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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
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

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
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      Tamzin A. Rosenwasser, MD | Physician
    • How to treat sacroiliac joint pain effectively today

      Kayvan Haddadan, MD | Conditions
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      Kathleen Muldoon, PhD | Education
    • How a minor dry cough amplifies caregiver burden in home health care

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

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      Stephanie Waggel, MD | Policy
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      Constantine Ioannou, MD | Physician
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      Bernard Leo Remakus, MD | Physician
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    • Securing physician autonomy with employer-sponsored direct primary care

      Dana Y. Lujan, MBA | Physician
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      Jeffrey H. Millstein, MD | Physician
    • Finding peace and reclaiming humanity within a broken health care system [PODCAST]

      The Podcast by KevinMD | Podcast
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      Neha Sabharwal, DPT | Conditions
    • The hidden crisis of trainee health during medical residency

      Chinyelu E. Oraedu, MD | Physician
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      Richard A. Lawhern, PhD | Conditions
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      Carrie Friedman, NP | Conditions

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