Funny how Glaucomflecken has become a bigger and more helpful voice than any of our national organizations.
Just to provide some context on why he’s so angry even outside of Oregon (and why Benjamin Banks has been a character for years).
TL;DR he hates PE, somehow more than me.
PE is a massive scourge in eyes, especially in retina. The largest group (Retina Consultants of America, who coincidentally contains a good chunk of our leadership) recently “acquired” all of the retina contracts from a competitor, even from their multispecialty groups - I have no idea about the legalities there. You wanna know who owns RCA? Cencora.
Why, the Cencora that’s also a distributor for the meds that we use? That would be a massive conflict of interest, right? Especially since, like oncology, we benefit from buy and bill so now they can price fix, double dip, and tell their docs to use the most profitable stuff, right?
BTW I know the last part is true. There’s a charity (Good Days) that pays for meds in chronic conditions when patients don’t have the dough for it. It lost most of its funding a while back due to a spat between drug companies. One of their senior VPs was trying to show me the money so they could then make it way back off of me, so I asked if they were switching back to cheaper meds to help patients out. You would have thought I had three heads the way they looked at me. They had also just claimed you’re allowed to practice how you want. Patients, boo. Metrics, yay!
One of my very accomplished friends offered to give a talk on running a private practice at a meeting for graduating fellows. The only faculty not in academia were in PE, so it was a flat no.
So yeah, F PE across all of medicine. Sadly I could easily rattle off a dozen cities where that’s about all you can get in the job market.