I think the hard times were speaking, but what really amazed me was what the doctor did next at the lunch table. As the waiter placed one more plate of the Indian Naan on the table, the doctor quickly covered it in the paper napkin and swiftly / secretly pushed it in his suitcase.
It is not about being lucrative, it is about sustainability and stability. The business model is changing from FFS to QUALY, using unproven metrics to measure performance and outcomes. Population management does not always translate to the individual patient sitting in front of the provider. It is all about regulating doctors, decreasing utilization and taking the health care dollars for Defense, Education,
Furthermore, our societies, such the AMA have abandoned us. I do not want those organizations speaking for me or you.
They 'negotiate' to maintain some bizarre mindset that patients and providers are in control. Ask a patient if they are in control ?
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