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Originally Posted by ElDiabloJoe
Due to the massive concentration of a senior citizen demographic, I'm always surprised it is not the epicenter of American gerontology. I figured every doctor specializing in such, and every service geared toward the populace (like assisted living!) would be in abundance here. I find it shocking the opposite is true.
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If you talk with health care recruiters, doctors want a quality of life when they are not working, and for their families. Rural f* Florida is not considered a high quality of life area for the average age MD.
My wife and her nephew-in-law both work in medical center hospitals, and one works in HR. Doctors can get picky about where they work, the housing availability, the quality of housing and surrounding amenities for lack of a better word, outside the bubble.
Also, given the rates of Medicare reimbursement, there is not a mix of commercial payers to balance out the negative margins of generontology, which requires most gerontologists to be associated with a large hospital system where they can be subsidized with a higher profitability reimbursement mix.