialism? Or is that too much for you to think about?

          • TonyWestover

            “Please do yourself a favor and get educated, you make us conservatives look bad.”

            *LOL* Trolling troll trolls. Get a life, loser. You’ve already been thoroughly discredited.

            Easy to access sources if you didn’t suck at life an actually knew how to use Google:

            * Infant mortality: http://www.nationalcenter.org/NPA547ComparativeHealth.html

            One of many sources which demonstrates that countries with Socialist medicine skew infant mortality by creating their own government-favorably definitions of live births. The United States actually uses the United Nations’ definition because it actually gives infants the dignity they deserve.

            * Socialist criteria in rating health systems:

            Oh here’s an idea: LOOK AT THE DAMN CRITERIA, you moron leftist. Too bad the world isn’t shape by your delusions and is instead fact based, much to your chagrin: http://www.who.int/healthinfo/paper30.pdf

            “Then the following weights were used to construct the overall composite measure: 25% for health (DALE), 25% for health inequality, 12.5% for the level of responsiveness, 12.5% for the distribution of responsiveness, and 25% for fairness in financing.”

            ACTUAL health and responsiveness only makes up 3/8th of the rating. The rest goes to Socialist criteria such as health “inequality”, distribution of responsiveness, and “fairness” in financing.

            I’m right, you fail. Period.

          • Marco Serpas

            Troll along Tony- taking into account socioeconomics does not make a case to call the WHO a socialist institution. I know the WHO criteria, I am glad you looked it up. Bro, do you even know what socialism means?

            Thoroughly discredited? LOL-

            Let me debunk your argument quickly. 25% of the rating level and distribution of responsiveness. 25% for for fairness in financing your medical costs. That is 25% for health. That is 75%, the majority of their criteria has nothing to do with socioeconomics.

            The infant mortality rate is a criteria you could argue against the best since stats are skewed. Even if taking that out the US would rank poorly. Your argument falls flat on its face. Take out some of those WHO “socialist” criteria and the US still isn’t in the top 10.

            you are right because you think you are, but you’re really wrong and your bias shows. PERIOD. LOL. Troll along and pick up a book.

          • TonyWestover

            “Troll along Tony- taking into account socioeconomics does not make a case to call the WHO a socialist institution. I know the WHO criteria, I am glad you looked it up. Bro, do you even know what socialism means?”

            You’ve been thoroughly defeated. You’ve lost. Get over it. Your continued whining is really just demonstrating how much you suck at life. I’m on the side of the facts, you aren’t. Period.

          • Marco Serpas

            BAHAHA- did you answer anything I asked? Nope. Troll along.

          • TonyWestover

            *LOL* What’s questions did you ask? I provided the undeniable cited facts, and you just whined because I exposed your delusions to reality.

            I’ve won, get over it.

          • Marco Serpas

            Oh you mean the facts that proved you wrong? A man who says he has won is no winner; much like a man who says he is King is no true King.

          • TonyWestover

            *LOL* Just tap out already, you’re embarrassing yourself. You’ve been thoroughly defeated, have some dignity. Next time bring the facts like I do if you want any chance.

          • Marco Serpas

            LOL- You FAIL.

            Your facts were you own enemy. LOL- go back to wasting away your life in your mom’s basement, troll.

          • TonyWestover

            All right, keep embarrassing yourself. I’m enjoying it :-)

          • JackNMeovslo

            Marco .. you lost long ago.

          • JackNMeovslo

            You’re not gaining any credibility siting socialist news sources to back up you socialist point of view. Do yourself a favor … do everyone a favor by reading more than the ‘funnies’ in those rag-sheets you mentioned above.

          • Marco Serpas

            You bore me, sir. Your empty accusations reek of desperation. If you do not agree with my evidence, present your own.

          • JackNMeovslo

            Only boring people get bored.

