Why Medical Practice is Disintegrating

Why Medical Practice is Disintegrating What is being hidden about medical practice demise. Wonder why there's a tsunami of medical doctors

10/02/2023

If the general public knew about the disaster occurring in medical practice today, they might be more inclined to think about their healthcare rather than the border crisis. Have you noticed that over half of hospital and government-controlled HMOs and clinics physicians are foreign physicians, that American males are no longer applying to medical schools, that thousands of American physicians are quitting practice early secondary to burnout and other intolerable issues, that all medical schools in our nation over the last century refuse to provide business education for medical students, that 98% of our physicians are therefore business ignorant in our nation, and the attrition of physicians is happening faster than the importation of foreign medical doctor replacements. The cause is government restrictions and inability of physicians to earn enough money to stay in practice.

On my professional medical website that is being created presently, I have 154 articles that I have written after my 40 ...
09/02/2022

On my professional medical website that is being created presently, I have 154 articles that I have written after my 40 years in clinical medical practice, 30 of which were in the OBG specialty. Each article
focuses on one particular aspect of the management of medical practice business and marketing. And that can provide any physician with the many medical business tools and marketing methods/strategies that
easily skyrocket the incomes of any private practice physician in our nation. This I did to prevent the government takeover of our healthcare followed by their full control of the medical profession itself. You see
when a physician suddenly is awakened to the universal standards held by every business owner in the world (and every private medical practice business)---the fact that maximum business success is totally
dependent on the extent of knowledge, application, and use of the business tools and marketing methods. Every medical school in our nation has deliberately never made any attempts to explain this business fact,
nor ever told medical students of the profound value and extraordinary benefits of academic business education for private practice physicians for the past century.
All of this equates to almost every practicing physician and is responsible for nearly all the financial and associated problems that our physicians have been facing increasingly over the decades. What business
ignorant physicians have never understood, is that without a business education while in medical school, the day they graduate they are predestined to fail to some degree in their private medical practices for lack of
not knowing how to make money in their practice business management, nor how critical marketing tactics are to practice profits. This includes the hundreds of physicians who lose their medical practices for
financial reasons annually in our country and don't know why it happens to them.
Forcing all medical schools to provide an academic business education (which includes marketing) for all medical students is required. Any physician with such a business education is able to make as much
income as they need or want, whenever they want for whatever purpose, and would remove a tremendous amount of stress, distress, and burnout would be eliminated. Why is that? Because of having to increase
the number of patients seen to increase their income (when they have no serious idea how to do that efficiently), they use all the business tools to earn the income instead of overworking daily. Why is that so hard
to understand? As of now, the MBA is useless for a physician and a waste of money and time. All that knowledge can be found on my website as soon as it goes online. This business and marketing knowledge can
not be found anywhere else in literature without repeating a college education.
Remember, our government has been trying to eliminate private medical practice for decades and almost has with government mandates, medical fee restrictions, and constant harassment of physicians. No wonder
physicians are so disappointed with their medical careers. It's why male college students are no longer applying to medical schools, among a dozen other issues.

This sense of futility is driving burnout. How much patient care will you get out of docs who have moved on to nonclinical jobs, retired early, or committed su***de due to burnout? The time for rumination and hand wringing is over! It is time for medical organizations to cooperate, take prompt actio...

06/24/2020

Step #6--How Physicians Are Intentionally Forced into Indentured Servitude as Part of the Government's Plan

“If you can create a situation where patients are no longer available
in enough numbers to private medical doctors, where patients are
given no choices about where they get their medical care, where the
educational debt accumulated for physicians requires 20 years to
pay off, and where medical practice legal mandates and restrictions
increase annually for private practice physicians—you have a
perfect plan for the control of and destruction of the medical profession. “

"The pending government plan for ultimate control
and destruction of the profession is going
far better than expected"

What seems to be the last resort for practicing physicians today leads to a significant reduction in quality and effectiveness of medical care, as us older physicians know it. I'm talking about the open and pleasurable personal interaction between the medical patient and the medical doctor. Does physician rapport lead to improved medical care? I know so.
Now that the government control of healthcare has reached its highest level so far, our government must next eradicate the remaining elements of the private practice of medicine where physicians are still able to control their own careers.
The job of accomplishing that, however, has reached an impasse that has been and remains as difficult as trying to pass a camel through the eye of a needle.
There has always been a certain group or percentage of physicians who love to practice medicine and interact with patients as friends, rather than as suffering folks that simply need a quick prescription and reassurance while the doctor is going out the exam room door. Those of you whose healthcare is dependent on the managed care industry physicians know exactly what I am saying.
Most patients that maintain a friendly and social relationship with their physicians derive considerably more benefit from their medical office visit
health-wise than HMO physicians. The disheartening aspect of it is that those managed care physicians know this deficiency better than anyone else but are working in a tightly controlled healthcare environment and workplace which they choose to tolerate.
What I mean by that is to work under the primary objective of increasing the profits of the managed care hierarchy. Stiff medical practice guidelines and requirements are necessary and essential to mass productivity and economic requirements of that facility. It will always be about money and control in the forefront of government's primary intentions.

