Wednesday, October 7, 2009

Too much?

Are specialists overpaid? The government believes that they are, as evidenced by the proposed 2010 Medicare fee schedule that will significantly reduce payments to both cardiologists (a 20-40% pay cut) and oncologists, all of which is a bit ironic when you consider that the two leading causes of death are heart disease and cancer. Unfortunately this question is usually framed in the context of primary care reimbursement, which arguably is too low; the government's solution is a proverbial case of robbing Peter to pay Paul. But as the population ages, both primary care physicians and specialists will be needed, and both should be fairly compensated for their work. Does the additional training and expertise (not to mention the greater liability exposure) of a specialist justify a higher income? In the end that is for society to judge.

Lifted weights last night. Swam at Nitro this morning with James, Steve, Lynne, and David. Clint coached.

300 SKP
5 x 500 @ 7:00; pulled #2 and #4, went 6:37, 6:16, 6:13, 6:04, and 6:06 (out in 3:38)
200 easy


  1. Nice descend on those 500s, a bit too nice, Dr. Sammy Save Up!

  2. Actually wasn't saving up, it just takes me a long time to warm up! Pretty sure I could have gone under 6:00 on a slower interval.

  3. I think I've gone under 6:00 on a 500 one time ever in a workout.