Have witnessed the deterioration of medicine for years as explained by my friend Dr. Gonnering. At times I've been ashamed to call myself a retired physician. Trust needs to return to the whole healthcare system. The way forward will depend on accurate information provided by physicians independent of corporate corruption and greed. As I see it that will be a monumental task because our culture may not be ready and or able to accept the truth.
As a retired nurse, I watched this happen. Doctors became employees of the hospital rather than independent contractors. They were provided staff and their malpractice was paid. Now in my golden years, I see primary care physicians being replaced with PAs. Additionally, nearly every patient complaint requires a visit to a specialist who then must be seen once a year. It’s all ridiculous. The doctor-patient relationship does not exist. Let’s not even talk about the cost of the insurance premiums!
I am close to 2 MDs: one a college bestie (retired psychiatrist), the 2nd is my brother (still practicing ortho surgeon) - both in Wisconsin, with whom I would very much like to share this article. Not sure they are ready to step back though.
Their defensiveness whenever I even get near a “truth” is still pretty strong, but I have faith, and won’t give up!
Typo alert: “Other authors such as Harvey Risch and Richard Amerling in The Next Wave is Brave and Toby Roberts in his extensive sub stacks (Part 1 and Part 2)…”
Have witnessed the deterioration of medicine for years as explained by my friend Dr. Gonnering. At times I've been ashamed to call myself a retired physician. Trust needs to return to the whole healthcare system. The way forward will depend on accurate information provided by physicians independent of corporate corruption and greed. As I see it that will be a monumental task because our culture may not be ready and or able to accept the truth.
As a retired nurse, I watched this happen. Doctors became employees of the hospital rather than independent contractors. They were provided staff and their malpractice was paid. Now in my golden years, I see primary care physicians being replaced with PAs. Additionally, nearly every patient complaint requires a visit to a specialist who then must be seen once a year. It’s all ridiculous. The doctor-patient relationship does not exist. Let’s not even talk about the cost of the insurance premiums!
I am close to 2 MDs: one a college bestie (retired psychiatrist), the 2nd is my brother (still practicing ortho surgeon) - both in Wisconsin, with whom I would very much like to share this article. Not sure they are ready to step back though.
Their defensiveness whenever I even get near a “truth” is still pretty strong, but I have faith, and won’t give up!
"We really didn’t really measure quality, but proxy indicators comprised of things we could measure."
That is one of the most important facts on this topic.
Typo alert: “Other authors such as Harvey Risch and Richard Amerling in The Next Wave is Brave and Toby Roberts in his extensive sub stacks (Part 1 and Part 2)…”
Toby ROGERS :)
Great article Dr Gonnering, thank you!
Oops!! Thanks for the catch. I hope Toby forgives me…
Haha I’m sure he will :)
As noted in an earlier comment, trust has disappeared from the healthcare system. Welcome to concierge care.