the de-doctorization of primary care is coming
#docchain 
Discussion
Good or bad thing?
bad, very bad
algos and inexperienced “providers” will replace the docs
Is this sovereign medicine or something else?
direct primary care will continue to explode
the old model will crumble
Replaced with what? RNPs?
probs freshly minted NPs that got most of their “clinical experience” completing online modules
This is a symptom, not the disease. The real pathology is the jobification of a profession. Primary care doctors increasingly work for super clinic businesses, specialists work in hospitals ran by MBAs. Being a doctor is less a calling, and more a business problem.
Professionals, even in groups, struggle to compete with leveraged up corporate entities playing fiat games.
