ASSUME THE PHYSICIAN: Modern Medicines Catch-22

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I've actually hear that the biggest losers in the stock market are generally, dentists and doctors and this was from the mouth of a doctor, so once again not sure of it's validity. I also have heard management consultants can clear over a k over there. Most full time family physicians will be above that level before overhead, and a good number would be close to or somewhat above that after overhead. There is a high upfront cost, both in money and time, so it does take a long time for that investment to pay off relative to other potential careers. Over the long run, typical physician compensation outstrips what is typical for most other professions, but that happens more towards the end of the career.

Basically, if you want to be well off in your 40's and 50's, being a physician is great. If you want to be well of in your 20's and 30's, pick something else. I want to know who negotiated that deal, because that's insane. Ok, benefits definitely do close the gap between a traditionally salaried professional and physicians. But that figure won't approach what most physicians make from their raw salary possible exception: psychiatrists, and that's starting to change.

However, in most fields, it takes time to get to that position, and not everyone makes it there some by choice, some not by choice. In most professions, it takes time to build to a higher salary.


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  3. Assume the Physician : Modern Medicine's Catch-22.

Physicians, on the other hand, can earn almost as much 2 years into practice as they can 20 years into practice. As for whether physicians make poor investment decisions and would rather have a traditional pension, on the whole I don't doubt that. I've seen too many instances of physicians makes downright stupid financial decisions to argue against that. However, just because the average physician has trouble managing their money doesn't mean you would be as well. Plenty of physicians invest wisely and retire with a healthy bank account.

Ugh, foot in my mouth. I sincerely apologize, it didn't even occur to me that you might need to take care of your parents. So it's settled that I am the one who is ignorant.

Without having parents to support, it's enough money to never have to worry about money and to buy lots of fancy toys and vacations, hence my initial knee jerk reaction. I was thinking "what do you want? You're right, everyone needs money and everyone has a different situation. I honestly worried that I would be getting myself into too much trouble debt-wise by pursuing this path at the start. After researching I realized that you can pay down any loans a lot quicker than I would have realized. Thanks for the responses everyone, Ralk can you elaborate on some stupid financial decisions you've seen physicians make?

Catch-22 - Review

Oh, the more serious ones have mostly been hearsay - physicians gambling their money away, physicians not saving anything for retirement, making idiotic investments in questionable businesses. Obviously I've heard of physicians losing a good sum of money in a divorce. More commonly it's the simple stuff - physicians buying ridiculously expensive things they don't with money they don't have, like super-expensive cars, lavish vacations, or oversized houses.

Point is that doctors make quite a bit of money, but they still need to show some restraint and some basic financial acumen, same as anyone. After taxes, that is 59k. After overhead, that's If you want to save as much as a teacher for retirement, your left with and this isn't indexed.

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There are no benefits, you work 52ish hours a week on average, receive no pension, get no time off unless you do so at your own expense, don't get paid sick days, and are typically boast in debt after residency. Not a perfect comparison, and I tried to keep it simple, but account for benefits, pension, hours worked, opportunity cost, etc. I also understand you can incorporate, so things aren't as bleak as my numbers would have you believe, but I just wanted to give you guys an idea of how the comparison isn't so ridiculous.

Factor in benefits, vacation time, paid sick days, and an indexable pension and we're talking real dollars above and beyond take-home pay that Dr's do have to pay out of pocket for. It's closer to 5k a month after deductions. The 4.

And then you factor in the debt and opportunity cost. That was the purpose of me listing all of those things off. Even with a pension it would not make sense. He remains loyal only to his economic empire, in which the sanctity of a contract means more than the sanctity of life. The catastrophic results of the callous misuse of power in the novel find their most wrenching expression in "The Eternal City" chapter.

