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.
My primary care doctor "retired" last fall. In his goodbye letter to his patients he didn't mince words about why he was leaving the practice of medicine: Obamacare and all the coding and other regulatory compliance nightmares it created. My sister also left the private practice of medicine and is now a doctor at the women's prison. She gets paid better, gets a government pension, and doesn't have to buy malpractice insurance because the State is immune from suit.
We have a regular concierge doctor, but we got stuck with an HMO this year when all the PPOs left our exchange market. So we found a PCP who would sign our hall passes when our real doctor decides we need a specialist. I don't envy the PCP office inhabitants their drudge job. At least they don't often make me come in in person. Do they get any professional gratification out of their position as bureaucratic filter between me and the medical care I need? Do they care, or are they just scooping up minimal fees for minimal effort? I was more interested in their dilemma before they took to lecturing me about the theory of managed care, a subject in which I have no interest.