      • Spec Bowers

        Direct Primary Care (DPC) is a rapidly growing form of practice among primary care physicians. It is NOT for the wealthy; these doctors offer lower than average prices because they eliminate all the overhead of processing insurance. Many of their patients are uninsured; most have insurance but like the better care they get by dealing directly with the doctor and not having the insurance company as a middleman.
        Most people have high enough deductibles that they end up footing the entire bill anyway, so why go through the insurance company?
        Among primary care physicians surveyed at the beginning of this year, 6% were already doing this – up from 4% a year earlier. Another 16% said they planned to make the switch. Among all physicians, the estimate is 20% are already declining to take insurance.
        Patients are finding that bypassing the insurance middleman is lowering their out of pocket costs and delivering better health care. The Wall Street Journal had an article about one patient who needed routine surgery but was told that even after his insurance paid its part, he would still have to pay $20,000 on top of that. He went back to his surgeon, who made some phone calls and lowered the out-of-pocket cost to a mere $3,000 if the patient paid cash to all of the providers instead of asking them to go through the insurance system.

      • http://isuckatgolf.net/ ISUCKATGOLF (Ken)

        A poll just conducted in Liberal N.Y.C. by the New York City Medical Society 2 days ago shows that 44% of doctors will not accept Obamacare. Only 23% said they will. Doctors have still not be told what they will be paid for their services under the new exchange policies and many have already opted out. Long waits, insurance that your doctor won’t take, and even longer lines in the emergency rooms since you’ll have to wait forever in line to see a doctor that will take this insurance. The Republicans have been calling this for 3 years. Read and educate yourself. You won’t hear anything negative about Obamacare on MSNBC. http://nypost.com/2013/10/29/docs-resisting-obamacare/

  • American1955

    Michael Lotfi, You are a GREAT American, and I commend you on your honorable stance. I feel writing this letter to the president was in vain because he simply does not care. His agenda is to promote socialism and communism, and THAT is ALL he cares about. However, making sure this letter is in the public’s eye, is a great move for the people to see and read; with hopes it opens more eyes to this tyrannical and treasonous government. Thank you and may God bless you in all of your endeavors.

    • Marco Serpas

      Do you even know there is a difference between socialism and communism? Probably not.

      • JackNMeovslo

        I’m all ears Marco … That’s what I thought.

        • Marco Serpas

          what? are you still on this? obviously the hack that wrote this article has been thoroughly discredited.

  • DreMag

    I feel like you’re imagining effects of the law that aren’t there. Frankly, not much has changed. You still work with insurance, medicare, cash, whatever you want. It seems that maybe you aren’t able to charge what you feel you’re worth in the market, but that’s an unfortunate reality in most professions.

  • AKP

    I do understand. And I know many will not believe it or agree, but education is suffering the same terrible fate. I was laid off three years ago and I have watched as the government and others destroy our schools and children. Good teachers with great credentials who have poured their lives into learning are being shown the door. Sadly, few seem to care about these things.

  • http://bannedsorcery.com/ Bryce Anderson

    What specific aspects of the law can be interpreted as “the government dictating how much doctors can earn?” What specific provisions of the law mean “the government is telling me how I can treat my patients?”

    You’re in the field, but you seem to be getting all your information on the effects of the law from Rush “Coulter” Hannity and Co., rather than from analyses of the law itself. The law says nothing about what treatments a private plan can cover. The law says nothing about what hospitals must pay their doctors. The law does demand that hospitals collect data on treatment effectiveness, and uses this data to make recommendations about what treatments Medicare and Medicaid ought to cover.

    • Marco Serpas

      You are making too much sense for some of the people here. Most individuals posting have never cited anything specific in the ACA, nor will they because I doubt they have rad it. Expect a bunch of vote downs to your post.

    • carolina mama

      Our health care system has been operating under a PPS reimbursement system for years, and with over 50% of reimbursements coming from the federal government, government already has parameters in place to control the income that a physician can earn. Obamacare exaggerates this via expansion of Medicaid and an aging population while simultaneously undermining the cost-shifting mechanisms that health care providers have been using to maintain a profit.

      As a means of reducing costs, Obamacare incorporates a broad spectrum of performance measures. Data collected from these performance measures can be and probably will be used to identify which services and treatments are/are not economically “justifiable”. Quality of life parameters will determine which patients should or should not receive potentially life saving services. This has already started to happen in states such as Oregon since Obamacare was passed into the law. The general public is being acclimated to having government make these decisions rather than having decisions made between the patient and the physician.

      All of this was written into the law. This is what was intended, which is in all likelihood why the author’s mentor told the author to “run” from medicine.

  • carolina mama

    Mr. Lofti, I genuinely hope that you can continue to use the medical knowledge you have gained in such a way that it will support the patient/provider relationship and commitment to high quality care.

