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John Machata is a family physician.

How this primary care doctor found his dream practice

John Machata, MD
Physician
September 18, 2022

Eleven years ago, I escaped the drudgery of the corporate medicine hamster wheel to set up a solo family practice where I could be my own boss and practice medicine my way.

After 38 wonderful years as a family doctor, I am ready to retire. I hope to gift my practice to a doctor eager to be independent, well compensated, and enjoy a balance between work and life.

Who might be the …

Read more…

How this primary care doctor found his dream practice

How Big Medicine is hurting patients and putting small practices out of business

John Machata, MD
Policy
March 27, 2019

Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.”

Of course, economic and political forces apply to health care.  Big Medicine’s most powerful entities (insurers, hospitals, medical schools, pharmaceutical companies, pharmacies, and government agencies) formulate health care policy to enrich themselves at the expense of patients and small, independent medical practices.

As an independent family doctor, my practice’s existence is in jeopardy.  Small physician …

Read more…

How Big Medicine is hurting patients and putting small practices out of business

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  • Most Popular

  • Past Week

    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Avicenna’s influence on modern medicine: a physician’s reflection

      Farid Sabet-Sharghi, MD | Physician
    • The rhythm of healthy aging: Moving beyond health care metrics

      Gerald Kuo | Conditions
    • The clash between defensive medicine and value-based health care

      Olumuyiwa Bamgbade, MD | Physician
    • Managing acute heart failure: evidence from the DOSE trial

      Benjamin P. Geisler, MD, Jeffrey L. Greenwald, MD, and Kathy May Tran, MD | Conditions
    • The danger of detachment: How medical training reveals character

      Ronald L. Lindsay, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • Avicenna’s influence on modern medicine: a physician’s reflection

      Farid Sabet-Sharghi, MD | Physician
    • The risks of direct-to-consumer pharmaceutical advertising and Big Pharma

      Ronald L. Lindsay, MD | Meds
    • The synthetic opioid market: Why cartel arrests do not stop the crisis

      Carlos N. Hernandez-Torres, MD | Conditions
    • Bayesian reasoning in health care: When to refuse medical tests

      Martin Bello, PhD | Tech
    • The truth about opioid analgesics and nonsteroidal anti-inflammatory drugs

      Pat Irving, RN & Richard A. Lawhern, PhD | Conditions
    • How high taxes and the California Medical Board fuel the physician shortage

      Kayvan Haddadan, MD | Physician

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