Recently while listening to a politician describe “Medicine” it seemed clear to me that he had not noticed the many changes that have befallen “Medicine”. He went to considerable lengths to describe all of the changes involving medical care and it’s practice would involve. He mentioned that many practitioners would be affected by all of the numerous changes proposed by government at this time and in the short term future. He seemed to envision what the practice of medicine once looked like in our more pastoral days. Envisioning a physician in a private office setting is, in most parts of this country, is something that has met it’s demise. I think it is about time that politicians as well as our general population realize that medicine is no longer administrated by physicians. The practice of medicine is being administered and contracted for by corporations. The family physician has been quietly either discarded or taken employment with an entity much larger and much better equipped with legal and administrative skills.
I respectfully request that politicians recognize these changes and stop portraying the physician in the setting he or she no longer occupies. The physician, if he or she wants to make a living, has to enter the employment of a large corporation. Working outside the corporate framework is becoming increasingly difficult or impossible. Physicians in general are practicing within the bounds set by the corporations who are the real providers of medical care.