Thread by @AutismDrMom

A follow on from @EBMgoneWILD discussion about the mess that is the 🇺🇸 medical system
Malpractice insurance is designed to trap physicians in jobs for life.
On a thread with fellow #obstetricians and discussing tail insurance. 1/

For those not familiar with the hot damn mess of American med mal, obstetricians have one of the highest malpractice premiums. It varies from state to state and increases every year.
About 18 years ago as a new grad, mine was a real cheap $55,000/year. 😒 2/

If you have a 'Claims Based' malpractice policy, you *have* to buy a 'Tail policy' if you want to leave your current job (unless your carrier covers your new job/state)
Now, the 'Tail Policy' cost varies based on how long you have been working. The longer = more expensive 3/

Currently I'm seeing policy quotes as low as $77,000 (Georgia) all the way up to $230,000 (Maryland)
Oh, and these have to be paid IN FULL up front. No payment plans 4/

So another way that doctors with additional financial constraints become trapped in positions. When you are 3-4 years out with $200k in student loan debt, kids and household bills, you don't have an extra $100k to give to an insurance company 5/

My recommendation for my younger colleagues:
-only consider jobs with Occurence policies OR
-negotiate the tail to be paid by your employer
Don't become trapped in a job not right for you
@olsonplanner
@MamaDoctorJones
@drkamiobgyn @drkamiobgyn @cclareMDMPH