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When the Care is Important But the Rules Aren’t

Physician restrictions only exist because we allow them.

Physicians are restricted.

Non-competes telling you that you can’t work anywhere else.

Insurance telling you that they won’t pay a dime unless you jump through the hoops, no matter how stupid they are.

Clinical managers filling every second of your day to maximize your “productivity”.

Hospital administrators telling you what you can or can’t utilize to treat your patients.

Even as a surgeon, they control to a good extent the instruments you use. We all know that instrument in that one set that has never worked, that they keep cleaning and putting back in the set anyways.

Medicare restrictions, EHR billing requirements. It’s endless. We are lucky if we get to sit down for lunch.

To those who say that we signed up for this, we didn’t. We didn’t sign up to mill through patients while using all of our mental strength to avoid the realization that we are doing a substandard job. We didn’t sign up to spend most of our time on needless documentation and “charting”. We don’t want to be on your JHACO and Medicare required quality improvement panels that are mostly interesting in gaming a broken system.

 

To those who say that we signed up for this, we didn't. We didn't sign up to mill through patients while using all of our mental strength to avoid the realization that we are doing a substandard job. Click To Tweet

 

Things will only get worse. I shudder to think what it will look like 10 years from now.

If you are a physician in the system, you need to stop working with hospital systems and taking insurance. This will free you from all of the restrictions that are mostly reimbursement related. Once you free yourself from hospital systems and insurance companies it will all melt away. Care is better, you will be happier, and you will remember why you wanted to go to medical school in the first place.

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