“For managed care facilities, hospitals, and other contracted healthcare employment environments, the ultimate goal is
to require physicians and other accessory medical personnel to
produce enough income from seeing and treating enough
patients to pay all salaries, business expenses, and administrative costs for the medical business that runs the money machine.”

The same is true in lesser degrees for a private medical office, the
physician(s) and employees.
There is a significant difference, however, in the numbers of employees that are required to do the supportive and maintenance of a private medical
physician's office than is required for a managed care facility in costs, time, and training. Larger size requires many more employees, materials, legal services, and oversight personnel, to name a few. But you all already know this. Right?

Far more important is how our politicians and government “work” the healthcare systems to their greatest advantage. Anyone with an open mind must ask themselves how the politicians
managed to work the healthcare system so successfully…

1. How did so many American physicians end up on governmental salaries indentured to others who control their medical careers?

Have you noticed that today, compared to 50 years ago, when you come into contact with most any physician in their medical office or in hospitals or in HMO’s that over half of them are foreign doctors with an "origin" accent? Does that make you wonder where this increasing trend is headed?

Well, the steps in the sequence starts with a quick review…

A. Pass a law/mandate approving a managed care system. That happened because of demands by unions/industry for cheaper healthcare for their members. The mandate (for example) requires that all labor union members across the USA in contracted healthcare be treated by HMO or managed care physicians. That
forces all medical patients covered on the contract to dump their private doctors and move to Health Maintenance Organizations for their medical care.


B. Restrict private practice physician access to patients results in…

Private medical doctors are left unable to rebuild their practices. That’s caused by the vacancy of patients that were forced to leave their private doctor.
Of course, the HMOs, to look unbiased and not outrageously competitive to the private physicians, offered a compromise. This was the deal...
Patients that are contracted with healthcare at HMOs, under “uncommon or unusual” circumstances, are permitted to see their private medical doctors. That may seem to be very reasonable option, until you read the fine print.
First the plan “steals” the private patients, followed by requirements in a contract that essentially blackmails private physicians, already suffering financially from the reduction of their practice patients, into signing the contract. Some income is better than no income for private practice physicians left without options. Read what that really looks like next…

C. Contracts can be a punishing and restrictive tool.

Private medical doctors must sign contracts with the HMOs to
care for HMO medical patients. These contracts require the local
private medical doctors to agree to see and treat those medical
patients only if they agree to a 30 to 40% discount of their fees. The
fee structure is almost the same amount charged for Medicare
patient visits.
It’s the same fee range that results in medical practice financial
failure. And that is another means of forcing private physicians, who
need to rebuild their practices from the left-over scant community
of patients, to comply.

D. Reducing private patient availability = financial deprivation

Medical doctors learned early-on that they could never survive
financially in their private medical practices, even if they were able to
see 60 or more HMO patients or Medicare patients a day in
their offices.
Seeing sixty or so patients each day equates to reduced quality of
medical care and more superficial care. The average time that a
physician sees patients in their offices each day is about 8 or less
hours a day depending on the specialty and medical problems. If you
divide 480 minutes by 60 patients, means there are only 8 minutes
allotted to each patient.
Remember that part of that 8 minutes is to learn about the
patient’s medical problem and more time at the end for writing
prescriptions or instructing a patient.
The rest is used for a quick physical exam by the physician.
That 8 minutes is fine for a sore throat, but what about the
need for a pelvic exam and disrobing for that?
Talk-about pressure day after day that the physician must live
with. It goes without saying that the issues that medical patients are
forced to put up with, at the same time. Neither the doctor nor patient
are satisfied with that set-up.
Managed Care physicians have an obligation to see such a volume
of patients daily that they usually only have time to diagnose and
treat one patient problem per visit. My patient visits at Kaiser were
limited to 15 minutes.

