Top Reasons To Study Medicine

Interested to study medicine? This is the top reason why you are interested in studying medicine. The top reason is the result of a survey of medical students in America.

1. Plenty of opportunities upon graduating

This reason is rarely stressed properly, but it truly is so. After gradutation there is a broad range of opportunities for future job. In case you find none of the possibilities appealing, you can combine them or invent your own path of further specialization. Upon finishing medical college you can choose to work in hospitals, science institutes, public health care or be part of the medical segment of some other science.

There are doctors who are managing health care costs in economical sciences, or cooperate as a part of judicial sciences in proving medical errors and patients' rights.

Be that as it may, do not worry in case you do not see yourself as a future pediatrist or surgeon; you have six years to decide what exactly you are interested in.

2.Working with people

A lot of students name working with people as their primary reason to study medicine. If you are a people person, medicine is the right choice for you. It is of vital importance to stress that to work with people you absolutely must have a great deal of tolerance towards endangered social groups, e.g. the old and disabled.

In course of your studies you will be able to improve this skill even if you do not have a particularly developed affinty towards working with people. During your studies, but also later in hospitals, you will meet a lot of people besides patients - patients' families, medical staff, technicians, administrators etc. As a part of you medical training you will also learn not to form bonds towards patients and their diagnoses or faiths, which is an extremely delicate problem especially when it comes to children.

3. The ability to help people directly and make them happier

This was my main reason for enrolling into medical college. The progress of the human kind and civilization is the purpose of almost all of the college programmes. Medicine participates in this process in the most direct way. The most doctors would say that there is no greater joy than the one you feel when you manage to help a very sick patient or when a group of scientists discovers a new medicine for a certain disease. The ability to directly help the curing process is also a challenge and sometimes it is not easy to cope with it. For this reason your medical education will prepare you so you can land on your feet in 99% of the cases.

4. Team work

Medicine nowadays is based on team work. You will be divided into smaller groups already while at college and this will give you a chance to perfect your people skills. These skills will also come in handy later when you start practicing medicine; not only does a doctor cooperate with nurses and other doctors on daily bases, but he is also a mentor figure and a role model for his students.

Without team work you cannot succeed in the field of medicine, so if you are a lone wolf, you might want to reconsider whether medicine is the right choice for you.

5. Respect in society

Whether we want to admit it or not, doctors are always on the top of the social scale. Whether you go to the theater or to the cinema you should know that you will be noticed. Not downright like Dr. Oz, but a certain part of people will pay attention to you too. This also represents a great responsibility because it is not seldom that a doctor is also a moral authority, especially in smaller places.

On the one hand, this could be a problem because some cannot bear this responsibility and cannot come to terms with the fact that they have lost a part of anonimity that majority of people has. On the other hand, this respect in society is a major factor while choosing the field of medicine for some people. The fact that a lot of doctors end up in politics and continue their careers as politicians supports this theory.

6. A great need for doctors

World needs more doctors. The situation in Europe is really good compared to some other continents like Asia or Africa. There are also differences in numbers and need for doctors in different European countries. A lot of EU countries that have forbidden or restricted employment of foreign citizens do not apply this decision on doctors. In most cases medicine students get a job sometimes even the very day they graduate.

7. Safe job, career, and lifestyle

Another not quite irrelevant reason to study medicine is a certain stability upon graduation. This reason is becoming even more prominent in countries still coping with recession and in a situation where it is becoming harder and harder for young people to find a job. In case this is your decisive reason for studying medicine, be aware that this is not an easy or a simple job, but a job with a lot of sacrifice and personal investment. Nevertheless, a job is waiting for you.

8. Constant ameliorating

The end of medical studies does not mean the end of learning. Quite the opposite - your college is providing you with basics for further knowledge and skill development. Summits and seminars are often organized in exotic locations in order to attract as many doctors as possible. A lot of students see this reason as the significant difference in comparison to other studies and for this they point medicine out as a unique example of constant professional perfecting.

9. White coat

This reason might seem funny to you, this may not even seem like a reason to study medicine to you, but as something irrelevant. Nevertheless, some students look forward to putting on their white coats during practicing in class. White coat, other than being a clothing item and a part of doctor's uniform, is also a representative of the order of the medical system, cleanliness of the job, and high hygiene standards. A tidy and clean coat is emitting a clear doctor's attitude towards patient. Precisely these reasons make the white coat one of the reasons to start studying medicine.

