30% of physicians will retire in the next ten years.
Physicians are prohibited from owning hospitals.
Physicians have lost their agency and autonomy in delivering care.
Private practices continue to sell to private equity despite all the warnings. They will never love you back.
Insurance companies dictate how physicians practice medicine.
Medicare systematically pays health systems more than private practices for identical services—forcing consolidation and juicing the Vig on the SOS.
Physician burnout is at an all-time high.
The residency budget cap is stifling the growth of the physician workforce.
For over 15 years, Medicare has steadily increased payments to health systems while reducing reimbursements to individual physicians.
Since 2010, UnitedHealthcare’s stock has skyrocketed by 8,000%.
In the meantime, monthly premiums and self-funded contributions have more than doubled, and out-of-pocket expenses have quadrupled.
The only way forward is to repeal many rules and return to free enterprise:
The Stark Law, intended to prevent conflicts of interest, has stifled physician innovation and ownership in healthcare facilities.
Certificate of Need (CON) laws protect large health systems and restrict physicians from expanding their practices or opening new facilities.
The moratorium on physician-owned hospitals reduces supply of rural hospitals and keeps physicians from practicing to their full licensure.
Site-neutral payments favor health systems over private practices for the same services, driving consolidation. How does the government pay 10x more for the same?
The Balanced Budget Act caps Medicare reimbursements and limits residency training, contributing to physician shortages and burnout.
Medicare Advantage preauthorization delays and burdens increase administrative strain and reduce physician autonomy.
Antitrust laws prevent physicians from negotiating collectively, further tipping the scales in favor of large healthcare systems.
MACRA and MIPS add red tape, drowning smaller practices in reporting requirements while lowering physician compensation for those who can’t meet arbitrary metrics.
While protecting patients, the No Surprises Act gives insurance companies even more power over physician reimbursement.
The Anti-Kickback Statute restricts physicians’ ability to engage in financial ventures, even those that would benefit patient care.
When will physicians fight back?
