Paid Maternity Leave

I had just written a response to a partner’s email regarding outpatient coverage and the focus of work-life balance.  I think it’s a great initiative that she is tackling while brainstorming what could help the group with flexibility as well as some normalcy while raising a family.
This made me think of changes to antiquated practices we currently have in our work environment… primarily, paid maternity leave as well as paid sick leave.  Many of my male colleagues can continue to work and can take as little or much leave as they would like for family bonding or vacation time to spend with their newborns.  This is their option.  Unfortunately, the women physicians in our group are not afforded that same luxury.  There is a 6 week medical leave of absence with a vaginal delivery or an 8 week leave of absence with a C/S as proposed by the OBs.  During this time, we are not paid.  State disability is a joke bc it’s not even enough to cover a mortgage payment.  Look at other large companies, there’s often paid leave or sick leave available to the employees.  Therefore, women who choose to have kids while working as a physician in our group are penalized, especially if they are the breadwinner.
Not only that, even while off on medical leave, we are required to pay into the trust and pay ridiculously high premiums to cover the wide age gap of partners in our practice.  I would be happy to look elsewhere for my medical coverage, but I simply cannot come off our medical insurance plan.
Therefore, I propose there be a fund set aside to create a pool or trust for persons creating families (just as we do for our more distinguished and elderly physician population with our health insurance plans and exorbitant premiums) who will have families and work in our group.
Here are some examples in the news of what is and has been in the pipelines….
Here are examples of companies getting it right:
Please consider updating some or all of the policies for paid maternity leave.  I am open to your thoughts and considerations.

 

Poll on Maternity Leave

What it’s like to be a female anesthesiologist…

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The healthcare debate

Here it is.  I didn’t want to opine, but it’s here and I can’t get away from the topic.  I see it at work.  I watch it at home.  It comes up in discussions…  so in order to make it stop, I’m going to give you an idea of what I see and what I think about Obamacare and whatever else is out there.

April 2015

Public Integrity: Insurers backed Obamacare, then undermined it.  Now they’re profiting from it.

February 2016

Talking Points Memo: The real reason insurance companies are complaining about Obamacare

August 2016

CNN: Will Obamacare survive as insurers pull out?

October 2016

Salon: Making a killing under Obamacare: The ACA get blamed for rising premiums, while insurance companies are reaping massive profits

November 2016

Portland Press Herald: Maine Voices — The problem isn’t Obamacare; it’s the insurance companies

December 2016

NYT: Health insurers list demands if affordable care act is killed

The Huffington Post: The Obamacare paradox — The real reason health insurance companies don’t like the ACA

January 2017

Market Watch: I’m a former health insurance CEO and this is what Obamacare repeal will do.

Great Z’s: Liberals are out of touch

March 2017

LA Times: Here’s the secret payoff to health insurance CEOs buried in the GOP Obamacare repeal bill

Common Dreams: Why big insurance adores the American Healthcare Act

What I see:

When Obamacare was initiated, I recall seeing a patient who had broken her foot while hiking locally.  She had a surgeon who was covered under Obamacare, as well as an anesthesiologist.  However, the hospital chose not to accept Obamacare and she had to pay out of pocket for her overnight stay.

It seems that we’re seeing more and more insurance companies pulling out of the system because it doesn’t seem to be profitable for them.  Insurance companies are a business; they’re not looking after the wellbeing of the patient.  Physicians, nurses, caretakers, the care team look after the wellbeing of the patient.

How many people do you know are satisfied with their insurance coverage?

I’m covered by Anthem on a PPO plan with about 240 physicians.  My insurance rate is lousy for the coverage I receive — a high deductible plan.  I’m young and healthy and take responsibility for my health — why am I paying $620/mo for barely there medical coverage as a physician?  Well, the answer is that our company makeup is a majority of older partners who skew the coverage toward a higher premium — basically a mini-Obamacare environment.  I’m subsidizing their health coverage… and someday, hopefully I will still be healthy bc I’m responsible for my health (keypoint right there folks) and doing everything I can now to give my body the best fighting chance to survive into “old” age.

My question: 

Anyone think to make insurance companies accountable with transparency re: ACA?  Start there.  Does anyone else think it’s odd that the people who are helping shape the bill don’t actually participate in the care/exchanges like the public?  All the while, government and insurance companies dictate coverage and force physicians into tougher situations to deliver care.  Is this what you (the public) want?  When was the last time you saw the fine print of the bills being passed?  Don’t just follow the masses, look for the details and truth for yourself.

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What government officials have for insurance: