9 Comments

Thank you for this information,Wes. I am now happily retired in Napa, California and no longer worry about my perceived status.

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Dr. Fisher, do not pay into that extortion again. Build a direct care practice and teach your students what has become the most important lesson in medicine right now- that an independent physician is far more useful to the patient than any employed "provider" drone.

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Above my pay grade, but interesting. Like everything else, there is too much mumbo-jumbo which I expect serves a very tiny group of individuals.

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founding
May 3, 2023Liked by Westby Fisher

Thank you, author. I am forwarding to people who need to see this. Our patients are crying for more physicians while our "leaders" are crushing us and making retirement the only solution. As if the practice of medicine wasn't inherently difficult enough.

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Extortion - noun - the practice of obtaining something, especially money, through force or threats.

"he used bribery and extortion to build himself a huge, art-stuffed mansion”

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I won't go into a long, blustering reaction to this paper. I will say that my heart breaks for you doctors. It's one thing to go to nursing school, but it's entirely different for someone who wants to be a doctor and goes through the financial, emotional, physical, and mental bootcamp it takes to get there. Those peoples' desire and passion outweigh the brutality they are about to enter. To be herded through stanchions for 7+ years only to look up and find more roped off lines to follow is unconchable.

To reply to DAS and his CPR comment - agreed. Once you have taken the class and passed the "quiz" it's like clicking and unclicking an airplane seatbelt, you don't forget (but they insist on reminding you). My "online" cpr course is not accepted as fulfilling the requisite of being cpr certified. #1-less than 10% (I think it's approx 7%) of people survive cpr outside of a hospital, even less live out a year. #2-something is better than nothing, just because you haven't gone to a class, pressing a chest will be better than standing there. #3-I'm a hospice nurse. Have yet to perform this $34.99 taught technique at work.

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May 3, 2023·edited May 3, 2023Liked by Westby Fisher

Well-said. Mandated medical board policies have morphed into a parasitic protection racket, expanding their pay-to-play protectorate to push practitioners to the brink. Their genius annuity plan makes them great bed partners for politician PACs.

FYI —the AHS (American Heart Assn) now runs a similar scheme—just peruse their shiny new product line! Want to be a good citizen and learn CPR? Better shell out, then pay every 2 yrs to re-cert for $34.99 a pop. Why do non-profits need revenue centers? Turns out execs of all orgs love to live high on the hog.

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May 3, 2023Liked by Westby Fisher

The moral injury is real and the wound is fatal, at least psychologically, which is why I will be retiring as soon as my current board certification expires, or the state revoked my license (whichever comes first). It’s sad, and it didn’t have to be this way, but I can no longer take part in this charade whereby these various boards confer their blessings on physicians only if they keep their heads down and their mouths closed. This is not my idea of looking out for the best interests of my patients.

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Have to wonder who decided the title needed to be “corrected.”

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