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.