"Physicians have been fighting back only with defensive weapons to protect their incomes. Isn't it time that physicians fight back using the offensive weapon that has proved to be highly profitable, effective, and one way that would setback the governments full control of healthcare and the medical profession for years to come?"
Be aware, our government is not able to gain full control of healthcare until they eliminate all forms of private medical practice in our nation. And the government won't be able to fully control the medical profession until they have gained full control of healthcare. As you know, the Democrats have been working this plan for silently for the last seven decades.
If private practice disappears as most are predicting, all physicians that have become fed-up with being an employee and those who choose to control their own careers will go for the only available option left in the USA---a cash-only practice method. Then again the reality of this happening is next to none.
I see two reasons for that. First, the same problems will continue to thwart the cash-only medical practices the same as they are today for one big reason...physicians aren't being provided with a formal business education and most all will fail financially to some degree. It's inevitable.
Secondly, I would expect that the government and politicians wouldn't tolerate the exodus of physicians from government controlled medicine and would likely legislate physicians out of their cash-only practices.
You may think that you can't be forced out of a cash-only practice, but remember that the medical boards and state politicians that run them make the medical practice rules in each state. They could easily increase the requirements for state licensure, require increased CME credits, and a dozen other restrictions that would or could bring doctors to their knees again financially.
Dare to think about other alternatives that could rise above the surface?
I believe it is inevitable that with the outrageous education debts, that keep increasing with no end in sight, will serve as the primary leverage for forcing all medical school graduates into employed positions. Of course, medical education in Europe and other countries is much cheaper,
especially in France.
One could get the doctorate there and come back to the USA and practice. Actually, it's no different than the thousands of doctors from foreign countries now practicing in the USA today. Doctors from wealthy families who can pay cash for their education are left with the best options.
The one remaining and unresolved issue today is whether the Supreme Court knocks out ObamaCare completely, or if the new president and congress can overhaul the healthcare system well enough to bring medicine back to a level that satisfies all the physicians, rather than frustrating them to the point of burnout, or worse.
The problems that stifle the system regardless of the efforts to legislate it back to earlier years are several. Patient care will continue to be neglected, the same people without health insurance will never change, and tax dollars now doled out to medical education and medical research by the government will control the whole system anyway. It all may be a no win system in one way or another unless a miracle happens.
Previously, my mind could not visualize another way of managing our healthcare system, but today, and over the last 5 years the blatant corruption in our government (both national and state) offers new possibilities available to physicians.
As ridiculous as it may be or sound, the process of paying-off politicians, government officials, and industry leaders to get your way might be the eventual solution, especially because the results of doing that are clearly visible. The process has completely infiltrated our American society.
George Soros and his sole mate Zuckerberg were able to pay off an utterly unprecedented number of individuals in our nation by fraudulently manipulating our elections to elect an incompetent president. We have learned from that an overwhelming lesson we should be teaching our kids. Money controls everything from power to control.
If our corrupted society becomes impossible to uncorrupt, which it may already be, then survival leaves few alternatives. WOW--you are not going to like this idea, physicians will be forced to become experts at placing bribes in the right places, to the right people, and with the right timing, to insure financial survival. Who would be the right ones to bribe?
By the time this corrupt environment stabilizes, as i indicated above, control of the medical profession would most likely be from the government medical licensing offices and officials, the medical boards that punish doctors far more than one would believe, and the companies that supply all medical office practices with equipment and materials.
Would physicians bend that low? They would if it became the only alternative for continuing their private medical practices. However, it does seem that it would be more logical for our government to seriously increase what they have already been doing inside our country for the last decade---replacing American physicians with foreign doctors. Even better, replacing American medical students with foreign medical students. About a third or more of medical school classes are already foreign medical students by what I have surveyed.
Comments...
It's rare that I let my mind wander around in the stratosphere like that, but it does make it easier to rationalize our beliefs, values, and priorities.
I had always been happy and privileged to practice in the way I chose for all those years in OB-Gyn and before I had to face the present day challenges that eventually made me miserable in my medical career.
It might be appropriate for you to know what they were and why I quit medical practice after about 40 years... when I never planned to retire.
Also, the fact that our US Congress, mostly attorneys, including state lawmakers, refused to pass a national law/state laws concerning the run-away jury verdicts that go into $millions of dollars. Even after California was forced to pass such a restrictive law, a cap on verdicts, because the insurance companies stopped covering medical malpractice for over 2 years due to outrageous million dollar jury verdicts that were making medical malpractice insurance companies insolvent.
