The Happy Hospitalist: “Every year the failure to provide an adequate reimbursement model is equivalent to a doctor tax. The result of that covert doctor tax has been a mass exodus of medical students from primary care medicine. These students see the writing on the wall that Peter “Pan” Stark does not.
The primary care doctors that remain have tried, in vain to increase production through volume. A volume game that has driven physician and patient satisfaction into the ground and has increased the cost of health care delivery universally.”