Sun. May 5th, 2024

We are hearing this all the time. Big corporations are purchasing doctor groups and hospitals and then squeezing harder than ever. Oh, and they are replacing doctors as well. Their goal is money. Plain and simple. 

Here is an example from the WSJ. I’ll repost the beginning of the piece to give you a taste:

Since the laser surgery that can fix nearsightedness was approved in the 1990s, one firm, called LasikPlus, has grown into the U.S. industry’s dominant force by using low prices as a draw and vacuuming up rival players. 

Along with its growth, LasikPlus has accumulated critics, including some of its own doctors, current and former, who alleged in lawsuits and interviews that they were pressured by corporate management to follow practices that they felt put the company’s profits over patient care. 

Some said they were expected to perform so many procedures each day they worried they couldn’t keep up. “It felt like we were in a war zone all the time,” said Therese Alban, who quit LasikPlus two years ago after 15 years there, part of an exodus of about 20% of the chain’s then 40 or so doctors to a rival firm or private practice.

Dr. Alban said she was comfortable operating on 28 patients a day but was pushed to do 40 to 50. She would agree to boost her volume, she said, only to sometimes find an extra four or five patients added to her schedule without her permission. Some days, she operated from early morning until 9 p.m., she said.

More than a dozen former and current LasikPlus doctors and employees echoed such concerns. Some former surgeons said they felt pressure to approve clients for whom the standard vision-correction procedure might not be suitable and said the company discouraged them from recommending surgical alternatives that could be better for the patient.

This is happening with ERs. This is happening with urgent care centers. This is happening with hospital chains. This is happening with primary care.

Most importantly, this is happening with DINOs doing DPC

Any time there are extra hands in the mix (third parties) you will have the same pressure that these doctors above do. And it only makes healthcare in this country worse.

DO NOT WORK FOR A DPC CORPORATION. BUYER BEWARE!

(Similar post cross-posted on authenticmedicine.com)

40460cookie-checkCorporations Are Not the Saviors of Healthcare and Definitely Not the Saviors of DPC
(Visited 48 times, 1 visits today)

By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

Comment Here and Join the Discussion