This chapter loses all vestiges of comedy and becomes a nightmare vision of brutality run amuck. Yossarian wanders through Rome encountering a succession of horrors and thinks, "Mobs with clubs were in control everywhere. And the power to control belief is even more valuable than the power to kill, since, as Yossarian realizes, "Catch" works because people believe that it exists when it actually does not. Like Milo Minderbinder's capitalistic rationalizations, it serves to "bind" people's minds. Therefore, they accept the abuses heaped upon them and the world turns absurd.

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In such a world, Colonel Cathcart can keep raising missions and Milo can brazenly bomb his own squadron. Hence, the restraints governing commerce and the military have completely collapsed. Survival becomes all that matters, and one must look to save himself because the institutions that supposedly support him actually look to cannibalize him. Yossarian learns this lesson most forcefully through the death of Snowden, an event that haunts him throughout the book but which he only fully understands at the novel's end.

Healers or Quacks?

When Snowden's insides spill out as Yossarian is trying to save him, Yossarian discovers a secret: "Man was matter. The spirit gone, man is garbage. Thus, the more Yossarian understands the abuses of those who wield power, and the more he sees people suffer because of these abuses, the more stubborn he becomes in his refusal to participate in the war. When he finally decides to desert from the military altogether, he does not run from the defense of principles of freedom, individuality, and justice.

He, like his dead comrades, defended those ideals.

Are female physicians leaving money on the (operating room) table? | Medical Economics

His only recourses besides desertion are imprisonment or accepting Cathcart and Korn's deal to become their "pal. If imprisoned, Yossarian implicitly validates his superiors' "right" to punish him. If he accepts their deal, he would advocate murder, since men are now dying not for the cause but to help maintain their superiors' hold on authority. As Victor J. Milne contends, Yossarian's flight affirms "that an individual has no right to submit to injustice when his action will help to maintain an unjust system. However futile this effort, he refuses to sanction corrupt officials and become, like them, an exploiter of others for personal gain, thereby preserving his own moral character.

In the following essay, Hasley explores how Heller uses a dramatic contrast between humorous and harrowing incidents to heighten the horror of the novel. A book that was widely acclaimed a classic upon its appearance and that has suffered no loss of critical esteem deserves many critical examinations.

Now, more than ten years after its first publication in , Joseph Heller's Catch may justify another attempt to fix certain qualities in it more precisely than has yet been done. My special concern here is the pattern of dramatic tension between the preposterous events of the story and the built-in dimension of laughter.

It is part of the pattern that the laughter, intermittent and trailing away just before the end, contributes to a catharsis in which the grimness of war provides the dominant memory. It is part of the book's greatness that its hilarious force comes so near to a stand-off with the grimness. Heller has achieved his declared purpose, mentioned elsewhere, not to use humor as a goal, but as a means to an end. And yet the alternating play of humor and horror creates a dramatic tension throughout that allows the book to be labeled as a classic both of humor and of war.

It is not "a comic war novel" despite the fact that comedy and war are held more or less in solution, for the war is not comic but horrible—this we are not allowed to forget. The laughter repeatedly breaks through the tight net of frustration in which the characters struggle only to sink back as the net repairs itself and holds the reader prisoned in its outrageous bonds.

Right here the unskillful reader may protest that Catch is a comic war novel. For who could believe that war is conducted as the novel pictures it—realism blandly ignored, motivations distorted beyond recognition, plausibility constantly violated. Even conceding that war is not peace, that the conditions of any war are abnormal, could any serious work stray so far from what we know of human character?

The answer lies in an artistic strategy relating to the thesis of the novel, which, put simply, is this: War is irrational; and the representative things that happen in war are likewise irrational, including man's behavior in war. It is, in terms of the book, unarguable—you take it or leave it—for the author has seen to it that all the evidence favors his thesis. What he asks, and it is everything, is that his readers accept the credibility of his characters and their actions, if not at face value, then as wild, ingratiating exaggeration that nevertheless carries the indestructible truth that war is irrational.

It would be an uncritical reader indeed who would accept at face value the greater part of what is related in this hilarious, harrowing book. For the absurd, the ridiculous, the ludicrous, are pyramided, chapter after chapter, through the lengthy book's entire pages.