I’m rich. Aren’t you?
In reality, you’re probably not (depending on what your definition of rich is), and I’m not either.
The problem, unfortunately, is the public perception that all doctors are rich. They see raw numbers, hear about well-publicized cases of criminal medical fraud, read about some world-famous brain surgeon and his 5-million-square-foot house, and immediately figure we’re all rolling in dough.
For most of us, though, that’s far from the norm. We struggle with declining reimbursements and increasing overheads: rent, staff salaries, office supplies, etc. By the time you take the myriad expenses out, there often isn’t much left for us. And, like everyone else, we have mortgages, families to take care of, student loans, and grocery bills. While most of us can still support families and a moderate lifestyle, we sure aren’t rich. When you take time into account (60-70 hours per week), my hourly salary isn’t that high.
Yet, the majority of people don’t see it that way. Granted, we may be in a better financial position than some of our patients, but it still amazes me when they ask me to waive copays or other visit costs. I always say no, and some argue, “But you’re a doctor! You can afford it.” Whether I can or can’t is immaterial. I pay my family’s medical bills in full and on time and would never dream of asking for a discount or freebie for any reason. You let one person skip, then another, then another … and it starts to add up quickly.
I have several patients who are quite wealthy. I wouldn’t ask them to pay an extra copay “because you can afford it,” but that’s no different from others asking me to waive theirs for the same reason.
I just wish patients would see, or the lay press would show, the reality of finances for a modern-day average doctor. I, personally, am sick of people who still affiliate us with Porsches, two homes, and Wednesday-afternoon golfing. A few of those docs may still be around, but they are a rare exception, not the rule. And I don’t see that changing any time soon.
Dr. Block has a solo neurology practice in Scottsdale, Ariz.