10. Science universal to the whole world

And the last, but not the least reason is a great uniformity of medical science. Upon graduating from a medical college in Europe you can find a job and work in any hospital in South America or anywhere else in the world (unlike some humanistic sciences). Furthermore, the major part of medical literature is in English, the most of the medical terms are in Latin. You will get acquianted with English and Latin in the course of your studies so that words like vertebra or clavicula will be nothing new neither to you nor to a doctor on the other side of the world.

By naming these top ten reasons, I tried to encompass the most of the points that students of medicine name as their motivation for studying medicine and which are the main cause for choosing precisely this vocation. One should also not forget giving up free time which is essential for successful ending of this college. Just as there are these ten reasons for, there are also reasons against, but the final decision is for you to make. Sometimes all it takes is just one reason to make the right choice.


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Urging Patience, Obama Says Problems With Health Care Sites Reflect Demand

Report from The New York Times,  President Obama urged Americans who have flocked to the new government-run Web marketplaces for health insurance policies not to give up because of the technical problems attributed to greater-than-anticipated demand. Fixes are under way, he said. Mr. Obama, in an interview with The Associated Press released on Saturday, said he did not have any figures to counter scattered reports that just a very small number of people have succeeded in signing up for insurance coverage since state and federal Web sites began enrollment on Tuesday for the so-called insurance exchanges.

Those are a central part of Mr. Obama’s health care law, which was passed in 2010 to extend coverage to those who do not get insurance benefits on the job. People “definitely shouldn’t give up,” Mr. Obama said. Citing the slow start to a similar program for Massachusetts residents several years ago, the president predicted that when the six-month window for enrollment ends in March, “we are going to probably exceed what anybody expected in terms of the amount of interest that people had.” House Republicans — who forced a shutdown of the federal government, which also started on Tuesday, by demanding that the health care law be defunded or delayed as a condition for their approving financing for the government in the new fiscal year — were quick to jump on the snags as validation of their opposition to the program.

Yet Mr. Obama and other Democrats have countered that public demand caused technical problems with the new state and federal Web sites, evidence of the popularity of what the health care program has to offer. “The interest way exceeded expectations, and that’s the good news,” Mr. Obama said in the interview. “It shows that people really need and want affordable health care” from insurers that have bid to compete in the insurance exchanges. As for the problems that frustrated many of the millions who have visited the Web sites, Mr. Obama said help was on the way. “Folks are working around the clock and have been systematically reducing the wait times,” he said.

With the health care law at the center of the continuing budget dispute between the White House and the Republican-led House, Mr. Obama reiterated that he would negotiate with Republican leaders only once they agreed to finance the government and increase the nation’s borrowing limit, which will be reached on Oct. 17. Referring to Speaker John A. Boehner, Mr. Obama said: “What I’ve said to him is we are happy to negotiate on anything.

We are happy to talk about the health care law, we’re happy to talk about the budget, we’re happy to talk about deficit reduction, we’re happy to talk about investments. But what we can’t do is keep engaging in this sort of brinksmanship where a small faction of the Republican Party ends up forcing them into brinksmanship to see if they can somehow get more from negotiations by threatening to shut down the government or threatening America not paying its bills.”

The president also repeated, as many Republicans have acknowledged, that the House could pass measures both to finance and reopen the government and increase the nation’s borrowing limit, averting a catastrophic default, if Mr. Boehner would allow votes. Both sides say that House Democrats and more moderate Republicans would provide the majority support needed to send both measures to Mr. Obama to be signed. With the more troublesome deadline looming for raising the debt limit, Mr. Obama did not explicitly rule out taking some unilateral action to increase it — though senior administration officials have. “I don’t expect to get there,” he said, citing news reports that Mr. Boehner has privately told House Republicans that he would not allow a breach of the debt ceiling to occur.
 

10 ways to get ready for the Health Insurance Marketplace

Open enrollment in the Health Insurance Marketplace is coming soon. Here’s how you can get ready to enroll starting October 1, 2013.
  1. Find the Marketplace in your state and get your options & info.
  2. Sign up for email or text updates about the Marketplace and connect with us on social media.
  3. Gather basic information about your household income to see if you qualify for lower costs on Marketplace coverage. Use this checklist to get started.
  4. Set your budget and estimate your costs and savings in the Marketplace.
  5. Make sure you understand how coverage works, including things like premiums, deductibles, out-of-pocket maximums, copayments, and coinsurance.
  6. Learn about the different types of health coverage.
  7. Explore your current options. You may be able to get coverage that starts before January 1, 2014 through existing programs.
  8. Ask your employer if it plans to offer health insurance in 2014. If you don’t have coverage, you may have to pay a fee.
  9. Learn how to get help with your Marketplace application. Visit LocalHelp.HealthCare.gov to find help in your area.
  10. Get help with a Marketplace question. You can call 1-800-318-2596, 24 hours a day, 7 days a week. TTY users should call 1-855-889-4325. Online chat is also available 24/7.
 

