#I rotated at an FQHC

[possiblyscrewed]

This is really misleading

Trump’s proposed policy affects federally qualified health centers, which are often severely underfunded and already doing their best to provide medication for free to anyone who can’t afford it. They also have access to a federal discount program that allows them to get medications as cheap as $0.01. This has historically been a way for the health centers to augment their budgets because they can bill the insurance and get reimbursed at a higher rate. I imagine if you have cash pay patients who can afford $20 a month for insulin that would also help to offset the patients who really cannot pay anything for their more expensive medications.

Essentially what Trump did was he looked at places that already serve the very poor and try to provide free or deeply discounted medication to people who need it, and he said “hey, if you don’t do that 100% of the time with these two medications, I’ll take away your funding.”

And then he turned around to the public and said “look what a great job I’m doing addressing insulin and epi-pen prices”

I’m not an expert on this so I can’t say what the true implications of Trump’s policy would be. But my gut feeling is that anything that threatens to defund critical healthcare access is not really as good as it sounds in the headline.

Media for 4 years: OMG! Trump is literally killing poor people with diabetes!

Biden:

Media: *crickets*

[mcatmemoranda]

I'm really conflicted now about my career options. I'm graduating in June. I've applied to a few places--mostly FQHCs and one private practice. I really like the private practice and one of the FQHCs in Boston. I also like my current clinic. Pros of going to the private practice include better administrative help, having more time to see patients, and the vibe is good. If I stayed at my current clinic, I'd know people since I've worked with them in residency, I'd have access to the same faculty I trained with, and they will give me more prenatal training on the job (even though I probably won't do much prenatal, I still want to at least know how to). Plus, NH has no state income tax. If I go to the FQHC in Boston, I love the practice and the location, but it's expensive in Boston. Private practice offers better work/life balance and seems very accommodating, but then I wouldn't be able to take advantage of the federal loan forgiveness program. I just want to be paid fairly and have a not super stressed lifestyle.

I was talking to one of the pain doctors I'm rotating with and she told me she likes the VA. If you work for the VA for 20 years, you get a pension and they pay a certain percentage of your salary for the rest of your life. If you work for the VA, you can also take advantage of the EDRP program and get an extra $40,000 a year!

I think all residents who go on to do primary care, whether they're in private practice or not, should just have all student loan debt forgiven. We need more primary care doctors and we don't get compensated enough. It's ridiculous.

Anyway, this is the site with the loan forgiveness thing I would do if I worked for an FQHC:

Loan Repayment | NHSC (hrsa.gov)

[panpjobs]

North Carolina FQHC Opportunities With Loan Repayment!  0222171404 Physician Assistant / Nurse Practitioner / Roanoke Rapids, NC 27870 - A private nonprofit Federally Qualified Health Center serving the under-served in rural northeastern North Carolina has opening for either Physician Assistants or Nurse Practitioners in three of its satellite clinics, Roanoke Rapids, Hollister and Enfield, all near I-95 close to Virginia border. For Roanoke Rapids, the primary need is for a provider to work a “B Shift” with hours that are usually between 1 pm and 10 pm.  Also considering two providers who would alternate between the “B Shift” and a more normal day shift. The other locations are regular hours. This is a large group with 300 employees group-wide focused on providing patient-centered, evidence-based, quality care. As a Community Health Center, they see everyone - all ages, all backgrounds – with special emphasis on the under-served. Insured/Medicare/NC Medicaid/NC Health Choice/uninsured. They use eClinicalWorks EMR for medical patient records/practice management. See 18-20 patients per day Monday through Friday. No hospital call; after hours call rotates, approximately 1 week every 10-12 weeks. Competitive salary. Excellent Benefits including Medical, Dental, Life, Disability & 403b retirement plan. Professional fees and dues paid including up to $3000 CME. Relocation and signing bonus!  National Health Service Corps Scholars welcome, loan repayment available (HPSA score = 22)!

Ray E. Smith / Smith & Associates Health Care Placements / (912) 441-4206 / raysmith@panpjobs.com / http://panpjobs.com