This is one of many reasons I broke off from the mainstream doctor group mindset about full range of clinician types. Becoming a doctor requires a certain amount of privilege or lack of barriers. Barriers reinforce the anti-equity and “exclusive” or “status” mindset in medicine.
https://twitter.com/jbullockruns/status/1329115449078865920
In low resource places, like FQHCs, I don’t see doctors rushing to work, apart from many who need loan forgiveness and/or visas.
That said, despite the “access” narrative for policy battles, I also see it used to shortcut/rush to bill independently for lucrative derm procedures.
That said, despite the “access” narrative for policy battles, I also see it used to shortcut/rush to bill independently for lucrative derm procedures.
Keeping in mind broader context. Regardless of your personal values, America is all about business and healthcare in America is merely another revenue/profit-generating industry. Healthcare as a social good is a Canadian, European, or Australian thing, not an American value.
So all this is about markets, market share, competitors, replacements/substitutes, revenue cycle, etc. Quality has never been a necessary outcome in American healthcare so claiming clinician type has anything to do with quality is patently false if we look at actual the data. 
This is not going to get us good healthcare outcomes, or for that matter, economic outcomes. So let’s not pretend that who writes the prescription then not filled due to cost actually makes the difference in outcomes. Access and affordability are what matter for quality.
To clarify, see members of the most policy focused groups, seeking scope & pay parity with docs, who lead with “access”, then actually set up an urban practice to do varicose vein or Botox procedures. The folks in the FQHCs are not spending their time at the state house lobbying.
https://twitter.com/usnehal/status/1329131508007890948
If we are going to actually solve problems and deliver outcomes then we HAVE to be honest.
Cut out the optics, narrative, data manipulation, self driven goals using patients as pawns in your chess game.
All parties are acting badly in ways that waste resources or create strife.
Cut out the optics, narrative, data manipulation, self driven goals using patients as pawns in your chess game.
All parties are acting badly in ways that waste resources or create strife.
I do realize lobbying or tactics used won’t change. But the rest of us should see through this political battle that hijacks “we care (more) about patients” as not being about care or or quality or outcomes but about turf, power, personal career experience & options, 💰💰💰
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