Subnostr

Doctors are required to put their patients' interests first, and while they sometimes fail at this (everyone is fallible), the professionalization of medicine, through which doctors were held to ethical standards ahead of monetary considerations, proved remarkable durable.

Partly that was because doctors generally worked for themselves - or for other doctors.

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Cory Doctorow 2y ago

In most states, it's illegal for practices to be owned by non-MDs, and historically, only a small fraction of MDs worked for hospitals, subject to administration by businesspeople rather than doctors.

That was radically altered by private equity's entry into healthcare, with waves of consolidation that saw local hospitals merged into massive national chains, and private practices scooped up and turned into profit-maximizers, not health-maximizers:

https://prospect.org/health/2023-08-02-qa-corporate-medicine-destroys-doctors/

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Cory Doctorow 2y ago

Today, doctors are being proletarianized, joining the ranks of nurses, physicians' assistants and other health workers. In 2012, 60% of practices were doctor-owned and only 5.6% of docs worked for hospitals. Today, that's up by 1,000%, with 52.1% of docs working for hospitals, mostly giant corporate chains:

https://prospect.org/health/2023-08-04-when-mds-go-union/

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