    I’m a student in the Health Informatics field, so what I see are the data and stats…the trending patterns. If Obamacare continues on its present trajectory, we’re in for a rough road.

    Don’t forget the “Secretary shall determine” provisions in the law. They’re open-ended and there is a lot of discretionary authority included in those provisions…maybe enough so that they could be used to alter the trajectory of the law under the different leadership.

  • Commander_Chico

    I have been on a path to enter the Air Force and continue my education in medicine

    But you doesn’t want the government telling you what to do. O-tay.

    This does not make sense. If you’re going in the Air Force, you’re a government employee, and Obamacare has no effect on you.

    • carolina mama

      Read the last paragraph. Perhaps the author meant “I had been on the path….”, but it’s obvious those plans have changed.

      • Commander_Chico

        Right, he says his plans have changed because of Obamacare.

        If he were going into the Air Force as an MD he would have had got some huge bonuses, loan forgiveness and deferral, etc. He would also have to work for several years in the Air Force – “working for the government” which he said he did not want to do.

        Is he even in medical school? I don’t see that in the piece or in his profile.

        I call bullshit on this.

        • MGEO

          You obviously don’t know what you are talking about. Joining the air force is a popular option for many medical students. The Air Force, Coast Guard, Navy, and Army will pay the cost of your tuition in medical school as long as you serve them afterwards. Most service is with in the country on military bases. I plan on doing the same when I am accepted into medical school. This does not mean I support Obama care, and does not mean I don’t have aspirations outside of the air force when my service is up. You can call “bullshit”, but you look like an idiot.

          • Guardian1010

            Commander Chico IS aware that the Air Force will cover costs of medical school contingent on service. What she’s saying is that working for the Air Force constitutes being a government employee, which the author of this letter clearly does not want to be. The confusion is why he would have wanted to enter the Air Force as a MD if he dislikes working for the government. You calling that poster an idiot and explaining something she clearly indicated she knows about makes YOU look like an idiot. Learn to read and comprehend, thank you.
            -Protector of Internet Comprehension

          • MGEO

            Hey “protector of internet comprehension” you’re a douche for calling yourself that. Get a life.

    • Michael Lotfi

      When did serving your country for 6 years equate to serving the government for a lifetime?

      • Marco Serpas

        What a great analogy in response to the direct criticism you received. Your logic is as clear as your background in the medical field. Pray, teach us more.

    • Patriotliz

      I’m a physician who has practiced both in the private sector and VOLUNTARILY served for 3 years as a Navy physician. With these progressive communists in control of our government who are working real hard (via propaganda and lies) to impose the old Soviet style of centralized control of medicine ON ALL citizens and ALL doctors INVOLUNTARILY via Medicare, Medicaid and now Obamacare–it begs the question exactly WHAT freedoms is our ALL VOLUNTEER military really defending????? A military doctor always has, I mean, HAD the option to NOT work for the government after their service obligation was completed. I will NEVER understand why at least half this country voted for Federal totalitarian control over our health, our bodies and our lives.

      • Marco Serpas

        Are you having a stroke when typing this or is it just your TS? progressive communists? The 1980′s called, it wants you back in service to fight the Soviets…

        • Patriotliz

          Don’t think I’m having a stroke—I’m a board certified Neurologist. Are you familiar with the slow cooking of the frog story? Perhaps you would prefer the term progressive socialists or perhaps progressive Nazis–tolalitarians–or anti-free market, whatever. Progressives are a sinister bunch, like progressive cancer. Communism/Fascism doesn’t have to come all at once as in a violent revolution but comes like a thief in the night. Their goal is to convince the dumb masses that BIG Governmental authoritarian control over their lives is “normal.” The only defense of a progressive communist like yourself is an ad hominem snarky attack because you have no intelligent reply. (I’m surprised you didn’t invoke McCarthyism–that’s the usual snarky dismissal).We in fact lost that cold war–and the communists have in fact in infiltrated our government, education, media and entertainment industry, etc. You don’t have to be a rocket scientist to see the obvious assuming you can think for yourself. This isn’t America anymore.

          • Marco Serpas

            I agree on the fascist part– however, I think it isn’t a socialist agenda. The US is a primarily capitalist economy- a good portion of congressmen represent corporate interests over those of the public. Not sure I agree we have lost the Cold War- we did unravel the Soviet Union. Not sure I fit under the category of a progressive communist.

