The state of health care in the U.S. is widely considered to be inadequate. I recently learned in an online class that family doctors in Canada only have 10 minutes per patient. I am unsure who sets or enforces this rule and it is unclear why anyone would choose such a job. As an introvert, I understand the toll of being present for others all day, but 10 minutes to …
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Every primary care doctor knows what we are up against. The obstacles are many: payers, licensing boards, MOC, CME requirements, coding for billing, access issues, and the changing clinical field.
Sometimes these cause real harm.
Fifty miles north of where I-95 ends in Maine, winters there are long. My friend Dr. J did locums and spent a winter there. He tries new things wherever he goes, like spearfishing on Maui. So he …
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This is not a story about anti-vaxxers. This is a story about primary care.
Running a smaller practice, as I do, has inherent rewards and challenges. There is literature on both sides of the Atlantic that patients prefer small practices. Lately, consolidation of practices has been frequent, mostly under the auspices of hospitals, sometimes into larger private groups. Although vertical integration appears to have increased costs and by various mechanisms inadvertently …
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