{"id":725,"date":"2008-10-23T13:02:00","date_gmt":"2008-10-23T17:02:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=725"},"modified":"2008-10-23T13:02:00","modified_gmt":"2008-10-23T17:02:00","slug":"those-filthy-commies-at-the-mayo-clinic","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=725","title":{"rendered":"Those filthy commies at the Mayo Clinic&#8230;"},"content":{"rendered":"<blockquote><p>An Egalitarian Culture <a href=\"http:\/\/takingnote.tcf.org\/2008\/10\/what-makes-the.html\">[at the Mayo Clinic]<\/a><\/p>\n<p>You may have heard that at Mayo, doctors collaborate. But did you know that after their first five years all physicians within a single department are paid the same salary? During those first years, physicians receive &#8220;step raises&#8221; each year. After that, they top out ,and &#8220;he or she is paid just the same as someone who is internationally known and has been there for thirty years,&#8221; says Patterson. (&#8220;Most could earn substantially more in private fee-for-service practice.&#8221; he adds.)<\/p>\n<p>\u201cIt doesn\u2019t matter how much revenue you bring in,\u201d Patterson explains, \u201cor how many procedures you do. We\u2019re all salaried staff\u2014paid equally. This is very good for collegiality, and people working together,\u201d he adds. \u201cThe culture here at Mayo doesn\u2019t encourage egos. There is not the same cult of personality that you find at other places.\u201d<\/p>\n<p>At Columbia, by contrast, the pecking order is quite clear: even the furniture on the floor where a physician works tells him where he stands. \u201cThe floor we were on was perfectly fine,\u201d Patterson recalls. \u201cBut if you walked up a few flights to ENT (ear nose and throat) surgery, it was a different world\u2014dark wood paneling, different furniture\u2026 These surgeons bring in a much higher return for their time,\u201d he points out, \u201cand they do some things that require remarkable skill and training. At the same time, if a psychiatrist spends two hours with a patient, he may get $200, while all a dermatologist needs to do is get out the liquid nitrogen\u2026\u201d<\/p>\n<p>The dermatologist can make $200 in a matter of minutes, just by zapping the harmless crusty brown patches on the back of a middle-aged patient commonly known as \u201cbarnacles of age.\u201d<\/p>\n<p>That celebrity turns on how much money a doctor brings in hardly unique to Columbia. \u201cTraditional medical centers are much more hierarchical,\u201d Patterson notes.<\/p><\/blockquote>\n<blockquote><\/blockquote>\n<p><em>The article goes on to say how the filthy socialists have significantly lower spending and excellent care, they value the patient over the revenue generated per procedure, thinking and taking care of patients is valued more than one&#8217;s &#8220;revenue stream.&#8221;<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>An Egalitarian Culture [at the Mayo Clinic] You may have heard that at Mayo, doctors collaborate. But did you know that after their first five years all physicians within a &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=725\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Those filthy commies at the Mayo Clinic&#8230;&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[7,47],"tags":[],"class_list":["post-725","post","type-post","status-publish","format-standard","hentry","category-socialized-medicine","category-physician-income"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=725"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/725\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=725"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}