Johns Hopkins Emergency Loan: Fill & Download for Free

Poverty is expensive.HousingAs a young person, I waited tables in Atlanta. The dishwashers and kitchen staff lived in poverty and worked multiple jobs at low pay. It struck how many of them lived in “motels” paying far more than my rent for an apartment, but they did not have the credit and were not the right color to qualify for a decent lease.Bad people take advantage when you’re down…and different.It’s also extra hard to get the good jobs.HealthcareA 2017 study by Johns Hopkins showed emergency rooms charge 400% more than Medicare (not Medicaid) pays for care, and this graft by our PUBLIC healthcare providers applies especially to low-income and minority populations.They have a monopoly and they know it.Emergency Room Patients Routinely Overcharged, Johns Hopkins Study FindsThat should help to debunk they myth of the lazy poor, and the idea that if you just work hard enough, you can climb out of the sinkhole.Other reasonsThe poor cannot bank or borrow without paying higher rates and fees.Because they cannot afford attorneys, they are prey for price gougers and other commercial predators. They pay higher rates of inflation with few pay increases in terms of real wages. And they cannot begin to pay student loans.In some major cities, public transportation no longer guarantees a cheaper ride, especially when we factor in the value of time wasted for the commute.

The answers you see are because the profession has changed at least in the US.When I trained, my medical school cost far less than my undergraduate school. Granted I went to my state school vs MIT. But MIT was $8700 tuition then and my state medical school was $2500 a year. I had a scholarship from Johns Hopkins APL (because my father worked there for almost half the tuition of MIT). My parents, $2500 a year in student loans, and $2000 a year in summer jobs paid the rest at MIT. My costs to attend medical school were lower. So I exited medical school with $17,500 in debt. I entered the lowest paid residency in the country at $15,500 a year with $1000 increase per year so at 5th year I was getting paid $20,500. I had to moonlight in local ER's to make ends meet but that meant I had a used car, apartment, and a boat.Fast forward. Now my medical school costs $33,100 a year. Using a CPI calulator it should be $5,427. That is over a 6 fold increase in cost at just in my state medical school and private schools which I couldn't afford but got into at the time have gone way up too. So now instead of a little debt doctors get out with a medium sized house payment with student loan debt averaging about $160,000-$200,000.Similar tuition inflation though not as great as my medical school has been seen at most private universities.Payments have fallen and insurance companies and the government dictate what you get paid. You have an hour or two of paperwork/EMR to do every day just to justify the payment. So many physicians have PA's or Nurse practitioners work with them or hire another nurse.While I was growing up insurance was called Hospitalization insurance. You paid the doctor, and for your medicine. There were many fewer on medicare and medicaid. These patient numbers on medicare and medicaid have grown drastically and the insurance reimbursement to the physician has fallen and is less or just at his costs today. So when I was growing up a $30 payment for an office visit was the charge not the co-pay. He could spend 30 minutes with you. His malpractice coverage was a negligible amount.Physicians used to be revered, now the patients see it as a right and that doctors are "rich". No one begrudges the entrepreneur from making $50 or $100 million dollars, but the average physician makes $220,000 a year after 11-15 years of training. My son out of MIT with a BS and MEng will make more than that after 4 years just starting out. Yes he is an outlier in CS/EE and picked the perfect major. CS hardly existed when I went to MIT. So when I went to school the best and brightest went into medicine, law and business. Medicine was delayed gratification and you could make a reasonable living and be respected in the community.Personally, my malpractice carrier made $500,000 on me until I became disabled. They left the field of medical malpractice stating in 37 years in the business they had failed to make a profit in any year.The loss of respect, expect for perfect outcomes, and lawsuits make the delayed gratification with huge debt attached make medicine a much less appealing field in the US. My two sons were explicitly told to not go into it by two physician parents unless they really wanted to.ETA: A comment requested I add about stress. There is more stress than long ago. Malpractice risk is always on your mind. Physicians drop privileges because of cost to insure themselves for those procedures (adding spine coverage added $50,000 to my malpractice premium). Now we are expected to document every single question asked or exam performed. This takes time and slows us down. Finally we have to debunk internet theories our patients come in with. So we are constantly being asked to do more in less time. Add going out in the middle of the nights for emergencies (which I signed on for) and our lives have markedly deteriorated in the last 15 years. We no longer get to be a truly caring physician having to rush, document etc. So many physicians have turned into test ordering machines rather than diagnose by history and physical exam.

Yes, you can. It’s one hell of a deal if you ask me. The Army will even pay you to go to medical school, and when you get your MD, there is no student loan to pay back.When I was a cadet, I toured the F. Edward Hébert School of Medicine in Bethesda Maryland (otherwise known as the Uniformed Services University of Health Sciences or simply USUHS) but ended up being far too stupid to be accepted there as a student.Let’s suppose for a minute though that you are brighter than me, and you want to become an MD through the US Army. To get the latest details directly from their website, you’ll want to click here: https://www.usuhs.edu/sites/default/files/media/medschool/pdf/whatyouneedtoknow.pdfBasically, you’ll have to quality academically to be accepted into the school. You also have to meet all of the requirements to become an officer in the US Army. Once those criteria are met, you’ll be commissioned as a Second Lieutenant (O-1) with full pay and allowances for that grade (that’ll put you close to about $60K a year ). Since USUHS is a tuition free institution, all of your books and lab fees are covered as well. You pay for nothing. Rub that in the face of your buddy who just took out a huge loan to go to Johns Hopkins.Of course, dear reader, nothing in life is truly free. Just what do you owe Uncle Sam once you get your MD from USUHS? For starters, you are required by law to serve on active duty for 7 years. Not so bad. However, time spent in graduate medical education (i.e.,internship or residency) does not count toward the payback. Hey, still no student loan and you’ve been getting paid since day one of medical school. By this time you’ve been promoted a time or two.Pay attention to this next part very closely boys and girls:In addition, upon completion of the active-duty service obligation, students who serve on active duty for less than 10 years after graduation will have their names placed on the Individual Ready Reserve (IRR) roster. (Graduate medical education does not count toward the 10 years). While on the IRR roster, service members are on inactive reserve status, with no weekend or annual, active-duty drill required, but are subject to call-up by the President in times of emergency. The amount of time required is as follows:• Active duty service less than 8 years, 6 years on the IRR roster.• Active duty service of more than 8 years, but less than 9: 4 years on the IRR roster.• Active duty service of 9 years or more, but less than 10: 2 years on the IRR roster.This is the part that can bite you in the ass like a rabid pitbull. It got me real good when ‘ole GW decided to invade Iraq. Reminds me of that line from Godfather III, “Just when I thought I was out…they pull me back in”.You see, when we go to war, the military needs medical types really bad and if you are lucky enough to be in the IRR, you too might get orders that say drop what you are doing and be at your mob station in 72 hours. Before you know it, life is like this.It’s not all bad though. Even as a deployed Army doc a lot of your evenings still end like this.** On the roof of Ibn Sina Hospital in the Green Zone of Baghdad, close to Baghdad International Airport. Free fireworks show almost every night.