Most of us, two-thirds at least in multiple surveys, fear for our futures, the quality of medicine, our relationships with patients. We talk openly and often about not entering practice or leaving medicine.
And why not? We spend 11 to 15 years preparing for a medical career, forsaking 11 to 15 years of income and investing $500,000 to $1 million in educational debts.
For what? To become servants of distant, impeneratable,unknowing, unknowable, and unknown government and third party bureaucraccies. The fatal conceit of central planners is they think they can substitute their knowledge for knowledge on the ground.
We do not believe in Obamacare. It downgrades doctors. It downgrades our incomes.
It downgrades our autonomy. It downgrades our authority. It downgrades our clinical judgment. It forces us to consider quitting medicine or becoming voiceless employees or indentured servants of government. It relies on outcome-metrics, economometrics, and geometrics – rather than on the sick seeking relief from their doctors. It's about volume of patients seen, not compassion for each one seen.