Bureaucracy Killed the Family Physician

Here is a nice summary in the Medical Economics magazine of why we are having such a shortage of family docs.  All of it, by the way, was predicted by me over the past 15 years with proof in this blog.  It is summarized as:

  • Bureaucracy
  • Red tape
  • More bureaucracy
  • Pay-for-performance
  • Quality indicators
  • Metrics
  • More red tape
  • Even more bureaucracy

All of this was created and imposed upon doctors by the federal government.  And the beauty is that some people think that the one who will fix this all will also be the government.  Really?  Child, please.

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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] 

  5 comments for “Bureaucracy Killed the Family Physician

  1. Donald
    September 24, 2017 at 10:58 am

    Don’t leave out the ACGME and the specialty boards who discovered that MOC requirements were highly profitable and didn’t care if they took away from patient care.

  2. Pa
    September 20, 2017 at 7:58 am

    Please don’t leave out the AAFP. They were a relative bit player, but they were a nice useful idiot to provide cover for the bureaucracy.

    • RSW
      September 20, 2017 at 12:22 pm

      “the AAFP. They were a relative bit player”

      Oh, I’d give the AAFP (and the other medical societies) a lot more credit than that. I can assure you it wasn’t a member of congress who came up with the god-awful PCMH and then decided to give NCQA control over it – that was entirely the AAFP’s baby. CPT and RUC – straight from the AMA. All of these disastrously bad ideas start with the non-practicing physicians who were couldn’t hack patient care and found cushy homes in our academies.

      We have met the enemy and he is us.

      • Kurt
        September 20, 2017 at 2:39 pm

        What I’d like to print is something of the lines of holding a gun to the heads of the
        powers that be and give them 3 choices.
        1. You walk away no questions asked.
        2. You agree with the rank and file of what the problem is and work to fix it.
        Some of that will entail personal responsibility of patients and relieve
        Practitioners of all this bogus uncompensateable paperwork/MOC etc.
        3. We pull the trigger.
        Somehow I believe 100% would opt for number one or two.
        Who was it who said, “I’ll make him an offer he can’t refuse.”
        My opinion is it will take something radical like this to save primary care medicine.
        Going into it is as good as being condemned to Hades or purgatory. Well, at least that only
        last as long as your career!

  3. September 20, 2017 at 7:47 am

    And, don’t forget the HITECH Act, which gave us, drumroll please…the ubiquitous EMR!

    I know it’s part of the bureaucracy, but thought it deserved special mention.

Comments are closed.