Take It Back by David Fitzpatrick MD


I appreciate you taking the lead on the sad state of the business of medicine. I feel that medicine is doing great…not so much the business. I want to share with you a thought that comes from me via a friend at an unnamed company that rhymes with schmoogle. He reports the history of the past few decades in the high tech world showed that it began with brilliant engineers producing valuable miracles and the business schmucks making ALL of the money.

At some point, the STEM (science, technology, engineering, math) folks realized that they were being raped. They realized that having their name on a patent or award was neat but that the business guys had all of the money. All they wanted to do was to make their miracles, but in failing to focus on the big picture, they handed control over to greedy people.

My friend reports that his and most of the high tech companies now put the money and control in the hands of the miracle makers and ‘just go to Harvard and buy a bunch of MBAs and make them fill out the forms and run the business side of the business’.

Will it take a union or some form of collaboration to give docs the power to take back control? It will take a collective state of mind that we don’t take medicare/caid/private to make changes in the system. Fee for service is OK for lawyers. Why not take it back?

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  3 comments for “Take It Back by David Fitzpatrick MD

  1. tad hominem
    July 2, 2014 at 11:19 pm

    Problem is that FFS as a compensation model for lawyers is under serious challenge.
    I like FFS as a model for PCPs since most people only see their pcp 2-3 times per year, possibly 8-10 x if they have problems. and those with worst problems end up being managed by specialists.

  2. fred powell
    June 29, 2014 at 6:45 pm

    Exactly. FFS is the only way I’ll practice medicine. Otherwise, I’ll either retire or do something else.

  3. June 29, 2014 at 9:20 am

    Alas, we will not “take it back,” for the same reason that we did not “take back” the gobbling up of Poland during the Second World War. Germany and the Soviets divided the whole country, back when they were pretending to be friends.
    It is hard to pull one’s self up to the table during a turf squabble by tyrants. I’m sure no representatives of the Republic of Poland were invited to the partition of Poland according to the Nazi-Soviet Pact. Now, if it truly were a diplomatic discussion, there would be a representative from Poland’s government there to lend ideas and insight.
    And the chopping up of Poland certainly did make for some nifty art – see http://upload.wikimedia.org/wikipedia/commons/8/84/Alegoria_Umarlej_Polski.jpg for a picture of Poland at the Deathbed.
    But the pact has been inked, and it’s up to the lookers-on, such as the doctors, to come to understand the New Order. We may know that it will not last – it is madness. But it is the way it is.

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