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A Trend I May Not Like

A few years ago, a very good primary care physician who I had been seeing for decades joined a national chain of medical providers called Village Medical. I have not noticed a drop off in the quality of services. But, there is a less personal feel than what I experienced with private practitioners for most of my life and I am a bit worried about the more distant future of medicine.

This morning, I received an email announcing my dentist is making the same move, joining a national group called High Point Dentistry. The email is written to reassure me: “So what’s changing? Just the name. We’re gaining added support, resources, and dental specialists that will allow us to enhance your experience.” The online ratings of other branches around the country are great. But, I don’t entirely trust online ratings.

Does this amount to a growing capitalist takeover of medicine by the U.S. corporate world? Will the future be more like “trickle down” medicine? Is less administrative work, reduced malpractice risk, or something else the incentive for physicians to join these chains rather than remaining independent? Even if the medical services are okay for now, I worry that may not remain the case after big business has captured a sizable majority of practices and decides to focus more on profit and less on patient care.

Replied in thread

Doctors should take part in acts of civil disobedience to advocate for patients
theconversation.com/doctors-sh

“The good physician treats the disease; the great physician treats the patient who has the disease.”
-- William Osler

Essential role of physician as advocate
pmc.ncbi.nlm.nih.gov/articles/

* consensus amongst regulatory/certifying associations
* role of physician as advocate is a fundamental competency for Canadian physicians

The ConversationDoctors should take part in acts of civil disobedience to advocate for patientsAs the world continues to witness wars and climate-related disasters impacting the lives and well-being of more people, the voices of doctors become increasingly vital.

Via the #AssociatedPress @ 4:15pm on Dec 13, 2023

#Texas has sued a #NewYork doctor for prescribing #abortion pills to a woman near $Dallas, launching one of the first challenges in the U.S. to shield laws that #Democrat-controlled states passed to protect #physicians after #RoeVsWade was overturned.

Texas #AttorneyGeneral #KenPaxton filed the lawsuit on Thursday in #CollinCounty, and it was announced Friday.

apnews.com/article/abortion-pi

The science writer Nicholas Wade once said, "All medicine is a form of theater." Performance is often misunderstood as fakery. Certain things become true because people possessing the authority make it so....Making ourselves behave "as if" may be the best way in the end to develop the genuine sentiment or the relevant process of thought.
-- Howard Brody (Am Med News (July 2006))

⬆ #Wisdom #Quotes #HowardBrody #Medicine #Performance #Physicians

⬇ #Photography #Panorama #Canyon #SlickRock #IcebergCanyon #LakePowell #Utah

New #OA paper: What was the experience of family #physicians in #Canada during the #COVID-19 pandemic? Semi-structured #qualitative interviews with 68 family physicians show numerous additional roles to reduce the risk of #transmission of the virus with the support of their administrative staff. #Pandemic plans must include guidance for the roles taken on by primary care administrative staff..

doi.org/10.3389/frhs.2024.1471

Physician friends are sharing lists of medical influencers sharing facts and science who should be followed and uplifted. Who else should be included? Mastodon accounts preferred!

MEDICAL INFLUENCERS - on Threads or Instagram or BlueSky:
Dr Jen Gunter
Dr Karen Tang
Dr Megan Ranney
Dr Harpreet Tsui
Dr Uche Blackstock
Dr Jennifer Lincoln
@erictopol
@gorskon
@luckytran

Edit: Added suggestions from comments