Proceduralists dominate discussion on physician reimbursement. It’s time to get tough:

Everyone knows that medicine is a guild with little response to the free market. But here we have a situation in which a critical commodity (primary care) is systemically and significantly undervalued in a command-and-control economic system.

If I am wrong, and primary care is unnecessary, family medicine (and perhaps internal medicine, as well) will no longer exist in another 20 years. If I am right, the status quo is inherently unstable and ripe for revolution. The revolution will begin when our colleagues in leadership abandon conciliation and discover the guts that have allowed the proceduralists to dominate the herd.