The Affordable Health Care Act's Launch On October 1st––So How Did it Go?

Unavoidably, that will be the big question come Tuesday.

But there will be much more to it than that.

A 180-Day Open Enrollment––Not a One-Day Open Enrollment
What happens on the first day, for good or bad, will constitute only a tiny percentage of the open enrollment period. Consumers will likely visit the new websites many times before they make any decisions, and that is exactly as it should
 

Benefit Shock? Consumers Will Be Surrpised By What They Find on the New "Obamacare" Health Insurance Exchanges

Will we have rate shock?

It looks to me like consumers will have a choice when they get to look at the health plans available on the new "Obamacare" health insurance exchanges––rate shock or benefit shock.

While there has been lots of focus on the issue of rate shock, I will suggest that just as big an issue may well be benefit shock—that consumers will look at what they will be getting for
 

So If the Maryland Health Insurance Rates Are So Cheap Why Did I Get This Postcard From Maryland Blue Cross?

That's what I wondered when I got this postcard; presumably sent to lots of people who live in Maryland:

In it, (click on card to enlarge) Maryland Blue Cross is telling me that; "I am invited to obtain a [health] plan right now with rates that may be significantly lower than reform-compliant plans [their emphasis]."

Are they suggesting there is rate shock coming?

I was surprised to get this
 

Oregon Delays Key Element of Insurance Exchange––Good for Them!

Five years from now no one will remember if their "Obamacare" health insurance exchange launched on October 1.

The state-run Oregon health insurance exchange, Cover Oregon, recently announced it will be delaying web access to the its new "Obamacare" health insurance offerings two to four weeks later than the scheduled October 1 launch date.

People will be able to begin signing up for health
 

"ObamaCare" Small Ball––The Republicans Are Winning the Battle Over the Big Idea

Last week the President waded directly into the national debate over "ObamaCare" by calling a big media event in the East Room of the White House to talk about the $100 rebates a small percentage of potentially eligible people are getting under the new health law.

Senate Republican Leader Mitch McConnell countered, "If you’re a family in Covington facing a $2,100 premium
increase under
 

People Who Haven't Filed a Tax Return to Get Unverified Health Insurance Exchange Subsidies

The head of the Centers for Medicare and Medicaid, Marilyn Tavenner, is out with a "Myths vs. Fact" clarification memo regarding the waiver of the employer mandate and whether the new health insurance exchanges will verify people's incomes when calculating subsidies.

I noted a couple of things in her memo.

Her memo indicates that the exchanges will request additional income information from a "
 

Health Insurance Exchange Subsidies Will Be Granted on the Honor System!––Is There Something Wrong With "ObamaCare's" Federal Data Hub?

Come October millions of people will be applying for tens of billions of dollars in federal health insurance premium subsidies on the honor system.

On the Friday after the Fourth of July––when the administration apparently hoped no one would be paying attention––the Obama administration dropped 606 pages of regulations. Buried inside was the news that that insurance exchanges can ignore any
 

Administration Delays the Employer Mandate––But What About Small Employers?

The administration suddenly announced tonight that the requirement that all employers with 50 or more workers offer health insurance has been delayed until 2015.

If an employer with 50 or more workers did not provide health insurance to their full time workers in 2014, they would have been subject to a fine of $2,000 per worker. The employer would have also been subject to a $3,000 fine for each
 

Will the Affordable Care Act's ("ObamaCare") Federal Health Insurance Exchanges Be Ready On Time? Finally the Facts!

After months of speculation on just where the Obama administration is toward the development of the new health insurance exchanges, the Government Accountability Office (GAO) has issued a 48-page report complete with timelines and a detailed report on just where the Obama administration is––or at least was last month.

