The Happy Hospitalist: “Every year the failure to provide an adequate reimbursement model is equivalent to a doctor tax. The result of that covert doctor tax has been a mass exodus of medical students from primary care medicine. These students see the writing on the wall that Peter “Pan” Stark does not.
The primary care doctors that remain have tried, in vain to increase production through volume. A volume game that has driven physician and patient satisfaction into the ground and has increased the cost of health care delivery universally.”
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True…and volume has definitely been driven beyond a point of diminishing returns (per an un-named lean process improvement specialist).
The generalization regarding a “single payer” approach is still stuck in pre-conceived notions of what “single payer” must be.
Then aren’t the doctors taxing themselves? Who is to blame for them accepting a poor reimbursement model all these years if they aren’t?
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