I’ve been positioning our small family medical practice to “Just Say No”.

Surrounded by 2 giant hospital systems, in an expensive urban environment, I am tired of having to compete at a 70% disadvantage (tax exempt, huge buying power, and 40% better insurance reimbursements).

It’s been slow and painful, and required a significant investment, but my physician wife has developed a loyal clientele who value her services and we are closer to pulling the plug on Medicare, Medicaid,and three large, abusive insurance carriers.

Medicine has become an incredibly expensive and risky business. What we have given away – or had taken away is our professional status and pricing power.

Physicians have become indentured servants to the government and the insurance industry.

From my front row seat to the economic crisis experienced by all small primary care, independent physician offices … the only way out I can see … is not to play the game.

You only have your timeslots to sell. See where else you can grow your business, and over time, choose your most despised payers… and just say “NO”.

“Keep these dollar amounts in mind the next time you hear, see or read about some physician pissing and moaning about being driven out of business or the cost of malpractice insurance. The only “crisis” in American allopathic medicine is that the providers are enriching themselves and bleeding the patients dry.”

You idiot. The doctors you malign and sue so much spent almost 20 years in training taking on $400,000 in loans and 100-hour weeks for the privilege of making a much lower salary than just about any business professional with half the level of training and much less debt. The “pain and suffering” amounts you fools extract from doctors who frequently *have not made an error*– but in which an outcome is seen as adverse for whatever reason– far exceed even the amounts paid out to plaintiffs who are (deservedly) given monetary rewards for *deliberate damage*.

Think about that, for a moment– because of you idiot malpractice lawyers, plaintiffs get far more money from someone who is *trying to help them* and frequently does everything available to help them, than plaintiffs can get from the most vicious criminal who does them grievously bodily harm. There couldn’t possibly be a more cut-and-dry indicator of how warped and screwed up our “justice” system is.

You medical malpractice lawyers really are just about the most damaging people to the USA today. You contribute almost nothing to societal productivity and gains, yet you wreak enormous harm and extract wealth from others who do contribute. You all deserve to suffer and die slowly from the most horrid mutant forms of leprosy imaginable before being dispatched to become snack food in Hell where you belong. This would if anything be only a modest punishment for you considering the harm you do to this society.

I understand where you are coming from but I feel sorry for you. I doubt you will ever be happy. You need to move. I work 8-10 ER shifts/month, live in average USA, live in an average house, drive a below average car. I don’t make very much but I have lots of free time and one super hot wife. We have cycled across this country and other countries, climbed mountains, competed in triathlons, helped out in New Orleans and other mission trips. I am so filthy rich with everything except money. But you are right, if making money is your goal, medicine is the wrong profession

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