Minimizing risk to high income profession

cyanide123

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Logged back in my account after almost 7 years. The days of fake accounts I thought were behind me.

After many years I ended up becoming a doctor. A part of me wants to venture out into a business of selling doctor notes. There are so many websites that are selling "fake" doctor notes.

But as a physician, I feel that if I hear the history of a patient (aka have them fill a form), I can write a legit doctors note at a premium cost.

My concerns:
1) I'm wondering if writing a doctors note legally put me in a doctor patient relationship. In my mind, if I write it on the website that "this is not medical advice and please see a physician in person if you seek a medical consultation", then it's not a doctor patient relationship. Plus obviously I will not be giving a medical opinion.

2) Writing a doctors note across state lines - If I'm licensed in States A and B, I'm concerned if I'm jeopardizing the wrath of the medical boards of all the other states if they deem it as medical practice to write a doctors note, especially to people from other states where I'm not licensed to practice.

My Options:

1) Maintain maximum anonymity - not register domain, hosting, or anything under my name. The problem will become accepting paypal payments (accept under family member's paypal?).

2) Just go with it 100% legally with full disclosure of who I am, because the medical boards shouldn't have an issue with a doctor stating "I reviewed the history of *insert name* and have deemed that this person was not well. He/she may return to work on *insert date*". Plus on the website, it will be clearly stated that I can decide to refund the money and not write a work note (like I would in my office). In my mind, this is the equivalent of going to a notary who attests that you were the real person signing. Just like that, my work note is just an attestation that person X stated they felt sick (and I'll be diligent to not even say I saw this person, just that I reviewed their history).

Thoughts? What's the best way forward? A part of me is terrified of having worked so hard and gotten to a a high 6 figure income and then get in trouble with a medical board.
 
Logged back in my account after almost 7 years. The days of fake accounts I thought were behind me.

After many years I ended up becoming a doctor. A part of me wants to venture out into a business of selling doctor notes. There are so many websites that are selling "fake" doctor notes.

But as a physician, I feel that if I hear the history of a patient (aka have them fill a form), I can write a legit doctors note at a premium cost.

My concerns:
1) I'm wondering if writing a doctors note legally put me in a doctor patient relationship. In my mind, if I write it on the website that "this is not medical advice and please see a physician in person if you seek a medical consultation", then it's not a doctor patient relationship. Plus obviously I will not be giving a medical opinion.

2) Writing a doctors note across state lines - If I'm licensed in States A and B, I'm concerned if I'm jeopardizing the wrath of the medical boards of all the other states if they deem it as medical practice to write a doctors note, especially to people from other states where I'm not licensed to practice.

My Options:

1) Maintain maximum anonymity - not register domain, hosting, or anything under my name. The problem will become accepting paypal payments (accept under family member's paypal?).

2) Just go with it 100% legally with full disclosure of who I am, because the medical boards shouldn't have an issue with a doctor stating "I reviewed the history of *insert name* and have deemed that this person was not well. He/she may return to work on *insert date*". Plus on the website, it will be clearly stated that I can decide to refund the money and not write a work note (like I would in my office). In my mind, this is the equivalent of going to a notary who attests that you were the real person signing. Just like that, my work note is just an attestation that person X stated they felt sick (and I'll be diligent to not even say I saw this person, just that I reviewed their history).

Thoughts? What's the best way forward? A part of me is terrified of having worked so hard and gotten to a a high 6 figure income and then get in trouble with a medical board.
Why on Earth you would want to get involved in this shit?! Extra money? You are doctor ffs, even if you do not make a lot now, more money will come anyway. Why risking losing your license and ruining your life, for basically pennies?
 
Why on Earth you would want to get involved in this shit?! Extra money? You are doctor ffs, even if you do not make a lot now, more money will come anyway. Why risking losing your license and ruining your life, for basically pennies?

I work 12 days a month, too much time on my hands maybe and desire to create something where I can work minimally from home?

Per google analytics, we're looking at around 200k monthly searches. At 20-30 dollars a pop, if a very streamlined process is created, then I'm not looking at pennies. The canadians seem to have perfected the process (website called maple), but they are doing telemedicine, which 100% establishes doctor patient relationship which takes time, isn't scalable, so I'm not interested in that model.
 
Why on Earth you would want to get involved in this shit?! Extra money? You are doctor ffs, even if you do not make a lot now, more money will come anyway. Why risking losing your license and ruining your life, for basically pennies?

