Many doctors feel quite differently than you do. And, based upon interviews I've had with doctors who have left they indeed felt over-managed.
One of our colleagues explains why leaving Kaiser Permanente was the right career move for her.
www.ophthoquestions.com
Kaiser's professional culture seems one-part demagoguery and one-part Maoist indoctrination. I don't have the temperament required to delegate my autonomy to a borg and couldn't live with myself in a Kaiser-HMO environment. Hopefully, we don't capitulate to a "Medicare For All" Kaiser-esque system.
"The biggest gripe I’ve heard as a chief and experienced as a Kaiser physician is the lack of flexibility or the lack of autonomy. Clinic, OR, and call schedules are made 6-months in advance. The clinic template is also preset. If you want to start clinic a little bit later, that’s not possible. If you want to leave clinic a little bit earlier, that’s not possible. If you don’t want to take an hour for lunch, that’s not possible. If you don’t want to work a full FTE but your center needs you to work a full FTE, that’s not possible. This rigidity may seem ridiculous but it is what all Kaiser physicians live by."
Kaiser is the only HMO in the country that feels that its "Best Practices" of "Evidenced Based Medicine" are so riddled with care rationing that they need to be password protected even from other physicians outside the organization;
drphillips.kaiserpapers.org
"The physicians are told in the Permanente Journal to get involved in politics and medical societies to promote the Permanente Promise, not really to advance general medicine itself."