Abraham Lincoln, (1809-1865), First Annual Address to Congress, December 3, 1861
April 12, 2012 - In my corner of the universe, two current events occupy my attention.
Lifting Taxes and Lowering Physician and Hospital Pay
Lack of Health Sector Capital
Still, lack of capital is threatening the very pillars of American medicine - independent physicians, voluntary hospitals, and academic medical centers. If present trends continue, these sectors of our system will be forced to create large integrated organizations or systems – with higher costs of operation – to compete.
Mom and Pop and Good Old Doc Gone
Current trends , practicing within a competitive corporate environment, economic pressures by government and employers to reduce costs, and a growing shortages of physicians - will leave the physicians and hospitals no choice but to organize and mobilize countervailing market forces and to set up large integrated organizations This may a good thing, but it means the private practice of medicine and the individual patient experience will never be the same again. Mom and Pop and Good Old Doc medicine will be gone.\