But I just don't think there is any part of this that is illegal or wrong. It's the worst drain on the health care system. Several people just walk into ERs asking for work notes or school note, I see it all the time. That's often a 75 dollar copay they end up paying, and a decent drain of resources.

If anything, having a physician review something online and fulfill the obligatory employment work note online is a much more streamlined and cheap way to proceed.
 
It will be hard to get legal advice here.

hahah and it's hard to get a straight answer from a lawyer too unfortunately :P

I have the domain name, perfect name, have hosting in place, just having second thoughts because i spent 11 years after high school in school and training -_-
 
I work 12 days a month, too much time on my hands maybe and desire to create something where I can work minimally from home?

Per google analytics, we're looking at around 200k monthly searches. At 20-30 dollars a pop, if a very streamlined process is created, then I'm not looking at pennies. The canadians seem to have perfected the process (website called maple), but they are doing telemedicine, which 100% establishes doctor patient relationship which takes time, isn't scalable, so I'm not interested in that model.
Well if you "streamline the process" then you wont be able to really look at the patients file and will just sell fake doctor notes = immoral, probably illegal...
But I just don't think there is any part of this that is illegal or wrong. It's the worst drain on the health care system. Several people just walk into ERs asking for work notes or school note, I see it all the time. That's often a 75 dollar copay they end up paying, and a decent drain of resources.
If anything, having a physician review something online and fulfill the obligatory employment work note online is a much more streamlined and cheap way to proceed.
Actually the biggest drain is those people not working and getting paid - this cost the businesses way more than $75.
 
Well if you "streamline the process" then you wont be able to really look at the patients file and will just sell fake doctor notes = immoral, probably illegal...

Actually the biggest drain is those people not working and getting paid - this cost the businesses way more than $75.

Yes, agreed. Very large drain on businesses. A large segment of the population will just walk into an ER just to get out of work, it's ridiculously common. No physician will ever say no to a work note, too much pressure from admin towards patient satisfaction.

Your messages are only re-affirming my fears. Maybe I should just stick with my day job -_- I honestly feel a little burned out from medicine and if I can set up another income stream that replaces my current income, I will happily slowly walk away from medicine. verbal abuse from drunk disrespectful people gets old very fast. The stress of litigation, and the stress of the job itself is pretty terrible.
 
Yes, agreed. Very large drain on businesses. A large segment of the population will just walk into an ER just to get out of work, it's ridiculously common. No physician will ever say no to a work note, too much pressure from admin towards patient satisfaction.

Your messages are only re-affirming my fears. Maybe I should just stick with my day job -_- I honestly feel a little burned out from medicine and if I can set up another income stream that replaces my current income, I will happily slowly walk away from medicine. verbal abuse from drunk disrespectful people gets old very fast. The stress of litigation, and the stress of the job itself is pretty terrible.

Well, I am just random guy from Internet. But still maybe you can switch to more relaxed part of the medical profession? GP or some beauty crap.. instead of going the dark route.
 
Well, I am just random guy from Internet. But still maybe you can switch to more relaxed part of the medical profession? GP or some beauty crap.. instead of going the dark route.

I'm an ER doctor. It's always stressful at work. Switching to a more intensive specialty means going back to residency training, working 80 hours a week again for 3 years minimum and getting paid 50k for that slave labor. That's a 1.2 million dollar opportunity cost over 3 years, not even accounting for the ridiculous work load of residency. There are very few people with the will power to go back to training, i can't.

Oh well... Thank you for your opinion. I appreciate it.
 
1) Maintain maximum anonymity - not register domain, hosting, or anything under my name. The problem will become accepting paypal payments (accept under family member's paypal?).

Seriously? And if LE look for you and find your family member what's then?
 
Seriously? And if LE look for you and find your family member what's then?

Lots of overseas family members that are US citizens with no intention of coming back.

Lots of friends on the other side as well that could basically run the show for a 50/50 split.

The only issue is it's ridiculously difficult to accept credit card payments anonymously

Also for the record, I'm pretty sure what I'm thinking isn't illegal.
 
Lots of overseas family members that are US citizens with no intention of coming back.

Lots of friends on the other side as well that could basically run the show for a 50/50 split.

The only issue is it's ridiculously difficult to accept credit card payments anonymously

Also for the record, I'm pretty sure what I'm thinking isn't illegal.

Why not making stealth account instead of connecting your loved ones to your grey business. You will save your 50/50 split to. Regarding credit cards, you can make 'consulting' website and collect payment as consultant and do not provide exact description.
 
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