Firing Patients

I was sent this article from the Poughkeepsie Journal called Doctors ‘firing’ patients is a disturbing development.   The author, Karen Angel, brings up a lot of appropriate concerns but is off base on a few of them.   She first decries how her mother was fired from a medical practice (after she sent management a letter about errors in her care).  Playing devil’s advocate here, if that letter included any threats of suing then you are going to be fired.   End of story.  And her belief that somehow patients should NEVER be fired is lunacy.  Physicians have a right to see who they want and remove those who they don’t want (belligerent patients, narc seekers, chronic no-show patients, patients that threaten to sue them, etc).  That being said, the rest of her points are accurate and worrisome.  Doctors are jumping into hospital employment more and more.   Choices for patients are becoming fewer and fewer.  This blog has been over that again and again.  It is bad for healthcare.    The world needs to wake up like this author did.    She, and her mother, finally got satisfaction when a neurologist friend helped her out:

He referred me to a solo primary-care practitioner, an old-school doctor who would see my mother in the hospital if she had to be admitted, ensuring continuity of care. Goodbye scary system of rotating hospitalists.

I guess I am more amazed how clueless the public (or freelance writers) really are.  She is complaining about “hospitalists”?  That horse has been out of the barn for over a decade.  Lady, you haven’t seen nuthin’ yet.   Wait until there are no more family doctors even left.

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