Private practice may go the way of the dinosaur.
October 13, 2022
Personal safety risks and fatigue caused by the pandemic have played a role in some doctors' decisions to retire or sell their offices to giant hospital systems, an outcome Bush is trying to stave off. "If you have the strength and courage to hold on as an independent physician, your life is going to be hard," Bai said.
Grants, loans, and other assistance intended to help hospitals and doctors remain solvent went disproportionately to wealthy hospitals that did not need the money as urgently as independent practices and struggling rural hospitals did, according to research reports from two states and interviews with academics and doctors.
Bush said covid relief aid helped him meet payroll for his 13 employees. He said the aid did not cover losses from canceled surgeries and office visits.At one point during the pandemic, Bush said, his practice turned to telemedicine and saw fewer than five patients a day. "If I could go back 30 years, I wouldn't become a doctor," Bush said."Looking back at life, this was the wrong choice."
The North Carolina Healthcare Association, a group that lobbies on behalf of hospitals, declined an interview request. In written responses to questions from KHN, spokesperson Cynthia Charles said the public benefits when hospital systems purchase independent practices. It ensures access to primary care in communities at a time when small practices are fighting to survive, Charles said. She said she could not provide data on the impact that consolidation has had on prices.
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