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Politics : A US National Health Care System?
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To: i-node who wrote (6664)4/13/2009 8:53:48 PM
From: skinowski  Read Replies (1) of 42652
 
I think the fight for private medicine was lost in the mid-1980's. when the government introduced the so-called "Relative value scales" and concepts like "maximal allowed charges". The medical profession walked into these innovations, I hate to say it, like a herd of cattle. And political "visionaries" who would be able to clarify the implications were nowhere to be found.

Predictably, this new price control regime kept getting tighter, new fee cuts kept coming every year - and eventually, of course, private practice of Medicine arrived to a point when - in many cases - it was no longer possible.

How many of you heard of any young Internists or family docs hanging out the shingle and starting a new solo practice in recent years? It hardly ever happens. A recent article in JAMA published a few months ago describes a study of 4th year medical students in the US med schools. Only 2% of them expect to have a career as primary care physicians.
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