- What should physicians do?
Keep in mind two tectonic shifts are going on simultaneously , one, consolidation and centralization in hospital settings, and two, decentralization into dispersed centers outside the realm of government and large integrated organizations. Several examples come to mind: the growth of direct cash and concierge medicine with bundled services and the establishing and marketing of ambulatory surgery centers, both of which provide care at a fraction of the cost of hospital surgeries and with a hell of lot less bureaucratic impediments. Finally, explore, promote, and develop cyber-visits, cyber-diagnosis, cyber-workups, cyber-interviews, cyber-consultations and cyber-imaging evaluations with the end game of referral to physicians for face-to-face 2nd opinions.
I’m reminded of the story of husband and wife watching their children play in the newly laid concrete sidewalk. The husband is livid. The wife says, “But dear, I thought you loved children.” He replied, “ I do, in the abstract, not in the concrete. I am suggesting and recommending that we stop the abstract conservative ideological grousing and go down to the sidewalk with younh millennial physicians and young IT nerds who represent the future in order to take positive concrete actions.