|Kirk, I think my handle was Codfish back on 101, not sure now.......|
I've intermittently been a subscriber to your service, and have found it wonderfully educational and profitable.
With regards to health care spending and where the real costs lie, it's eye-opening to me that only approx 8-10 % of medicare dollars go to Doctors (they've reduced payments significantly over the years, even as our overhead costs have soared). Payments to medical device makers and prescription drug manufacturers have remained high margin, and there are cases of ridiculous payments for things similar to the $900 hammers that the Pentagon was paying years ago. Hospitals will always do well, as they have a significant lobby, and many not-for-profits have the ability to tax the public via property taxes to either make up any shortfall, or pay for expansions.
As far as pay within healthcare, those who deliver the care are woefully underpaid for what they do. My brother-in law was just laid off from his job as a pharmaceutical rep, and laments not being able to find another job paying $145K (for basically delivering breakfast and lunch to MD's offices), while his wife works as an RN/BSN, pulling 12 hour shifts, working weekends and holidays for barely 1/3 of what he was making. The disparity between those who "do" and those who "sell " is ridiculous.
It's all about contributing the right amount to the right government official...