Was his practice forced by Obamacare to close, with him becoming a 'hospital employee' ?
A very large issue, since this accounts for somewhere near 80% of practices, is the hospital administrators, ever mindful of the bottom line and their bonus, hold the economic anvil over the heads of the physicians. They can drop it at any time.
Was his practice forced by Obamacare to close, with him becoming a 'hospital employee' ?
A very large issue, since this accounts for somewhere near 80% of practices, is the hospital administrators, ever mindful of the bottom line and their bonus, hold the economic anvil over the heads of the physicians. They can drop it at any time.
The result is they practice medicine without a license by directing the physicians regarding how they 'provide' ...
I've concluded that the Primary care docs are nothing more than gate keepers. Anything weird, you get referred to a specialist (for extra $$, of course), and for everything else you get a prescription drug, a lab test of some sort, or a generic instruction (don't eat so much fat, stop drinking so much, stay off it for a few days, etc). Pretty much plug and play, you might as well be interacting with an online algorithm, which not surprisingly, is getting more and more popular now as well. Very little medicine or alleged "health care" going on in my experience.
There is a major change in primary care that has been going on for a while. First, the Hospitalist, hospital employees that take over as the attending when you are in the hospital. A good indication of the grift here is that in your D/C orders, you are to visit your Primary care guy within two weeks of discharge. Double dose of corruption as the primary care guys do not do squat except book keep.
Second - is the incorporation of Primary care guys into large groups. Here in Arizona, we have corporations buying up all the Primary practices and acting as the “staff” for all of them. For a while, hospitals were doing the same, but I believe the corporations have the lead. Let me tell you from experience, the corporate takeover is hideous. When we went to our latest Primary Care guys, my first question was “Are you ever going to sell out?”
As a doctor, you can't go against the advice of your Medical Group. Also, because of the cost of malpractice insurance, you can't afford to be independent.
So it sounds like the root problem for doctors is......LOYAS! Attorneys. The most useless profession invented by man. At least prostitutes give something in return for money. Attorneys. Nothing. They just take, take, take. They suck society dry and don't produce a damned thing. And our nation is full of them.
BOTH of my MD's -- who swallowed the CV19 BS, and would only see patients virtually, for the duration of the madness -- have moved to lucrative (for them) CONCIERGE medicine.
First, you have to pay to be a patient at baseline.
Then you have to PAY MORE (thousands a year) just to have them as Physicians.
While I understand we still live in America and a private practice can respond to market forces as they see fit - no one seems to care what the downstream effects of Obamacare are. What would be harder to untangle is what the Insurance companies and regulations force down their throats. The hospital system under which they practice could care less.
I've tried to raise the issue. NO ONE CARES.
Additionally, our local hospital is sliding rapidly downhill. Run by CEO's and not MD's. Staffing issues are the least of it. It used to be a gem. It is so sad.
My former PCP went to concierge medicine many years ago. He was fed up with being a data entry coder tied to a laptop. Flat out told me it wasn't why he became a physician.
Our local hospital is mostly run by doctors but that doesn't make it better. They get tax money and they have a publicly elected hospital district board but they also have a private hospital board. Story goes that they keep the nefarious topics on the agenda of the private board. 🧐
Very interesting. Long before covid the New England town I was in had hospitals buying out all local private practices when my Dr. went concierge also. I just recently noticed where he has come back into the 'fold' so to speak and is accepting new patients and insurance. His ratings have also plummeted so it seems. It's all too crazy.
Speaking as a retired RN, when the bean counters got into hospital management, they immediately put the blame on the nursing staffs for the patient discontent being reported. It had nothing to do with the understaffing and computerization of the hospital room. Obamacare was the start, I was there, I saw it, I retired because of it.
Was his practice forced by Obamacare to close, with him becoming a 'hospital employee' ?
A very large issue, since this accounts for somewhere near 80% of practices, is the hospital administrators, ever mindful of the bottom line and their bonus, hold the economic anvil over the heads of the physicians. They can drop it at any time.
The result is they practice medicine without a license by directing the physicians regarding how they 'provide' ...
I've concluded that the Primary care docs are nothing more than gate keepers. Anything weird, you get referred to a specialist (for extra $$, of course), and for everything else you get a prescription drug, a lab test of some sort, or a generic instruction (don't eat so much fat, stop drinking so much, stay off it for a few days, etc). Pretty much plug and play, you might as well be interacting with an online algorithm, which not surprisingly, is getting more and more popular now as well. Very little medicine or alleged "health care" going on in my experience.
There is a major change in primary care that has been going on for a while. First, the Hospitalist, hospital employees that take over as the attending when you are in the hospital. A good indication of the grift here is that in your D/C orders, you are to visit your Primary care guy within two weeks of discharge. Double dose of corruption as the primary care guys do not do squat except book keep.
Second - is the incorporation of Primary care guys into large groups. Here in Arizona, we have corporations buying up all the Primary practices and acting as the “staff” for all of them. For a while, hospitals were doing the same, but I believe the corporations have the lead. Let me tell you from experience, the corporate takeover is hideous. When we went to our latest Primary Care guys, my first question was “Are you ever going to sell out?”
As a doctor, you can't go against the advice of your Medical Group. Also, because of the cost of malpractice insurance, you can't afford to be independent.
Therein lies a big problem.
So it sounds like the root problem for doctors is......LOYAS! Attorneys. The most useless profession invented by man. At least prostitutes give something in return for money. Attorneys. Nothing. They just take, take, take. They suck society dry and don't produce a damned thing. And our nation is full of them.
The corporations are now even taking over veterinarian practices. They're the lowest of the low.
Yup!
Looks exactly the same to me.
BOTH of my MD's -- who swallowed the CV19 BS, and would only see patients virtually, for the duration of the madness -- have moved to lucrative (for them) CONCIERGE medicine.
First, you have to pay to be a patient at baseline.
Then you have to PAY MORE (thousands a year) just to have them as Physicians.
While I understand we still live in America and a private practice can respond to market forces as they see fit - no one seems to care what the downstream effects of Obamacare are. What would be harder to untangle is what the Insurance companies and regulations force down their throats. The hospital system under which they practice could care less.
I've tried to raise the issue. NO ONE CARES.
Additionally, our local hospital is sliding rapidly downhill. Run by CEO's and not MD's. Staffing issues are the least of it. It used to be a gem. It is so sad.
My former PCP went to concierge medicine many years ago. He was fed up with being a data entry coder tied to a laptop. Flat out told me it wasn't why he became a physician.
My guy said that as well.
Our local hospital is mostly run by doctors but that doesn't make it better. They get tax money and they have a publicly elected hospital district board but they also have a private hospital board. Story goes that they keep the nefarious topics on the agenda of the private board. 🧐
Very interesting. Long before covid the New England town I was in had hospitals buying out all local private practices when my Dr. went concierge also. I just recently noticed where he has come back into the 'fold' so to speak and is accepting new patients and insurance. His ratings have also plummeted so it seems. It's all too crazy.
Speaking as a retired RN, when the bean counters got into hospital management, they immediately put the blame on the nursing staffs for the patient discontent being reported. It had nothing to do with the understaffing and computerization of the hospital room. Obamacare was the start, I was there, I saw it, I retired because of it.
Just like everywhere the government gets involved, it turns to shit.