The key summary:



"Much  progress  has  been  made,  but  much  remains  to
 

Will the Affordable Care Act's Health Insurance Exchanges Be Ready On Time? The Obama Administration's Top Secret Enterprise

Last week, I received my weekly email update from the Maryland health insurance exchange:



Maryland Health Connection completed its Final Detailed Design Review (FDDR) live system demo on Thursday, May 30. The FDDR is a federal stage-gate required of all state-based exchanges. Maryland Health Connection successfully demonstrated end-to-end enrollment of a split family scenario including user
 

Flawed Analysis––Medical Loss Ratio Rules Led to $1.9 billion in Lower Premiums

The Kaiser Family Foundation is out with a study contending that the Medical Loss Ratio (MLR) requirements of the Affordable Care Act ("ObamaCare") saved consumers $1.9 billion in premiums in 2012:

"So how might these (new MLR requirements) changes have affected premiums? As noted above, one way to address this question is to compute what these consumers would have paid in premiums in 2011 and
 

Rate Shock in California!––The New Health Insurance Exchange Plans––Comparing Apples to Oranges to Grapefruit

I have to say I was surprised with the press reports last week that there wasn't "rate shock" in California when the California exchange offered preliminary information about their new plans and rates.

At least one prominent health actuarial group had predicted a 30% baseline increase in costs for California's new health insurance exchange plans under the Affordable Care Act (ObamaCare").

As
 

A Health Insurance Exchange That Won't Be a "Train Wreck"

Every week, I get an email from the Maryland Health Connection––the state run health insurance exchange.

Maryland is one of a minority of states that are building their own Affordable Care Act ("ObamaCare") exchange.

You can go to their site and sign up for these weekly updates.

Let me suggest that Maryland is an example of what an on-track and well organized effort looks like for any exchange
 

Implementation of the Affordable Care Act––More Evidence That Rate Shock is Coming

The Society of Actuaries is out with another estimate of health
insurance rate increases as a result of implementation of the
Affordable Care Act ("Obamacare").

While there is a great deal of difference between states, they are estimating an average increase of 31.5% on account of the new underwriting reform and benefit expansion requirements of the health law:



These rate increase
 

Six Months to Go –– Will the Health Insurance Exchanges Be Ready on Time? Survey: Health Plan Execs Don't Think So

As the Obama administration continues its top secret effort to build federal insurance exchanges in about 34 states while 16 states are doing it on their own, that continues to be the big question.

HHS is using IT consulting firm CGI for much of the work on the exchanges and the federal data hub. CGI has their plate full since they are not only working on the federal exchange but also doing work
 

The Cost to Launch the California Health Insurance Exchange is $910 million––Does That Sound Like a Lot to You?

So far California has received $910 million in federal grants to launch its new health insurance exchange under the Affordable Care Act ("Obamacare").

The California exchange, "Covered California," has so far awarded a $183 million contract to Accenture to build the website, enrollment, and eligibility system and another $174 million to operate the exchange for four years.

The state will also
 

Christie Removes Another Republican Excuse for Passing on the Medicaid Expansion

The New Jersey Governor became the eighth Republican to take the Medicaid expansion deal.

What I found notable is that he essentially mimicked Florida Republican Governor Rick Scott in reserving the right to back out in future years if the feds don't keep their funding promises. While the feds are paying 100% of the cost of expansion in the first three years, that support ultimately drops to 90%
 

C. Everett Koop, MD

Anyone who has ever read this blog and noticed its upper right hand corner has known that Dr. Koop and I were friends––for more than 20 years.

One of my more amazing experiences with Dr. Koop centers on a walk we took from the White House to my office up Connecticut Avenue. In the length of about a mile, I don't know how many people stopped him and thanked him for his service. Just regular
 

Florida's Republican Governor Scott Does a Deal With Sebelius on Medicaid

A million Floridians will now be eligible for Medicaid––the Obama administration is happy about that.

Republican Rick Scott gets to do it his way––in an almost entirely private market.
This from today's Tampa Bay Times:

His [Scott's] endorsement of the expansion came hours after the federal government
agreed to grant Florida a conditional waiver to privatize Medicaid
statewide for the state's
 

By Refusing to Implement the Medicaid Expansion Republican Governors May Be Making the Republican Block Grant Proposals Impractical

Paul Ryan's Medicaid block grant proposals have always made sense to me. Give the states their Medicaid allotment and real flexibility over how they spend what will inevitably be less federal money.

But as I have thought about the impact of implementing the Medicaid expansion under the Affordable Care Act ("Obamacare"), Medicaid block granting is looking more and more problematic.
Under the new
 

One Fiscal Cliff Down and Three To Go––But No Real Solution On the Horizon

Last week's deal to avert the "fiscal cliff" settled very little.

For those in the health care market, I will suggest the big takeaway is that we should expect very little will be settled in the coming months and we will continue to face a great deal of uncertainty for years to come.
Without an agreement to alter the course we are on, it is estimated that we will add more than $10 trillion to
 
 
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