Let me give you a common example of how that works.
After waiting a month or two to get an appointment with the
private practice physician, most patients have more than one health
question, medical issue, or health advice need, and all are handled on
that same visit.
Spending the time with patients to do that, knowing that
it is the best care, is why private medical doctors are not willing to, or
are able to, see sixty patients a day and go home believing they have
practiced good medicine.
Many private physicians stay overtime or see scheduled patients in
evenings or on weekends for financial reasons.
Managed care physicians do not have to do that because they are
paid for their work time and not for the number of patients they treat.
This may have changed since I worked in that healthcare
environment, but I doubt it.

Increased healthcare competition is an undermining tool.

The healthcare competition between the HMOs and private medical
doctors continue to be profound and destructive to private medical
practices. It means that private physicians have to work
much harder and longer in their careers for incomes that are far less
than HMO physicians---so why are physicians willing to do that?

E. Educational debt is the primary driver of physicians into
managed care practices today. It is part of the plan.

The costs of education are rising annually. It is another reason that
there is a constant migration of graduating medical doctors to HMOs and other managed care facilities. With a total educational debt averaging around $160,000, the day a medical student graduates from medical school, who can afford to start a private medical practice after internship. Yes, only the wealthy ones (family money).
For a long while that route to private medical practice was easy
and affordable. But there is always a catch. Something happens that
we don't see coming in the near future.
It's taken many years, but when private physicians move to an
HMO practice, it creates a serious problem for other private doctors
that also want to do the same thing. Most HMO physician openings are
filled now-days.
Graduating physicians have no salary, job, income, or credit
history. No big problem, right?
Many are married and staring at their educational debt wondering
how they are going to pay that money back. It’s been estimated that
the physicians beginning private medical practice after internship or
specialty training usually takes about 20 years to pay back the debt.
Driving second-hand cars for 20 years is not unusual.
It’s easy to understand why new physicians are attracted to the
managed care facilities that pay good salaries to them immediately.
In the last few decades, the escape route from debt and private
practice expense has led to other problems such as…


F. Physicians are only trained for one career--medical practice.

When any physician becomes separated from their career in the
private practice of medicine, regardless of the reasons, he or she is
faced with an unanticipated challenge that usually has terrible
consequences.
Jobs for physicians outside their medical careers commonly lead to
significant downward changes in their families, lifestyle, income,
and ambition.
To the contrary, business professionals out of work have no hard
problems finding appropriate employment. They are knowledgeable
and trained in business foundations which are a requirement to be
hired for almost any worthwhile good paying job.
Most careers are built on increasing business knowledge and
skills. I can think or only three professional careers where business
knowledge is essential but is totally lacking—physicians, dentists,
and lawyers.
What may happen to physicians expecting to practice at an HMO
eventually may be associated with disturbing consequences. The
available opening may be in an area of this country where they
refuse to reside.
Beggars can't be choosey. That position opening may be
somewhere that would compromise their long hoped for way of life--
consider boats and surfing in the middle of Vermont. Not having
access to college towns where your wife/spouse even kids could
increase their education level, might sway one's decisions.
Ultimately, you may decide to remain un-married and put up with
what you are offered. It may not be a good or suitable ending for any
physician that prefers to retain control over their personal lives
and careers.
There is one positive factor. They may choose private medical
practice after all. Statistics show that about 15% of doctors move
somewhere else each year so those spots need to be filled--if you
can find them.
Joining a private medical practice group might be the right move.

06/24/2020

#8—The substantial factors that are evidence of the
disintegration of the medical profession

These facts and admonitions are not only proof of the pending demise of the medical profession, but also serve to illuminate that fact that nothing is being
done to alleviate the increasing barriers which ultimately result in destruction. If anything is being done, the efforts are being hidden in the deep state.

Proof of this issue can be easily be found in thousands of places. So let’s talk about a few of those.

