OK people–say goodbye to doctors, and hello to nurses, physician’s assistants and disease educators, because that’s what you’ll be getting under the new health care system. That’s right, primary care physicians are on their way out—in droves. But you’re not surprised, right? I told you just that in this here blog, remember? And for my fellow chiropractors, I made that very clear in my Dynamic Chiropractic article, Chiropractic Suited for Primary Care?, last year.

Awright, good, you knew…just wanted to give a heads up, because new estimates have 40,000 primary care physicians leaving practice within the next decade. That’s how money is saved in a nationalized health system. Reminds me of the time my wife’s esthetician told me that she was a doctor in Russia. “Awesome!” I said. “Not really,” she replied. “Being a doctor there is not like over here, it doesn’t pay much and the hours are long; very few people want to do it.” And now she’s giving facials in Beverly Hills. Nice.

Only 30% of all doctors practice in primary care. If you don’t know, these are the docs that see you first. Don’t know why you’re gassy all day? Primary care physician. Don’t know why your baby toe tingles? Primary care physician. Pissing fire? You get it.

Interestingly, 65 million people currently live in areas designated as having a shortage of primary care physicians, according to the government. But never fear, the new health plan will offer to pay doctors 10% more to serve in those areas. Wow! So if I were to serve in those areas, they’d pay me an additional $3.10 (Medicare pays $31.00 for chiropractic; trust me, it’s my humanitarian gift to society to treat the elderly). Love the government–they sure know how to value a service.

Not only are primary care physicians leaving practice, but when the new health care system takes off in 2014, both the newly insured and existing patients will make a mad rush to doctors’ offices, putting a strain on an already buckling specialty.

No worries, less educated physicians assistants will pick up the slack. They’ll have their government manuals telling them how to handle each condition. Who needs doctors? Differential diagnosis is soooo overated.

I just hope I never see my PCP, Dr. Weiner giving haircuts at the local Fantastic Sams—that’d be awfully embarrassing.

One Response to Bye, Bye Doctors

  1. Thea Wood says:

    I think this is misleading. General practitioner numbers were dwindling way before the Affordable Care Act was passed. Most were buried in insurance paperwork and had to fight to get paid by insurance companies, the govt and patients. Many people seek out specialists based on symptoms, bypassing GP’s entirely. Now we have remote technology emerging that can monitor your heart rate, diabetes, pharmaceutical effectiveness, etc. No need to see the doctor in person at all! The industry is shifting and doctors need to shift as well. Things change, but it’s not doom and gloom!

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