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Mon Sep 14 17:26:52 BST 2009

All of my great great grand parents, some of whom were Cherokee  Indians, 
merely ate what they killed or gathered for that days  meal.   They also 
gathered vegetables and grains and dried some  meat for the winter time.   If 
they did not gather or kill meat, they  did not eat.    They trusted the Great 
Spirit to provide  opportunities for providing for their families and 
tribe.     Somehow, the Great Spirit also took care of, in due time, those who 
were unable  to kill food or gather grain.    

I have no idea what this has to do with anything.  

k

In a message dated 9/14/2009 11:20:10 A.M. Central Daylight Time,  
nmcswai at tulane.edu writes:

I think  that *pay for performance* is a conservative approach not a  
liberal

Norman

Norman McSwain MD
Trauma Director, Charity  Hospital
Professor of Surgery, Tulane University
New Orleans LA
504  988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>  

________________________________

From:  trauma-list-bounces at trauma.org on behalf of KMATTOX at aol.com
Sent: Mon  9/14/2009 11:13 AM
To: trauma-list at trauma.org
Subject: Re: Backup Call  Pay

Sounds like Norm is suggesting a "Pay for Performance" type  of social 
system that is also being proposed by the Democratic Congress in  
Washington  DC.
I am somewhat conservative in my  thinking, and am  about 5 standard
deviations to the right of Attilla  the Hun politically, but I  also believe
that they who do not work as  hard, should not be paid as  much.    For 
everyone
to get  the same pay, same car, same TV,  same work hours, same food,  same
news, same everything, sounds more communistic  than  progressive.    

k

k

In a message  dated 9/14/2009 11:08:25 A.M. Central Daylight Time, 
nmcswai at tulane.edu  writes:

-Should  a surgeon be paid a smaller amount for being on  call than a
surgeon who is not  on call?
- Should an on call  surgeon be paid extra if they come in and see  a
non-paying patent vs  the surgeon who is on call and sees only paying  
patients

Bottom  line should a surgeon be paid in relationship to the  amount of  
work
that they do  

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