He didn't pose this as a question but you just gave him the answer...

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Imagine relying on medicaid/medicare to keep your practice solvent 🤣💀

Seriously though…system is fkd. Admin glut, mas govt involvement, rising cost of premiums, decreasing reimbursements, incentives placed on volume vs. quality of care.

At this point the system seems to have trended towards being intentionally designed to take advantage of the good docs’ sense of duty and compassion for their patients (ie counts on many of us doing uncompensated work because we understand that it’s in our patients’ best interest).

Problem is not everyone is good/gaf and when you incentivize doing the bare minimum (ie enough to avoid a lawsuit and not get fired) this is a recipe for shit care.

It’s no wonder why almost all my colleagues who got into medicine for the right reasons have plans to make an early escape.