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Marcelo Hochman is a facial plastic and reconstructive surgeon.

Independent medical practice: Why private clinics are essential

Marcelo Hochman, MD
Physician
March 24, 2026

Independent medicine is often described as nostalgic, a relic of a prior era in which physicians owned small practices and made decisions without corporate oversight. But independence is not nostalgia; it is infrastructure.

Today, nearly 75 percent of physicians in the United States are employed by hospitals, health systems, or corporate entities, according to the American Medical Association. In 2012, that number was closer to 50 percent. Private equity investment in …

Read more…

Independent medical practice: Why private clinics are essential

South Carolina’s CON repeal: an opportunity for doctors

Marcelo Hochman, MD
Health Policy
November 11, 2025

Imagine having to ask your competitors for permission to open a new business: a corner café, a diagnostic clinic, or a surgical center. For decades, that was the reality in South Carolina health care. Certificate of Need (CON) laws gave entrenched hospital systems the power to contest new outpatient facilities, imaging centers, and physician-led ventures. It stifled competition, raised costs, and preserved the status quo.

That era is ending. In 2023, …

Read more…

South Carolina’s CON repeal: an opportunity for doctors

It is time to bring doctors back to medicine

Marcelo Hochman, MD
Physician
September 22, 2025

Appointments booked months out. Overwhelmed specialists. ERs struggling to stay staffed. The physician shortage is not coming. It is already here.

The Association of American Medical Colleges projects a shortfall of more than 124,000 physicians by 2034. But that number does not capture the reality that doctors are leaving medicine quietly, every single day. Some retire early. Others step into nonclinical roles. Many more are simply trying to find a better …

Read more…

It is time to bring doctors back to medicine

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
    • 12 psychiatrists missed my medication-induced psychosis

      Scott Standage, MD | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Improving patient access starts with board governance

      Donna Harvin‑Graham, MBA | Patient
    • Drought and antibiotic resistance are linked in new study

      Benedette Cuffari | Conditions and Diseases
    • Pain score after surgery should not define recovery

      Dr. Girishkumar Modi | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases

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