          • Patriotliz

            Pick whatever Progressive totalitarian label you want. We lost the Cold War because this country is now embracing totalitarianism. We are barely hanging onto a capitalist economy thanks to the communist dictator in the White House who is all about class warfare, demonizing the “wealthy”, redistribution of wealth and encouraging government dependency. Just how much of our population is actually involved in free market capitalism? After you subtract all those living on entitlements, all the government workers, the military (the only ones who earn their gov’t pay), the health care industry being taken over by soviet style central planners thus deterring the best and the brightest going into medicine like Lofti, plus all of the fascist government harrassment and regulations on businesses and econmic development…..capitalism is an endangered species. This isn’t America anymore.

  • lbsmith

    it isn’t the government that causes the astronomical costs, it’s the insurance companies; it is the government that decides how a patient is treated by the doctor, it’s the insurance companies(something improved by obamacare); the free market only helps the rich while the poor and disappearing middle class get left behind; is he more concerned with getting his money back or the care of the patients; this is just another complainer about a system that is one month old and is at least making an attempt to get healthcare for those who haven’t been able to get it.

  • B rad

    Michael, if you started college in 2008, then wouldn’t you only be 2 years into medical school at this point?

    • FreedomFighter

      its 2013…do you know simple math?

      • Logic be damned

        @caee5a599fa70bed33b11dee7f0e8de5:disqus: You do realize that it takes 6 years to reach 2nd year of medical school … right?

    • Sandra

      He never started medical school.

  • midixon19

    Do you Obamacare defenders even understand how our medical reimbursement (Medicare, Medicaid, etc) system works? If a doctor has a procedure that costs them $80 to perform, they might charge $100 to perform that service. That’s called profit (I know that’s a dirty word for liberals) In 2010 Obama cut Medicare and Medicaid reimbursements by 10% and the ACA is going to further reduce reimbursements. This is one major reason why many docs are refusing to accept Medicare and Medicaid. Furthermore, the ACA is mandating all doctors accept Medicare and Medicaid. So if the government not only says we will only pay you $75 for that procedure that costs you $80 to perform, we are also going to force you to see these patients, how is a doctor supposed to justify staying in business? How is a young med student supposed to justify starting out their life almost a half million in debt and entering a field in which there is no hope in not only living a comfortable life but even recouping the debt they incurred in educational and training expenses? Who do these politicians think they are? Who are they to say you must give your labor (time and money) to another? Forcing one person to give their labor to another who they (the politicians) deem more worthy is nothing short of slavery. There is not one poster on here, defending Obamacare, who would work for free or for rates determined by some arbitrary group that doesn’t take your cost of doing business into consideration but rather the needs of others. Is this America? Since when does the needs of others determine whose labor can be had for free? Just because I need food doesn’t mean I’m entitled to the crops of every farmer without compensating him/her. Just because I need shelter doesn’t mean I am entitled to the labor of the homebuilder without paying him/her for it. And just because someone is sick doesn’t mean they are entitled to the labor and care of a doctor without paying him/her for it. Especially when there is some beaurocrat in DC determining who is worth the care and what price should be paid.

  • ger

    The logic here is so flawed, and I have a hard time believing you ever went to medical school- oh wait you didn’t go to medical school. You’re just passing judgement on something you know nothing about. The reason people are reading this article is because how incredulous and wrong you are. Hilarious.

  • JGL

    I’m a medical student starting my 2nd year of medical school. I chose this profession because I want to treat patients and give them what they need. I don’t care about the costs, I don’t care if it hurts me financially, and I certainly don’t care what governments and insurance companies say. I think it is morally wrong that a person “chooses” to not seek treatment because they cannot afford it. I think it is morally wrong that Insurance companies deny insurance to our citizens. Speaking from experience, I have been screwed over by insurance companies several times by denying to cover the costs of my hospital bills. As any other medical student, financially I’m in no good standards due to the incredible amount of debt. Yet, I do not complain and seek to become a doctor for the financial aspects and “greed” that Michael Lofti has portrayed in his letter to the President. I know what is like to be in physical pain and agony. I know what is like to be a patient. I know what is like to be a patient, but in your words a “customer”. Everyone is entitled to their own opinions on how they view this. If you want to be a greedy doctor for the money of it, then I’m sorry, you are right. This is not the profession for you, so you can hang up your white coat. A true doctor cares about their patients and will treat whoever and however they can. Your job is to treat and cure and to provided a service because you care for others. If you get paid extremely well, awesome! If not, suck it up. Now if the government is denying healthcare to it’s citizens then we have an issue and it is morally wrong, but I don’t think that’s what Obamacare is about. So in the mean time, stop complaining that your paycheck won’t be 6 figures or whatever. You said that you live at the hospital anyway right? I doubt that your electric bill will be astronomically high, and i’m pretty sure that you won’t be poor. In fact you’ll have a great career… so suck it up

