Comments on: A thriving, rural, primary care practice http://www.kevinmd.com/blog/2008/04/thriving-rural-primary-care-practice.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/04/thriving-rural-primary-care-practice.html#comment-85141 Anonymous Mon, 21 Apr 2008 17:03:00 +0000 http://clients.emmense.com/kevinmd/2008/04/a-thriving-rural-primary-care-practice.html#comment-85141 I wish him well, but what you see is that it is, in fact, impossible to do rural primary care.<br/><br/>He has to turn away Medicaid AND Medicare, which will be a big percentage of the population. Then he turns over much of the care to midlevels.<br/><br/>What would impress me is a solo primary care doc who can practice physician-to-patient medicine without midlevels. And MEDICINE, not Botox and all the other stuff you see these days. I wish him well, but what you see is that it is, in fact, impossible to do rural primary care.

He has to turn away Medicaid AND Medicare, which will be a big percentage of the population. Then he turns over much of the care to midlevels.

What would impress me is a solo primary care doc who can practice physician-to-patient medicine without midlevels. And MEDICINE, not Botox and all the other stuff you see these days.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/thriving-rural-primary-care-practice.html#comment-85134 Anonymous Mon, 21 Apr 2008 08:21:00 +0000 http://clients.emmense.com/kevinmd/2008/04/a-thriving-rural-primary-care-practice.html#comment-85134 toatlly agree 1:31. He is successful because he reduced it to a volume business with midlevels and vanity procedures. Successfull for him in the present but bodes very poorly for the futrue of primary care. toatlly agree 1:31. He is successful because he reduced it to a volume business with midlevels and vanity procedures. Successfull for him in the present but bodes very poorly for the futrue of primary care.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/thriving-rural-primary-care-practice.html#comment-85124 Anonymous Sun, 20 Apr 2008 18:31:00 +0000 http://clients.emmense.com/kevinmd/2008/04/a-thriving-rural-primary-care-practice.html#comment-85124 Note that the key has been the hiring of mid-levels--making money off the labor of others. That is a fundamentally different model of business than making money off ones own services which is the traditional foundation of professional practice. While it shows a way for an FP to do very well financially, the article actually highlights not the viability of primary care medical practice but the replacement of it by the primary care medical service business.<br/><br/>Not a personal criticism of the physician--he did what all successful businessmen do and responded to the marketplace in existence--but the model chosen which adapts to the devaluation of primary care also perpetuates it. What is needed is for physicians to have an alternative to more volume to be viable--that is to raise prices. Note that the key has been the hiring of mid-levels–making money off the labor of others. That is a fundamentally different model of business than making money off ones own services which is the traditional foundation of professional practice. While it shows a way for an FP to do very well financially, the article actually highlights not the viability of primary care medical practice but the replacement of it by the primary care medical service business.

Not a personal criticism of the physician–he did what all successful businessmen do and responded to the marketplace in existence–but the model chosen which adapts to the devaluation of primary care also perpetuates it. What is needed is for physicians to have an alternative to more volume to be viable–that is to raise prices.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/04/thriving-rural-primary-care-practice.html#comment-85114 Anonymous Sun, 20 Apr 2008 03:33:00 +0000 http://clients.emmense.com/kevinmd/2008/04/a-thriving-rural-primary-care-practice.html#comment-85114 Dr. Kurt Hunter is a truly exceptional entrepreneur and professional who is bright, disciplined, persistent, flexible, insightful, well organized, innovative, and well trained. <br/><br/>Dr. Hunter appears to be thriving in a rural setting where many are failing. His outstanding superior personality traits would make him successful in any field, probably making far more money in any other career than in primary care medicine.<br/><br/>It must also be noted that he has obtained the Holy Grail of rural primary care: limiting his exposure to Medicare and Medicaid.<br/><br/>Ed Sodaro MD Dr. Kurt Hunter is a truly exceptional entrepreneur and professional who is bright, disciplined, persistent, flexible, insightful, well organized, innovative, and well trained.

Dr. Hunter appears to be thriving in a rural setting where many are failing. His outstanding superior personality traits would make him successful in any field, probably making far more money in any other career than in primary care medicine.

It must also be noted that he has obtained the Holy Grail of rural primary care: limiting his exposure to Medicare and Medicaid.

Ed Sodaro MD

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