How about consumerism in medicine? Patients view their health care as a commodity they are paying for, like steak at a restaurant. They think they have a right to be seen when and where they want. What is urgicare anyway? At least 75% of cases at an urgicare are viral URI’s; these people should either be waiting for their doctors office to open or they do not need to be seen at all.

Consumerism in medicine drrives up cost because it increases utilization.

A family practitioner, who does not have a NP or PA in his office

There are other options that let you have both. Qliance in Seattle is a practice that only has 800 patients per provider, 30 to 60 minute office visits but opts out of insurance and charges a flat fee of about $50 a month for unlimited access.

Since up to 40% of all health care dollars are wasted on billing and administration you don’t need as many admin staff. The doctor comes out to get the next patient. you gross over 480,000 a year

Stop complaining. Most people only make $45,000 a year so I am pretty sure you could cover your overhead with 1/2 a million a year? If not you need to go take a course in finance.

When I schedule with a doctor, I get a doctor–and would walk out otherwise.

If I go to the soup kitchen, I have to take what they offer me.

Docters in supervisory roles only? Silly. We don’t have nearly one doc for every 300 people. Plenty to provide all the patient care that is needed.

Besides, the “supervision” of mid-levels is a Big Lie, a farce. You can’t supervise care that is predicated on an exam you haven’t done. Fancy word for mindlessly countersigning to rent out your professional standing for a fee–almost always done long after the patient is long gone and thrived on, merely survived, or succumbed to the treatment anyway.