    • Matia E

      Damn!

    • ginger

      Just wait and see how great it is buddy ;-) The debt hurts and its a thankless job. Then you’ll get sued by that guy who you treated for free. Good luck in the utopia!

    • James

      Man are you ever naive and self-righteous. Clearly you have no concept of debt and opportunity cost. Just a heads up, your perspective is going to dramatically change once you get married, have kids, a mortgage, car payments, etc and when you are financially responsible for other people besides yourself. It’s easy to be self-righteous and naively optimistic when you are clueless about debt, which you clearly are because you have not yet begun to pay it back. Your loans are going to accumulate at 6.8% for the 10 years that you are in medical school and residency, then you will begin to pay those loans back post-tax. You class will graduate with the highest debt to starting salary ratio in the history of medicine. And guess what as reimbursements continue to decrease and costs continue to increase those salaries are going to continue to fall. Debt is enslaving. Enjoy the road you’re on.

  • Stan Shipley

    Canadian specialists can make over a half million dollars yearly. This guy is just greedy. Obamacare is a total mess, but this is not why. Doctors will be just fine. The problem is that forcing millions of additional people into health insurance – a system that is the primary reason we have the most expensive health care – does not make health care more affordable.

    • http://www.soundcloud.com/younity Younity

      It’s also bad from a business perspective because it forces all businesses to arrange healthcare for their workers, even if the worker doesn’t want to it or the business is a sole proprietorship and THAT worker doesn’t want it. Just another way to to impose the effect of a tax.

  • Kasey O

    Dude I feel bad for the guy, but teachers have been facing these same problems at about $260k less than the typical anesthesiologist’s and for a lot longer. The concept of the government sticking its nose where it doesn’t belong is nothing new, and certainly not to the obama administration. I’m not saying this justifies anything, but this guy comes off a little whiny complaining about eight years of education when teachers are required to complete continuing education on their own dime at a $30-40 k salary for their entire careers.

    • Sandra Lynn

      Guy, this is 8 yrs AFTER a bachelor’s degree, and a MUCH higher school loan.

      • http://www.soundcloud.com/younity Younity

        And being an educator for young students (arguably a very very important distinction) doesn’t pay less than the medical industry for an entire career? Hint : Those are generally longer than 8 years.

    • Matia E

      My math teacher told me her friend is a manager at McDonald’s and makes more than her. She a really great teacher and she’s the kind of teacher that gives kids reason to want to learn. So it’s really sad to hear about that. It’s all bull.

      • JackNMeovslo

        That because your math teacher is so much better at running her mouth than she ever could be at running a profitable business.

  • JB

    This guy is a joke, where did you go to med school?? You’re not a doctor but you talk as if you are a doctor. Are you a nurse? otherwise I’m not sure what “medical degree” you received from BelmontU. Funny how your Bio call you a political commenter and says NOTHING about any degree or training in the medical field other than “your parents” and a stethoscope you used once

    • equityatwork

      Also, how does one graduate from top 5% in the country? Is everyone in America enrolled at Belmont Univ.? Which apparently is an award winning university? At 82% acceptance rate, i’m sure it’s a fine fine university. Also, where did you/are you going to med school? At the end of the day it’s same old stuff, those of us who find success do it on their own, and those who don’t, blame the gov’t. Gov’t is there to provide equal opportunity, not take your hand and lead you to candyland Lotfi.

  • Riddhi

    You’re an idiot

  • Brittany

    My husband is in medical school, so I see some of your points. However, I wonder what your intentions were for becoming a doctor in the first place? Was your sole purpose for the money or the health and wellness of your patients? I understand the debt cost and the sacrifices that doctors take to enter the field, but it sounds like your intentions were incorrect to begin with. My husband has always wanted to be a doctor, but because he wants to see help others NOT because he plans on becoming wealthy and complaining about Obamacare instead of caring for patients.