1. Burnout

This word has become the leading key word for articles, publications, discussions, and personal planning throughout the medical profession
and most of the supportive tributaries surrounding the profession. The problem is not what’s being debated, but what never reaches the eyes of most medical patients and the public.
At present, the public commonly is unaware of how serious of a
problem this is for themselves and even the physicians themselves.
The public rarely pays attention to what happens to all those “rich” doctors. The public is ignorant of the numbers of physicians that are quitting medical practice annually in our nation.
Physicians rarely go public with the issues they have and how they
feel about them, even to their friends. Divorce rate is a bit higher than average in our population.
Suicides (about 400 doctors per year) is kept quiet. That number is about the amount of one medical school (all four years of classes) annually wiped out. Stress is a great component of that tragedy.
How about the stress of medical malpractice suits that have the capacity to completely wipe out a physician’s finances, family,
reputation, and career? There is no way to predict when or if that will
happen during any physician’s practice. Most of those malpractice suits result from unintended treatment results, so physicians must live with that possibility daily in their careers.
Do you think that any error, complication, outcome is an intended process by any physician, knowing that all hell will come down on his or her head promptly? All physicians believe that the power of the elected attorneys in our government will never permit any revisions in the malpractice law as it is today.
That means runaway jury verdicts into the multiple millions of dollars with no cap placed on the “Pain and Suffering” segment of the verdict
will continue forever.
How would you like to be in a profession where the prejudice of the legal profession (most are lawyers) working in congress enables them
to prevent such verdicts from destroying the whole medical profession--and they purposely do nothing? It's more than bias, it's terrorism.
Only God can correct the problem, apparently.
Is it any wonder that physicians are suffering from burnout?


2. Loss of medical practice for financial reasons

Yes, it's the lack of business knowledge and the tools that would enable any physician to get out of financial problems. Of even more importance is that these business principles alert any person in a
business of any type of pending financial failure and allows the
prevention of and recovery from potentially financial disasters.
Medical practice is a real business. Doesn’t it seem sensible that anyone that wants to succeed in business needs to know how to run the
business efficiently and profitably. Because 99% of physicians graduate
from medical school business ignorant, how is it possible that they could
ever earn enough money to stay in their medical business.
When they recognize they are failing and finally see that their income is dropping rapidly, they have no knowledge about how to reverse
the process.
Of course, no one talks about the fact that medical schools refuse to even offer or provide a business education, with rare exceptions
recently. Why? Do they believe that physicians should not succeed? Do
they believe that physicians will succeed anyway, which runs contrary to every business principle taught in business schools today? Or is this a matter of tradition—for a century or more physicians have not required a
business education and got along OK.
Someone forgot to tell the medical schools that we live in a different world today where physicians require far more than a medical knowledge to survive.
Beyond all this is the obvious fact that all medical schools are actually promoting the business ignorance of physicians. That weakness inherent to medical education and career success is the perfect weakness that allows the congress and politicians to openhandedly continue the destruction of the medical profession, including private medical practice.

The fact is that the leadership in the medical profession are still living in the last century of thinking and are arrogant enough to avoid doing anything to make the issue go away. And that is what breaks my heart. Essentially all physicians today deny that they have been taken advantage of by their medical schools.
They simply take what is offered to them. Physicians have lost the instinct to care enough about themselves and their careers to take control of what happens to them during their medical careers. Even when the truth is told to them, they deny it. Isn't that something Christ said in the Bible? Is business ignorance a disease that they can never recover from?

It is astounding how much any physician can earn, can improve their skills and knowledge, can provide far more updated medical care, and can treat their families with all obligations they deserve when they have a business education and use it in their medical practice.

3. Arrogance and confidence play a primary part in reaching one’s maximum potential as a professional--and are also a vulnerable weakness that can be abused.

It's all about standing up for yourself, your beliefs, your expectations, and the lifestyle you deserve.

I admit that this was part of my own problem in my medical career.
It’s the reason that I was forced to quit each of the three healthcare platforms (military-HMO-hospitalist) that I practiced with and where I had no control of my own career.

In all three, my situation for practicing medicine was dictated to me.

In all three, membership/association/job retention “dictates”
significantly prevented my ability to advance my skills.

In all three, I was seriously restricted from applying/using the more
advanced skills, talents, procedures that I had earlier extensive
practice experience using and applying in my medical practice.

These are a few of the undesirable characteristics embedded in all medical practice platforms other than private medical practice. The purpose of those dictates is to control each individual physician’s
activities regarding medical practice.
Think of it as a way to maximize the profits, money saving strategies, and production efficiencies necessary for the financial survival of the ruling/controlling entity—certainly not for the financial benefits of the physicians they employ.
The freedom to practice medicine as doctors choose; the eternal fixation every physician “dreams of” is today becoming exactly that.

If you want to know what has been destroying the medical profession over the last five or more decades, you just read some of the reasons.

4. The consequences of the political/government plan of “rounding-up” the medical profession…

When cowboys round-up the cattle, they can control the cattle activities, their productivity, and their assets. It’s a well-known plan
that works every time, even with humans.
For years now the government has been involved in strategies that
seem logical, voluntary, and agreeable. By very cleverly squashing the physicians in private practice to the point of extreme frustration and anger, they are left with one sensible alternative. They go find a job to remain in medical practice and continue their career. GO-HMO!
If that isn’t rounding them up, what is? The government gets a pass
on doing that because the process paints a picture of it being a voluntary
choice by physicians. It isn't.

