Independent physicians are at the beginning of a challenging movement as we fight to stay relevant and solvent during the transition through “regulation without representation" in healthcare. In 1773, British Parliament passed the Tea Act with the objective to help the struggling British East India Company survive. Opposition to the Act resulted in the return of delivered tea … [Read more...]
A License to Pay Tax
According to Webster's dictionary, one of the definitions of license is “ A permission granted by competent authority to engage in a business or occupation or in an activity otherwise unlawful”. Irrespective that the term “competent authority” should exclude the government from doing any licensing whatsoever, the suggestion is that a governmental agency, for the protection of … [Read more...]
Leaving Medicine Better Than We Found It
Like many of my fellow pediatricians, today I read the three page letter written by American Board of Pediatrics CEO David Nichols. It was a full day seeing patients and it took me nearly three hours to finish it. The letter was so upsetting I couldn't handle reading it straight through. I'd start reading and my stomach would turn, I'd start to despair about the future of … [Read more...]
Confessions of a Narrow Network Doctor
"We lost our regular doctor with ObamaCare, so now we have to see you". I routinely ask my new patients how they heard about our pediatric office, and this is the answer I dread most. My pediatric practice is a very nice and modern private office, and in my opinion, full of excellent physicians. I entrust my own children's care to my partners. But none of that matters when … [Read more...]