    Perhaps it’s better you “hung your white coat.” Patients want doctors who care for them.

    • Matia E

      When you decide to become a doctor it’s for one or two reasons: Money or passion. Some people do it because they enjoy helping and really want to do this. Others it may be for money. But I believe that once you’ve put in so much time, money, and effort to become a doctor ( or in any career that takes up years to gain the title) you start to look at money as a plus to the job. So, from child hood he had a passion for it and I wouldn’t doubt money played a role in it too. Especially, since as a child and not having much money to begin with.

      He just seems really passionate about the job and feels angry the government is telling him what he can and can’t do as a doctor and another note cutting back the money he earns.

      • Matia E

        But one thing he mentions that I don’t get is that he doesn’t want to work for the government but tried to join the Air Forces and continue medicine?

        • Concernedstudent

          Joining the military is a way to offset the cost of medical school. The military will pay for medical school as well as a monthly stipen to live off of. As a medical student myself Im exploring this option as the total cost of medical school will be over 300K (and thats at a state school not private). The vast majority of those who choose to enter the field of medicine care for other and want to help. The problem lies in being under valued. He states that very clerly in this. Why should I or anyone else bust my ass for 12+ years ( thats 4 years undergrad 4 years medical school and 4-7 years residency for those ignorant people to comment later) so I can be compensated with a job that requires me to be available for patients 24/7 and pays less than 100k a year. Good luck paying back laons with 7.8% interest on that salary. I hope you all will be happy with your sub par physcian. when was the last time you left the DMV happy, thats government run in case you didnt know.

  • RCM

    I am confused. First he said he never intended to work for the government and then goes on to say how government overreach is ruining his dream of going into the Naval Academy?

    • equityatwork

      You are assuming any of this rant is true, logically sound, intellectually honest, and consistent.

  • equityatwork

    You forgot to mention BENGHAZI!

    • aroy

      BEST. REPLY. EVER.

  • FrankDiamondDO

    Really??…. The President is the reason you hate your career? I think you need to wake up and look at the world around you, maybe be a good Doctor and focus on your Patients. They are people, and right now People are suffering, working jobs in the hot sun or cold winter, jobs in dangerous conditions, jobs that also require years of study and financial burden, jobs that dont ensure security, etc; and to top all that, none of those jobs have a base pay in the 6 figures. Even in the most communist of obama governments most doctors will still be making 6 figures, and guess what…. they work in the an air conditioned environment, and depending on the specialty relatively safe environments, with pretty good job security. I think you need to answer the question of why you became a doctor in the first place? By the looks of your article it seems like you did it for status and hope of future financial benefit. Now that you are almost at the “light at the end of the tunnel” you are doing some soul searching and seeing that maybe the respect you hoped to gain or the financial rewards are not what you thought they would be, and quite frankly, you hate doing your job because it in itself is not intrinsically satisfying to you. That has nothing to do with salary or policy. Just has to do with you feeling that your talents would have been better suited elsewhere. So Im very proud of you that you have found a passion for business and economics, and I hope you find job satisfaction in that field. Just don’t blame a pay decrease or government policy for the real problem…. you feel entitled to a certain amount of reward that you were expecting before pre-med, and now you feel lied to as you see that its not what you were expecting. Be honest with yourself. You are stuck in a job you hate and you pretty much just hate yourself.

    • DrCrej

      Don not lecture this man as a result of YOUR lack of principles. The medical field used to hold a level of honor and now that honor is dust in the wind. Working for a field so heavily regulated by the government enforces advocacy and support for that government. Failure to comply to our devastating political agenda, “blacklists” doctors. Nineteen of my fellow doctors have left the field because of this. Many have switched to fields such as engineering or business, fields that do not directly harm the health of clients through adherence to government statutes. Frank i am going to be frank with you: it is abundantly clear you know very little about the implications of these laws. You see his letter as a complaint about salary and security because you fear lack of security and money. This is the first time I have EVER written a comment on the internet and it will be the last. I write to encourage you to become more informed before you rashly condescend any man of principle.

