Reply to Where have all the doctors gone?

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[quote=Anonymous]Was just discussing this with a friend who manages her dr husband's practice (internal medicine). They went concierge because of insurance. They live in a  fairly high COL college town but because the town is in a rural area they only get reimbursed at "rural" rates, well below what is reasonable. Also her husband likes to spend more time with patients and actually address all their issues but insurance will only reimburse for the primary reason for the visit. That's why if you go to the dr about X but also want to discuss Y they will often force you to make another appointment. They reached the point where the only financially feasible options were sell to a big medical conglomerate and get paid as an employee and still have to deal with the current insurance environment or switch to concierge. They still keep on some grandfathered-in elderly patients but have enough people willing to pay for concierge.

It is just not a good work experience for primary care doctors. I was looking up something at the pediatrician we've gone to for years (now transitioning out because kids are in college) and noticed that there was only one doctor I recognized at the large practice. Must have been a big wave of retirements.[/quote]

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