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Old 01-02-2024, 02:27 PM
 
Location: 32°19'03.7"N 106°43'55.9"W
9,374 posts, read 20,787,825 times
Reputation: 9982

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Quote:
Originally Posted by Phil P View Post
That's nation wide, doesn't matter where you are really.
Don't agree with this at all. My clients who need specalities for cancer are routinely going to Phoenix and Rochester, Minnesota for services. I had another client that just relocated to Little Rock, Arkansas for better medical treatments. Also, the malpractice caps this state legislature just voted to increase multifold have resulted in more specialists leaving. Anti-business friendly bills that get passed and enacted have consequences. The only ones who benefit from that are the attorneys.
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Old 01-03-2024, 08:40 AM
 
Location: Taos NM
5,349 posts, read 5,123,798 times
Reputation: 6766
Quote:
Originally Posted by mike0421 View Post
Don't agree with this at all. My clients who need specalities for cancer are routinely going to Phoenix and Rochester, Minnesota for services. I had another client that just relocated to Little Rock, Arkansas for better medical treatments. Also, the malpractice caps this state legislature just voted to increase multifold have resulted in more specialists leaving. Anti-business friendly bills that get passed and enacted have consequences. The only ones who benefit from that are the attorneys.
Yeah there are specialists in the medical hubs and major cities for sure, but very few med students are going to be primary care doctors - most are going to be specialists. Due to that lack of new primary care students, there's a shortage pretty much everywhere.

So if you need specialists, you're much better off in a hub, but for PCPs, I don't know that one is much better than another, especially if many of the PCPs are near retirement age and you have to reset that built knowledge transitioning to a new one.
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Old 01-03-2024, 07:45 PM
 
Location: 32°19'03.7"N 106°43'55.9"W
9,374 posts, read 20,787,825 times
Reputation: 9982
Quote:
Originally Posted by Phil P View Post
Yeah there are specialists in the medical hubs and major cities for sure, but very few med students are going to be primary care doctors - most are going to be specialists. Due to that lack of new primary care students, there's a shortage pretty much everywhere.

So if you need specialists, you're much better off in a hub, but for PCPs, I don't know that one is much better than another, especially if many of the PCPs are near retirement age and you have to reset that built knowledge transitioning to a new one.
Got it. Thanks for clarifying, that does make sense, and with that I do agree.
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Old 01-04-2024, 06:37 AM
 
27,169 posts, read 43,857,618 times
Reputation: 32204
Quote:
Originally Posted by Phil P View Post
Yeah there are specialists in the medical hubs and major cities for sure, but very few med students are going to be primary care doctors - most are going to be specialists. Due to that lack of new primary care students, there's a shortage pretty much everywhere.

So if you need specialists, you're much better off in a hub, but for PCPs, I don't know that one is much better than another, especially if many of the PCPs are near retirement age and you have to reset that built knowledge transitioning to a new one.
In my opinion we need to consider a transition if needed to utilizing Nurse Practitioners or Physician Assistants as our PCP. I find the care more attentive via two-way dialogue and appointment time much more available versus a traditional MD in a primary care setting.
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Old 01-05-2024, 07:38 AM
 
10,988 posts, read 6,852,461 times
Reputation: 17975
Quote:
Originally Posted by kyle19125 View Post
In my opinion we need to consider a transition if needed to utilizing Nurse Practitioners or Physician Assistants as our PCP. I find the care more attentive via two-way dialogue and appointment time much more available versus a traditional MD in a primary care setting.
Where I've been living (Alabama), it's the same. I almost always see the Nurse Practitioner instead of the doctor. As long as they listen and are responsive and knowledgeable, I don't care.
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Old 01-05-2024, 10:15 AM
 
Location: 5,400 feet
4,861 posts, read 4,794,690 times
Reputation: 7942
Quote:
Originally Posted by pathrunner View Post
Where I've been living (Alabama), it's the same. I almost always see the Nurse Practitioner instead of the doctor. As long as they listen and are responsive and knowledgeable, I don't care.

Same here. Sometimes, you might get to see the PA, if there is one. Seeing a doctor can be difficult, and a few we've known simply left the state for greener pastures.
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Old 01-06-2024, 02:34 AM
 
Location: The Republic of Molossia
712 posts, read 393,820 times
Reputation: 675
I think one big reason is that New Mexico does not get the attention that Texas gets is because Texas has no state income tax and New Mexico does.Granted I know Arizona and California have income tax.
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Old 01-22-2024, 01:51 PM
 
Location: Ruidoso, NM
5,667 posts, read 6,590,852 times
Reputation: 4817
Quote:
Originally Posted by NewMexicoCowboy View Post
I think one big reason is that New Mexico does not get the attention that Texas gets is because Texas has no state income tax and New Mexico does.Granted I know Arizona and California have income tax.
NM no longer taxes social security. If you are fairly poor it's a cheap place to retire.
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Old 01-23-2024, 05:34 PM
 
Location: The Republic of Molossia
712 posts, read 393,820 times
Reputation: 675
Quote:
Originally Posted by rruff View Post
NM no longer taxes social security. If you are fairly poor it's a cheap place to retire.
Well some people still pay more taxes if they are high income.I have also heard that New Mexico taxes dividends from stocks.There are also some people who would just never live in a state that had an income tax in retirement regardless.
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Old 01-23-2024, 08:08 PM
 
Location: Ruidoso, NM
5,667 posts, read 6,590,852 times
Reputation: 4817
Quote:
Originally Posted by NewMexicoCowboy View Post
There are also some people who would just never live in a state that had an income tax in retirement regardless.
There are a lot of people who don't make a bit of sense, that's true... but I think most would find that their tax burden here is low.
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