  • ObamaCares

    I tried to google this kid to see his medical background and all I found was a court docket for his DUI/Possession of Drug Paraphenalia charge. I guess I should have looked harder…

  • track2358

    It’s astonishing how poorly written this letter is for someone who “almost went to medical school”. I’m currently a medical student, and the reason I decided to become a doctor was to help those who need my care, not to make money. Clearly, your motivation to go to medical school in the first place was founded on the wrong objectives. I’m sure I’m not the only one who is glad you will not be a future colleague.

    • Mengles

      Let’s see how you feel when those bank loans start to come knocking at your door. I’m sure that holier than those I didn’t do medicine to make money attitude, will disappear very quick.

      • JB

        yeah this it is always easy to see when these types of people are lying….. anytime anything like this is said, it is a lie

        • Mengles

          I mean I have no problems with doctors making a lot of money. But this Mother Theresa attitude is ridiculous. Esp. when it’s fake.

    • Mike

      “Help those who need me care…” please. There are 1000s of ways to help people that need care.

  • isthisguyforreal

    Thank you for leaving the medical field. As a future physician and parent; there is no way I would let you anywhere near my child or their brain.

  • Jeff

    So he became a doc and found out it’s not all it’s cracked up to be… now he’s a crusader of free market seeking to become a politician… what a principled hero. Dude grew up in a “better time” and wants it to be just the same for the folks he knew as a kid. Industries change, people adapt.

    The folks going into medicine now are just as bright as ever (see average MCAT scores for med school acceptance, the opening of several new programs over the last 5 years, and residency spots are more competitive than ever). I’m applying around now (for anesthesiology, arguably one of the most “threatened” specialties around) and I’m looking forward to a phenomenal academic career. Classmates on the same path are looking forward to great community/group practice jobs too. We simply have a more realistic concept of medicine (doctors are no longer gods who get to dictate the local market, they haven’t been since the 90′s) than the folks who got in a while ago (or this fella, who dreamed of the job he saw 20 years ago). The longing he expresses in his letter for a place where he can operate as a pediatric neurosurgeon and dictate what the hospital does and how it does it has been a defunct dream for nearly a generation now.

    Advocating for a reasonable living is a good ambition. Advocating for the best patient care is a duty. However, advocating for doctors to be the sole determiners of reimbursements (like the good ole days) is one (of many) reasons healthcare costs are so inflated and $300K/year salaries are being cut (oh my!).

    • Mike

      He never even became a doc… Never even made it to medical school…

  • CC

    This letter might have some more substance if it came from someone in the field of medicine. I’m not even sure why a pre-med would have a white coat to hang up…unless you’re a huge tool.

  • Kit ten Diotima

    So you were okay with Insurance Companies dictating your worth, and telling you how to treat your patients’, but you’re not okay with the gov’t doing it – which, if Medicare is any indication, will give doctors MUCH more latitude.
    Well, now you know how doctor’s felt a few decades ago, when the Insurance Companies took over the field of medicine in the 60′s, and ended the era of doctor’s making House Calls.

    • Mike

      He also wanted to join the Air Force to pay for it all…

      • Kit ten Diotima

        Right – because like most conservatives, it’s okay when the gov’t pays for THIER needs, just not other people’s – like, their military pensions, their farm subsidies, their corporate subsidies, their income tax refunds, tax breaks for their small businesses, tax breaks for their religious institutions…

  • Papajohn

    Michael Gordon Lotfi (I doubt if this is your real name)
    I am a medical doctor, trained in England, UK. I believe that medicine as a profession is very fulfilling if you have the right kind of mind to it. I have been a doctor for about 30 years and yet I am very happy and still enjoy it and I am only just begining. Medicine is more than a profession; it is a vocation. Anytime a practitioner applies greed and money into a vocational service, the practitioner suffers depression and unhappiness.
    I think that your purpose of going to medical school was wrong from the begining. Go through the history of medicine and look at the greatest doctors – Galen, Hippocrates, Vesalius, Hippocrates, Inhotep etc. These people studied medicine because they saw the the human condition, the human need and the humanity of medicical practice. Any medical practice without a tinge of humanitarianism is a total failure. Unfortunately, you studied medicine where the emphasis is to get rich and rich and rich; unfortunately such environment would ask you to pay so much more. And unfortunately, you studied medicine in an environment where doctors have to borrow heavily to pay their school fees in anticipation that when they qualify, they will charge patients and insurance companies heavily to pay their loans and make a lot of profit. You are not alone. Almost 33% of American doctors become frustrated, quit medicine and join the “association of Non-practising doctors” to go and make money in business and Wall Street – just like you. They quickly realize that they cannot make those millions in genuine medical practice – short of fraudlent over-billing. They should not have gone to medical school in the first instance; you should have gone straight to Wall Street to look for the money; there, they are not honest either. They took up the places in the medical school from those that would have be real docotors. Be honest to yourself; you are not quitting medicine because of Obama care after those years of hard work and toil. The 33% American doctors who quit medicine as mentioned above did quit medicine many, many years before the emergence of Obama Care. They did not quit because of Obama Care. They quit becasue they realized they had gone into the wrong profession or they quit because they want more money than the profession could provide for them. Medicine is not just money.
    In terms of financing the medical education, I think the system of education is wrong; why should the system make a medical student borrow almost half a million dollars and expect the doctor to serve as a humanitarian? This is where everything went wrong. The government and the society should have a method of reimbursement of all medical school fees since the service is for the care of human beings. This argument becomes more plausible since USA has introduced a universal healthcare. In Europe where universal healthcare obtains, there is no school fees for studing medicine. Students choose medicine out of desire and ability. When they qualify, there is no urgency to pay loan of half a million dollars. The doctors find the opportunity to travel to many parts of the world to put in at least one year of their profession for humanitarian purpose, and this is the most enjoyable period of this profession. American doctors, because of the burden of their loan cannot afford to do this and enjoy the best period of their profession.
    Finally, you are not to be blamed for all these. The environment (the medical education financing and the money expectation for the medical profession) has created this problem. My advice for you is this: If you still want to enjoy the medical profession, do your best to join the practice and pay your loan. After you have paid your loans, join a humanitarian organization like the French Doctors Without Borders; after a period of one or two years of humanitarian medicine, your persepective for medicine will change. Then you will appreciate Obama Care as a wonderfu instrument to extend healthcare to the less fortunate Americans. You will still earn enough money and enjoy your life. Life is bigger than money. Have faith!

    • JackNMeovslo

      This isn’t Europe … yet.

      • Marco Serpas

        What a great observation Jack…bravo…bravo

        • JackNMeovslo

          Da nada!

          • Marco Serpas

            Wow, you’ve butchered English and Spanish. Pray, teach us more.

          • JackNMeovslo

            Que bout sum Spanglish

          • JackNMeovslo

            Marco Surpass the maximum allowable snarky remarks a long time ago

        • JackNMeovslo

          I like corn on the cob~

      • Marco Serpas

        What a fantastic observation. Pray, teach us more.

  • JackNMeovslo

    There now Marco … everyone knows the definition of SOCIALISM:

    1
    :
    any of various economic and political theories advocating collective or
    governmental ownership and administration of the means of production
    and distribution of goods
    2
    a : a system of society or group living in which there is no private property b : a system or condition of society in which the means of production are owned and controlled by the state
    3
    : a stage of society in Marxist theory transitional between capitalism and communism and distinguished by unequal distribution of goods and pay according to work done

    • Marco Serpas

      so let me get this right…if we are socialists…we would be producing our own war tanks, vessels, aircraft, missiles, etc? Correct?

      So explain to me the purpose of multi billion dollar companies like Halliburton, Northrup Grumman, etc?

      Now, let’s talk about food- we still have companies like Monsanto providing us food right?

      Please learn how to read.

      • JackNMeovslo

        Learn to comprehend ….

  • Marc Lawrence

    This article is composed of half-baked misinformation.

  • Frank775

    Guys you don’t seem to get it, now the government with more power will even dictate to doctors how to treat their patient… And with all the legislations it had become a burden and very expensive for the people. He tells how people are not loving the career anymore and it’s not because of money. We need to apply subsidiarity and now it’s totally the opposite with everything under the government… You don’t see the potential for them to have more power. There is already a lot of corruption, why do you trust the government of Obama so much ? I’ll tell you who is there for money, not that guy, but the pharmaceutical companies and they are with the government. If you think only drugs can heal, you are wrong because it doesn’t even go to the cause of the disease. Obamacare messes all with the healthcare system.

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