Making a Killing in American Health Care, a Step-by-Step Guide (1)

It depends on what the definition of the word “is” is (2). This not a political post! The picture/quote is added as an attention getter. It really has nothing to do with the article. See, this article has been floating around social media for a short period of time lately. When I first glanced or should I say glossed over the title, I read it as ….”is killing American healthcare.” That elicited my attention, i.e. the words ‘killing’ and ‘American Health Care’ in the title. I wanted to read that article. What is killing American Health Care? All this brain chatter before actually reading the article. Then I opened the link and re-read the title. Oops: Making a killing in American Health Care (1). Then I experienced more brain chatter: Is making a killing ok in American Health Care? Who’s making a killing? Is there killing going on in American Health Care? Why are we talking about killing in American Health Care? What is the definition of the word ‘is’? 

Ok, I’m claiming jet lag on the preceding paragraph as I’m overseas visiting family right now. Seriously, the article is a pretty good and easy read. It has nothing to do with being a physician, or physician pay. It is merely an unofficially developed satirical step-by-step listing of how health care as a business is unfolding for profit. It’s more on maximizing profits and subsequent salaries for administrators and executives. Now it makes me think of those administrators and CEOs, and how people always bash physician’s and blame physician’s pay for the cost of health care, forgetting about the admin and CEOs salaries. They are the ones making a killing off the system that seems lopsided against physicians. Somehow society tends to blame the physician. Suffice to say, it is not the physician making the killing in American Health Care.

“But for patients and for taxpayers in New Jersey, and everywhere else in the United States, it is the practice of legalized price gouging, and of making a killing under a system that has been thoroughly warped and corrupted by government public policy and by the rampant corporatizing of medical care in this country.” 

The article also made me think of when I was on my 3rd year surgical rotation. I was talking to my attending physician about making the decision to become a physician as a middle age adult that it was not about the money. He was brutally honest and told me that it was ok to think about and be paid well after the years of sacrifice in education and training. We may not make a killing as a physician compared to admin/CEOs as the article purports, but:

Do you want to be the highly-paid CEO of a hospital/“health” system?

Then read on………….  



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Robert Duprey MD

Robert P. Duprey Jr studied medicine as a 2nd career medical student who went to medical school in his 40’s after honorable discharge and ‘retirement’ from 25 years in the US Military (USCG & US Army). He was a registered nurse (RN) with specialty training as a psychiatric RN in the US Army for 15 years. During this time he also became a Master’s level psychotherapist in 2002. While on US Army active duty he also became a Psychiatric Nurse Practitioner while working full time in 2011. He served as a Psych NP on active duty, to include a combat tour in Iraq, until his ‘retirement’ in 2014 and moved to Philippines with his 3 children. At this time he started medical school overseas at Oceania University of Medicine based out of Samoa accredited by Philippine Accrediting Association of Schools, Colleges and Universities (PAASCU). He continued to work as a Psych NP throughout medical school to support his children and to not have to take out loans for medical school tuition. Originally from Rhode Island, he completed medical school clerkship rotations throughout the USA with a graduation in May 2019 earning the esteemed credential of MD. He has successfully completed USMLE Steps 1, 2CS, and 2CK. He will take Step 3 this September as he applies for Psychiatry Residency. Having been and RN, NP and now MD, he is a believer of Physician led multidisciplinary healthcare teams 

  1 comment for “Making a Killing in American Health Care, a Step-by-Step Guide (1)

  1. arthur gindn
    December 8, 2019 at 3:58 pm

    I was amused and then bothered when the local CEO of the hospital tried to convince his (hugh) board of directors to form a larger group of hospitals. Clearly he was only interested in making more money and the project was rejected.

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