Solo Private Practice

October 20th, 2016 by Tom Vaillancourt Leave a reply »

Patrick Wagner, MD

The most important question asked of every pre-med student at the time he or she applies for medical school is…”Why do you want to become a doctor?”  The sincere answer to that question simplifies the selection process, and those prospective “doctors” who answer it best are granted admittance to medical school.   Nowadays, following admittance, the prospective doctor is taught by the educators how to work for the system, not necessarily for the patient.

It would be well to ask what kind of doctor you want as you watch your traditional medical profession fall apart and evolve into the pathetic health care system you pay for today.  A good question to ask here is:  Am I paying for medical care or a huge bureaucracy that is squandering my hard earned money?  We are now at a time in American history when we must choose a one on one solo private practice doctor who cares about you, the patient, or have a social public practice health care worker chosen for you who doesn’t care about you, the patient.  They care about pleasing their employer so they will get paid, and they are not adequately trained, and it’s irrelevant to them.

Let me share a little secret, based on my education, experience and exit from my previous vocation as a solo private practice general surgeon.  To be a surgeon turned out to be a tremendously rewarding profession that I would have never traded for anything in the world.  But as I experienced my career, many obstacles got in my way which ultimately made me stop.  It is quite enough to learn “normal” human and then “diseased” human, and to practice compassionate diagnosis and treatment of sick humans.  After all, the writings of Hippocrates from 400 B.C. characterize the stress laid on treatment and prognosis.  That’s the secret, namely that a well-trained physician has enough on his plate with the intensely responsible job of caring for his patients.  That is plenty.  Anything more is degrading, and is heaped on slave labor.  That’s not why I chose to be a surgeon.

Based on the obstacles mentioned above, I can define the physician’s birthright, namely “inward rest and outward victory”.  Here is why I am a doctor.  It is for the privilege to serve each and every patient with the highest quality, most affordable, most efficient and safest medical and surgical techniques possible to achieve the recovery anticipated from the diseases they are inflicted with, and with strict attention to detail.  Patients never cease to be relieved and glad when a disease leaves them.  Neither was I.  It’s everything.

Running a business is second nature when a doctor finally recognizes that he has got to have a business sense.  It is basic and simple compared to the myriad important decisions he must make in taking care of his patients.  It is now clear that the doctor needs the intelligence to avoid the pitfall of any third party industry, the patient being the sole administrator of his service.  Simple concept, simple conduct, simple contract, but oh so important!

Doctors are not cowards.  They are slaves.  Folks tell me that those doctors who have acquiesced into their dismal position could have gotten out.  Wrong!

Doctors don’t fight (except disease), they heal!  They do not destroy!  Remember the medics of World War II?  If a doctor, now controlled by someone other than a patient, fails his owner, he loses his job.  A doctor rationalizes his position, saying…”The patients deserve what they are getting.  The people want the bureaucrat, so that’s what they get! “

Doctors work not because they are motivated to help the patients, but since they have no skill in any other trade and with such a huge investment of their lives into their education, they become desperate, devalued, and motivated to do exactly what they are  told to do, which doesn’t include putting the patient first.  They care for their fiend of a boss only. So who’s the coward?  Who’s the bully?  Is it the patient or the doctor?  Look into your heart carefully when answering this question! 

Solo private practice means one patient, one doctor, one servant, one boss.  That is plenty.  It’s even more specific and personal and private than a “group” or partnership of physicians in private practice.  All of the obstacles, the drama, the theft, the hierarchy of positions in the partnership, and all personal ambitions are crushed and eliminated, because all business deals get messy. The lies cease and the truth begins, one doctor and one patient at a time; no chaff!

At any given time in history, you deserve the kind of doctor you have, ie. you choose a competitive doctor or allow someone else to assign you a noncompetitive one.  It is now time to choose, and it is a serious choice.  If you want to keep your system you can keep your system.  And if you want to keep your health insurance you can keep it.  If you want better, you must change it, because the present system is failing you miserably.  Your decisions define your character and your destiny.

American medicine evolved from a fee for service private practice, free enterprise system via several steps into what it is today.  The problems began with Medicare, evolved into managed care when Hillary tried Hillarycare but failed, evolved into Obamacare as a piling on of Hillarycare in the ongoing name of special interest ACA compliant “health insurance”, and now threatens to end up with universal health care (government dictated health care), which is what the crooked fiends wanted all along!  Even Bill Clinton himself, the president that allowed Hillary’s mischief during the first term of his administration, says Obamacare is a loser.  The final step is “Killarycare”, or gross negligence.

In other countries that have government run health care, deciding which medical procedures and drugs the government will pay for and will not pay for, is what takes up the majority of the legislators’ time and effort.  Knowing our present political system, do you really want to turn your health…. yes I will say it again, do you really want to turn your health over to politicians and government bureaucrats?

Once the system is in place, it will prove almost impossible to eliminate it and go back to the private practice of medicine!  What you will end up with is a two tiered system.  Those few who can afford to pay for private practice medicine will enjoy far superior medical care over those who cannot afford to pay for private medicine.  Talk about that “one percent” of elites!   

The truth is that government run health care has to be stopped before it starts, because when you get sick of it and from it, you will want your doctors to come home.  You will again “seek out” your doctors without a middleman.   They will join you.

  • Question is, how long do you want to “feel the pain”?
  • Will there be a sufficient number of well trained and dedicated doctors still available?

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