Discussion about this post

User's avatar
Randy Bickle's avatar

As a long time primary care doc who started in a sub-specialty I agree that much of what we do is to just listen and often recommend rest, OTC and follow up by phone if certain parameters are met. But for those who are employed (nearing 50%) dispensing this advice works against their productivity and,ultimately, their income. It’s hard enough to recruit new PCPs for our aging practices especially when the income level is so low. In America we do not put much stock on the cognitive part of medicine. We put so much on procedures and technology which helps the health systems to increase their margins. They put little stock in who actually generates that volume, oftentimes it is their PCPs. I could continue for a long time but I really wanted to say that your analysis and conclusion are spot on. Still love what I do. thanks and look forward to the next year.

Expand full comment
Jennifer Lee's avatar

Thank you so much, Vinay, for your endorsement of mothers!

Expand full comment
23 more comments...

No posts