[CoachKandSportsguy]

Originally Posted by crash

I see the breaking point as medical care not enough hospitals or doctors for the large elderly population. They were going to add a hospital but cancelled because they couldn’t get enough doctors to staff the ones we have so why build another.

FL and hospitals and elderly medicare and others forms of health insurance for retirees are a gold mine for scams and enrichment schemes.

The healthcare in FL is somewhat similar to the housing scenario, where the state laws and oversight are not focused on serving the communities, but are left to commercial enterprises (which includes non profit enterprises, as non profit only means that profits are not taxed the same way.)

Other states force and oversee the healthcare hospital systems such that they cover rural and other areas regardless of profitability, and then provide certain reimbursements for serving that population. . . not here in FL. .

[Papa_lecki]

Originally Posted by thelegges

Good thing you don’t run a practice, 10 offices, staff, equipment, rent, would eat you alive. Plus not only wouldn’t you not have a life, burn out would be eventual. Plus can you imagine that many physicians getting along.

Average practice (to make profits) one main office, then one or two shared office used on that drs day off, or use half day.

One physician wouldn’t spend hours traveling when they can make money in one place. If you are good at what you do, patient will travel hours to get that appointment.

We had a practice with 4 orthopedic surgeons, one PA, and CFA. 3 office staff, 1 X-ray tech, and shared PT. 1 main office, and 2 satellite 1/2 day offices. Even then some days it was a stretch if trauma hit ED.

Plus young newly board physicians don’t care if hospitals are new, they just want a place to land, make some money, then move on with experience. Have been involved with 3 new hospitals, takes awhile for the dance to become fluid

I was kind of being facetious when I said 20 offices.
I was pointing out that TV is ripe with lots of patients.
And I wasn’t thinking a single practitioner, was thinking something along the lines of Rothman Orthopedics, (40 offices in 4 states).

[Bogie Shooter]

Originally Posted by TheKingsWayHome

You can rest assured that the tv is not sustainable as it currently is

However, there are do many nice smart thoughtful people living here

Trust your neighbors
We will adapt

Tom

[Escape Artist]

Originally Posted by Papa_lecki

The next generation of retirees will have more wealth than the last generation. The house they sell will be worth more, wages are higher, the stock market had bigger returns, defined benefit plans (with little COLA increases) have been replaced with defined contribution plans.

As long as the Villages adapts (and the last generation seems to not like all the adaptation being made) - but they are for the next gen, not the last gen

The economics are different.

This isn’t a coal mining town, the economy of the villages is based on not producing anything’s, except an active retirement - apples and oranges.

It’s not the post- Boomer generation that has to worry it’s the one after that which experienced company downsizing and eliminating pensions and benefits. Not everyone has investments and 401Ks etc. Yes, that’s years down the road but it will get here eventually. Experts, meaning those who examine socioeconomic trends, say those under 40 won’t have the quality of life or living standards of their parents.

[justjim]

Originally Posted by BrianL99

Requires an Act of Congress.

Unlikely

Read post #25 it is spot on.

[maistocars]

Inflation is everywhere - not just The Villages. If someone can afford to move here or anywhere today, inflation will be the same as years go by no matter where you are.

[skippy05]

The villages will implode in 15 years. Next generations with no savings or pensions. No interest in golf, only video games.

[JSR22]

Originally Posted by skippy05

The villages will implode in 15 years. Next generations with no savings or pensions. No interest in golf, only video games.

Not in our family. The kids are doing extremely well. A MD, an optometrist, physical therapist and the most successful has a huge job in sales. They all save and live very well. 3 of the 4 play golf. They all went to good schools and are very successful.

[asianthree]

Originally Posted by Papa_lecki

I was kind of being facetious when I said 20 offices.
I was pointing out that TV is ripe with lots of patients.
And I wasn’t thinking a single practitioner, was thinking something along the lines of Rothman Orthopedics, (40 offices in 4 states).

My urologist office started as a 3 physician office, now has 46 physicians in tri county area, with 8 offices. Without the yearbook pics sometimes you didn’t know who staff was.

To get some peace he would come to the OR for quite time. As he said it’s time to leave the zoo, because when you have 46 personalities to deal with, something always fall through the cracks, usually a patient.

[JMintzer]

Originally Posted by rockyhyder

IMHO The Villages has a proven business plan that adapts as needed therefore sustainability within TV proper is not an issue. The threat to our lifestyle here is external.
Current rate increases for both home and auto insurance in this state are unsustainable.
Thousands upon thousands of apartments surrounding TV with little or no amenities. Overcrowding in the squares, pools and courts are not because of The Village's building fewer amenities. Last but not least healthcare, it’s difficult to sustain quality healthcare on a Medicare budget. Quality healthcare is a national problem, exacerbated in Florida and even more so in TV due to the median age.

Medicare has become one of the better payers to doctors... The others have dropped to (or below) medicare reimbursements...

It used to be that you made most of your money off of the private insurance companies and you accepted Medicare/Medicaid as an afterthought...

That is no longer the case...

[JMintzer]

Originally Posted by skippy05

The villages will implode in 15 years. Next generations with no savings or pensions. No interest in golf, only video games.

Nonsense. Gen X (the generation following the Boomers) is almost as big in number as the Boomers (62.5 million vs 71.6 million) and they have plenty of money (1.1 million per household vs 1.2 for Boomers)... They (along with Millennials) are also set to inherit $86 $TRILLION in wealth...

They are now just starting to retire (they are the children of the older Boomers...)

[Bilyclub]

Originally Posted by PersonOfInterest

Its hard to predict the future, but the Villages has maintained a lead position in retirement communities for many years and will probably continue to do so for some years to come. I think it will depend on where the builder takes the Villages and whether they can rectify some of the creeping problems such as overcrowding and the lack of commercial establishments in the newer sections. After a few years here you begin to realize that having over 100 pickleball courts that are full constantly is no better than 8 courts in a smaller community with more availability. Anticipated Commercial business is not keeping up with the Villages expansion. With the premium price we pay to live in the Villages the comparisons to other, smaller communities may begin to be not as favorable.

Huh, after high noon it's pretty easy to find loads of empty courts. Before noon you might have to wait in line up to 15 minutes before getting in a game.

[Papa_lecki]

Originally Posted by skippy05

The villages will implode in 15 years. Next generations with no savings or pensions. No interest in golf, only video games.

Biggest risk wont happen for a generation and a half. 50 or 60 years.

[DugCave]

There are fewer middle class earners as time goes on. Eventually, there will be only lower and upper class earners. Many reasons for this, computers, jobs going overseas, union busting, to mention a few. The Villages may have to split into lower and upper class housing.

[drdoug59]

What exactly is there to do for an alpha male or female doctor in this rural part of Florida? Don’t you think the best and the brightest would want to work where there are 5 star rated hospitals like Boston and NYC and career opportunities for their spouses and communities filled with younger people listening to bad bunny, The Weeknd, or Drake. Where would they find that within 10 miles of TV?