Written by David Sprayberry M.D.
Something has got to change.
In recent years, the practice of medicine has been under attack from a variety of sources. Insurance companies continue to squeeze both physicians and patients in order to increase their already enormous profits. Our federal and state governments have decided to target physicians when an error is made in the exceedingly complex billing process in order to levy fines and recoup some of what they spend on Medicare and Medicaid.
Our federal government purposes to replace physicians with cheaper, lesser trained individuals who have not received nearly the level of education that physicians have. Even other healthcare professionals who have traditionally been a part of the physician’s team are seeking to take on the role of a physician and become your “provider.”
I fear that the best and brightest students will increasingly choose careers other than medicine if we as a nation continue to demean the work that physicians do and continue to attack the physicians who entered the field with altruistic intentions. It is also quite possible that the U.S. will lose practicing physicians to other nations that value their services more highly or at least do not make it as painful to do their jobs.
The American public needs to spend some time thinking about what they want from our medical system. Do they want their primary physician to be merely a coordinator of care or do they want him or her to be the provider of care? Do they want nearly all their office visits to be performed by a nurse who only calls in the physician if something is complicated or do they want a physician who is capable of detecting serious problems based on subtle findings or symptoms? Do they want to see a nurse when they go to a specialist? Do they want the person who is deciding whether they may have cancer to be someone who has never spent sleepless hours at the bedside of someone dying of cancer? Do they want the person who is deciding whether their child should be admitted to the hospital to be someone who has never seen a patient progress from simple wheezing to respiratory failure and death in a matter of hours? Do they want the person counseling them on whether to get that new vaccine to be someone who has never taken care of a child who died from a vaccine-preventable disease?
Our current system continues to march toward having nurses provide medical care and physicians only supervising and taking care of “complicated things”. Is this really what we want?
Dr. Sprayberry is a practicing pediatrician in Watkinsville, GA and blogs at Pediatrics Gone to the Dawgs