Marcelo Hochman, MD
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Physician voices
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…
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 …
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Independent medical practice: Why private clinics are essential
Health policy
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…
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, …
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South Carolina’s CON repeal: an opportunity for doctors
Physician voices
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…
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 …
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