We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
I found Dr. Bob's post to be honest, sad, and deeply discouraging. I hear things like that all over from my colleagues these days. Here's a quote from his Still Breathing…
... I am weary. After nearly 30 years in private practice, I am not sure which straw broke the camel’s back, but it is most surely broken. It is a weariness born of 14 hour days; of dictating charts and finishing paperwork until 8 or 9 pm each night, after starting the day at 7 am; of endless audits by the insurance industry and Medicare; of the constant threat of litigation; of the crushing burden of one more federal requirement mandated but never recompensed; of a host of ever-expanding administrative burdens having nothing to do with patient care, and everything to do with bureaucratic micromanagement of the profession. And this before we have even begun to see the nightmare which Obamacare will inflict. Camels weren’t designed to carry such a load.
That's the loss of just one more doctor who would know you and your family, and care about you and your life - and who would be working for you, and you only. Soon enough, the tort lawyers and government bureaurats will have the pleasure of going to an assembly line government clinic, staffed by docs trained in Russia, Mexico, and Croatia, to take care of them in 4 minutes according to a government protocol, with only approved and cost-effective methods depending on your age (and potential productivity).
Life has hardened my cynicism about power and government. I am not a paranoid sort, but I think the Fathers had it right about their determination to limit power. They own half my labor now, and want to own more of it - and my body too. For my own good, of course.
As a traditionalist Yankee born and bred, I somehow cannot find any gratitude in me for such unwanted favors.
"to take care of them in 4 minutes according to a government protocol" Don't forget the 26 minutes of computer/paperwork! Oh, and if you have to call a referrer, good luck getting to speak with a human for the rest of the hour. Why did I decide to go into primary care?
Add to Still Breathing's list the animus with which the big government views docs. How in the world did we get to a place where our President casually disparages physicians? (difficult to find references, but: http://online.wsj.com/article/SB10001424052970204886304574308472181248330.html and http://www.youtube.com/watch?v=SG56B2et4M8 )
The weight of his words, when he referred to docs doing - unnecessary - surgical procedures for money, seems like another of those straws.
No consequences of any kind to him, but heavy bunch of nasty straw in camels' load for docs.