The plight of the PCP

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I am uncertain as to exactly what you mean by "engagement." Years ago, almost all physicians were in private practice; now most physicians, and nearly all primary care physicians are employed. Formerly, private practice as a member of an autonomous learned professional was more satisfying. You point out the obvious income gap with specialty medicine. This is a factor, but is only a small part of the problem with primary care. Being the "Medical Home" and the curator of the electric medical record are not reasons to learn and practice Medicine. This kind of Government regulation is poison to primary care. The same government made the payment for outpatient medicine pay around twice as much per visit for hospital employed physicians as for independent physicians; hence there are not many left. The biggest reason why Family Medicine is dead is the dramatic decrease in scope of practice. Why would anyone want that kind of practice? What surprises me is that 25% of medical students are considering primary care; presumably, most will move into another specialty. Unless, of course, they want to specialize in being abused by an ignorant system. By the way, buying more and more software is not going to help primary care. They should disengage from Bravo Sierra, and engage in Direct Payment primary care.
Name: 
James Crichton
Email: 
jameswcrichton@yahoo.com

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The plight of the PCP