Now carry that idea up another step. Strange as it may seem to the
public, physicians are now called “healthcare providers.” You know, the same label that also is given for nurses, midlevel providers, and other medical care people. Do you catch the drift?
The emotional part of this issue for physicians is being downgraded.
No longer are the value of, status of, and reputation of physicians recognizable—except perhaps that they are all rich. They have become part of the herd. Of course, any respect, trust, reliance, and appreciation are also downgraded along with their value. You see it daily in the news media and when you’re being treated by physicians, generally speaking.
So, after all those years of education to become a physician, you are called a healthcare provider on a level with all the non-professionals.

You can bet that this downgrading is a segment of the
government plan—"tear their arrogance out by the roots.”

5. What happened to all the American college seniors who used to apply for and fill up all medical school classes?

This should jerk your head around. Why is it that the men in
college have lost their passion for considering a medical career. Do
they know something that the educators don’t?
It’s no big deal today because medical school classes are quickly filled up with women and foreigners for the most part. Shall we give
the medical schools a “pass” on that? Somebody is missing the ball here. Something is very wrong here.
Does it matter if you can’t quite understand what your physician
has been telling you?
Does it matter if half of the women physicians practice part time?
Could it be important that men physicians practice full time? Could that mean that there are less physicians practicing full time and are seeing increased numbers of patients because they have to?
If there are lots more medical schools being constructed and
producing many more doctors, then the numbers would even out.
But, that’s not the case.

Forcing physicians into the herd where all these physicians can be controlled, results in consequences for patients as well.

6. The destructive force of uncapped medical malpractice verdicts …

Uncapped verdicts mean there are no legal limitations to the extent of acceptable punishment for violations of the laws. Physicians
aren't suggesting that medical malpractice be legally eliminated, just not
be left completely open to the outrageous whims of a jury.
There are several segments of a malpractice verdict that juries make decisions about. Over the years the single segment of the verdicts that
have been permitted by the rule of law to gradually take on a life of its own is named "pain and suffering." The emotions that arise throughout
a medical malpractice trial are purposely ignited by prosecutors.
Prosecutors know that if they can suggest, demonstrate, or prove that a doctor has viciously violated the malpractice laws causing harm to a
medical patient, the passion of that violation(s) usually draws a higher
monetary verdict for the plaintiff. And the harder the jury needs to
punish the physician.
There are several problems with such a process...

a. The medical malpractice laws of each state are quite different from other states. This permits plaintiff attorneys leeway in what they show to the jury and what they purposely withhold from the juries.

b. The medical malpractice laws on the books were written in such general terms that the courts have to interpret what the law is saying are violations of medical practice in each case.
To list the thousands of violations that should be considered in each case is impossible, so each violation is a matter of interpretation as to whether it is a significant violation and then how bad a violation it is relative to the implied damage done to the medical patient.

c. The worst of the problems is what the jury thinks is deserving of punishment and how extensive they should make the punishment. In essence, the jury must be educated by the attorneys well enough to make reasonable decisions about punishment.

d. There are no legal or other restrictions in each state that limits or maximizes verdicts of juries for pain and suffering unless a "cap" has been placed on verdicts being considered. Of the several states that have placed caps on pain and suffering, juries are held to reasonable limits, especially concerning the amount of money allowed in verdicts.

e. Run-away verdicts in medical malpractice cases have often been in the range of 7 to 10 million dollars, or more. Those verdicts, when approved, are a certain death sentence to any physician's career because they are impossible to recover from.

The United States Congress could easily resolve this practice destroying element but refuse to do so. The primary reason is said to
be to protect their "cash cow" (huge income source) for attorneys that manage medical malpractice cases against physicians across the country.
Receiving an attorney fee of 25% or so of a $7,000,000 jury verdict certainly sucks hundreds of attorneys into the medical malpractice litigation business.
California seems to be the best example of such consequences. In the 1970s run-away jury verdicts reached the point that all medical malpractice insurance companies quit providing malpractice insurance
to medical doctors in California. I was in private medical practice in California at the time.
The malpractice insurance premiums became so high that physicians
were not able to afford insurance, so physicians were forced either to practice without any malpractice coverage or move to another state where premiums were much cheaper.
I chose a third option. Using arbitration agreements with patients worked for me, at least up until the physician groups created their own malpractice insurance companies that nearly all doctors signed into.
After a couple years California passed a new law capping the jury verdicts. Then medical practice went back to normal as the
malpractice insurers returned to California with reasonable premiums.
At the time about 7 other states passed "capping" laws later on, leaving the rest of the state medical malpractice laws unchanged.
Such medical malpractice cases that also occur in Managed Care practices can sidestep trial options because they have the necessary funds to mediate the case (out-of-court) directly with the injured
medical patient. It keeps the cost of litigation down and results in a reasonable amount of money being paid to the plaintiff.