- The unrelenting medical malpractice threat, continuously present in my mind and knowing that one single malpractice case could easily destroy my reputation, my medical practice, and my career. This factor was reinforced when I worked with 9 CNM (certified nurse midwives) for five years and discovered that there had never been a malpractice case against any lay-midwife home delivery that resulted in death or injury to the baby.
Secondly, the fact that our US Congress, mostly attorneys, including state lawmakers, refused to pass a national law/state laws concerning the run-away jury verdicts that go into $millions of dollars. Even after California was forced to pass such a restrictive law, a cap on verdicts, because the insurance companies stopped covering medical malpractice for over 2 years due to outrageous million dollar verdicts, only 6 other states passed laws capping jury verdicts that I know of since then.
Thirdly, it has become obvious that women OB-GYNs are far more likely not to be
sued than males. - I became fed up with how physicians are treated inside the profession as a consequence of dictations of hospital administrators supported by other staff physicians and the excessive backbiting, clever antics to disrupt other physicians ideas or practice attitudes, and activity that a significant number of physicians in the community do to purposely distress other physician's credibility, reputation, or practice methods that lead to being better physicians
above the ordinary.
I should write a book about all these antics that I have personally witnessed, been caught in, and found to be something often kept from the pubic eye. If premeds and new medial students ever were made aware of these situations, it would directly affect medical school recruiting and profitability.
At first, I was totally naive about what might happen in employed medical practice as well as in private practice. But it doesn't take long to recognize the games doctor's play, and administrations play on physicians. Today, I wonder how I was able to tolerate such disheartening and continuing activities as long as I did.
If I could lump all or these issues together under one single inciting factor, it would have to be under the topic of MONEY, income, profitability, or access to such. - My extreme and increasing anger about the fact that I lost my medical practice for no reason at the time that I could think of.
This issue festered for the next 15 years forcing me to do what I hated, to work as an employee again knowing what would likely happen again. I continued to beat myself up about the issue, thinking it somehow was my fault all along. I never stopped searching for the reason. This issue festered for the next 15 years forcing me to do what I hated--to work as an employee again knowing what would likely happen again. I continued to beat myself up about the issue, thinking it somehow was my fault all along. I never stopped searching for the reason.
Finally, about 7 years after I retired from medical practice in 1999, while I was in the process of educating myself in business and marketing with the Dan Kennedy group, world expert in business and marketing, the answer one afternoon hit me in the face suddenly and brought tears to my eyes. My wife Linda saw me and asked, "what the matter was?"
I had learned just prior to that event that I wasn't alone in losing you medical practice. Thousands of physicians had been losing their medical practices over the prior 40 years as well. After finding the connection to such a large group of physicians in my situation, I knew there was a direct cause we did not recognize.
It didn't take long to discover that none of the medical schools had ever provided a business education for medical students even when they must have known that sending their graduates out to start medical practice businesses, that they would have to do it without having any business or marketing education.
And when I discovered that medical schools refused to accept responsibility for providing the business education, it blew my mind. My rising anger incited me to write my book about the cause of medical practice failures in increasing numbers with no end in sight----THE WOUNDED PHYSICIAN PROJECT---so all physicians would know what I knew.
When I began thinking about why the hierarchy in medical education would do that to it's students, when in the world of business and all around the globe the single factor in any kind of business that enables any business to be successful is a business education or extensive business knowledge.
And it follows that the reason that 95% of small businesses fail within five years is because of lack of appropriate business knowledge/education.
Requirements for maximizing your medical practice income under all these negative situations above...
1. Good knowledge of medical practice management
2. Having the energy for continuous medical practice marketing
3. Medical practice business planning is important.
4. Marketing for physicians and their office staff is a winning set up.
5. Learn what makes a medical practice business successful.
6. Your medical practice business system is essential.
7. Bothe practice marketing and physician marketing is rewarding.
8. Business success is the objective of all physicians in private medical practice.
9. My business website—www.marketingamedicalpractice.com
----Professional Probe----
"Sometimes you have to find a valid
source for your medical business
questions--like this one-of-a-kind website
that you are already on."
"Some physicians believe that there is no such
thing as our government controlling healthcare
and the medical profession. Other physicians see
it is coming but think that it is far away from
happening. All other smart physicians know that
it makes sense to prepare for the socialized
medicine now before it happens, when there
are still choices available."
Articles©2013-2022/CGG INVESTMENTS LLC. All rights reserved. #89, 3-16-22
