buffalo wrote:
My doctor brother calls it the corporatization of the medical system. Corporations now, not only control the INSURANCE of medical CARE, they now own and control most hospitals, the delivery of medical CARE, even ones that used to be community institutions and HMO's. Doctors are, and have been for some time now, leaving private practices to become salaried "hospitalists".
Part of the reasoning behind this is that doctors cannot afford their medical insurance for malpractice insurance. This way if they join a hospital staff the hospital picks up that malpractice insurance for the doctor who then has to practice at that hospital alone. He cannot go into private practice unless he leaves the hospital and starts his own practice. Most of the doctors do not have the incentive to start their own medical practice. It really is costly to start their own practice when you break it down. Either purchasing or renting a building to house your practice, renting or purchasing the equipment for the exam rooms. renting equipment for the front office hiring a receptionist as well as nurses. Paying insurance on all of the employees and on and on it goes. costly very very costly to say the least and a doctor or surgeon could conceivable go through half a year or even more before breaking even let alone making anything for himself and his family. Not a decision to be taken lightly for sure.