Private practice physicians rarely have the funds to fight for fairness
in their litigation springing from their errors or complications their patients suffer from. Malpractice insurance companies found insurance premiums paid by physicians increasing again. They had to do something
to stem the increasing problem--they modified their tactics for managing claims.
What happened to physicians was again an attack on their weakness.
When physicians are facing severe restrictions on their incomes (government plan working), there is no way to pay high court costs and attorney fees. Bankruptcy is not the best answer.
The modification that the malpractice insurance carriers gave physicians, essentially removed any ability of the physician to make decisions regarding the management of the claim against them. Previously, physicians were given a say about management of their
legal cases.
Now a physician has two choices...

1. Agree to hire private malpractice defense attorneys to
handle the claim process and pay for it all out of their
own pockets, which in most cases is not affordable.
This is especially true when the actual malpractice
incident is deemed to be obviously a matter of
incompetence or neglect of the physician(s) involved.
Under these circumstances a trial is the only
reasonable method for the doctor’s attorneys to keep
the eventual jury award to a minimum and to be more
affordable for the insurance carrier to cover the costs.
This choice is a gamble at best.


2. Permit the malpractice insurance carrier to decide the
method for and financial settlement figures necessary
to settle medical malpractice claims outside the court.
In such cases it enables the insurance attorneys to
negotiate directly with the plaintiff attorneys on behalf
of plaintiff patients to settle the claims outside the
courtroom for an amount of money sufficient to avoid
trial costs.
The advantage for the physician(s) is that he or she
avoids having to admit that they are responsible for the
malpractice incident. This effectively prevents the legal
records from showing this incident as a malpractice claim
against that physician(s).
Why is that important? Every medical malpractice
verdict recorded against a physician has very serious
consequences for any physician. Some of these are…

*These malpractice records are not only filed with the
State Medical Board where the physician is licensed,
but also are filed with the State Medical Boards where
the physician also has a medical license.
So, if a physician moves to another state to practice,
the records follow that doctor.

*Medical Boards have legal leeway to punish physicians
In any manner they choose with very few limitations.
Personal Biases of Board members are well known
inside the medical profession. Board members are
appointed by state governments and usually include
individuals not in the medical profession as well as
medical doctors.

*The reputation of the physician is compromised in many
ways, even by each hospital medical executive
committees of doctors. They can restrict a physician’s
hospital privileges, surgical privileges, among others.
The local community finds out about this problem
rather quickly, which keeps patients away from this
doctor. Often their practice incomes diminish a
significant degree.
Local doctors stop referring patients to this doctor.

I'm elaborating here on the weaknesses of private medical practice
that the government uses to undermine the medical profession and force all physicians into their controlled environment.
Would you choose to become a physician if you knew all of these factors beforehand--factors that are stacked against you and are increasing?

If you read newspapers, listen to news, or watch the trends of important issues being discussed daily today, you may now be aware of the pending and predictable increase in litigation burning up the airwaves and fogging up the court system. The Covid-19 pandemic has ruined many businesses and lives.
Most people likely never consider what is happening to private physicians during this pandemic. Yes, they were forced to close their practice businesses the same as other businesses. Physicians earn no
income during those months, lose employees, lose patients, go into debt.
Because they make money only when they care for patients, it takes years to build up their patient load and incomes.
Members of congress are now proposing passing a law that protects the government employees and elected officials from law suits related to the pandemic management.
Our congress is now facing potential litigation against them and may well create a law to prevent it.
Physicians have been waiting for years to have laws passed to protect them as well and for the same reason.
For example, if the government politicians put a cap on malpractice jury verdicts in 50 states, it would open a new world of medical practice
interests, especially in the specialties that attract the most severe malpractice claims--ones that physicians have avoided going into for decades. But don’t worry! Patients can still be treated by those thousands of foreign doctors that seem to have no fear about those issues.

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