To Ho Or Not To Ho…
Kudos to the American Academy of Emergency Medicine Physicians Group(AAEM-PG) for this precedent-setting lawsuit against Envision. AAEM-PG is a Wisconsin-based corporation that “provides business and administrative services to physician groups”. In initiating this legal action, they have done what few physician organizations or corporations have the cojones to do–hold accountable a medical corporation for violating corporate practice of medicine(CPOM) laws.
For those who need clarification, the corporate practice of medicine is against the law in all 50 states and territories. Simply put, businesspeople cannot tell physicians how to practice medicine nor can they own a medical practice. To do so requires one to possess a medical license. Why? Because businesspeople and/or corporations are influenced by profits which can then interfere with the quality of care being provided to patients. No can do. Yet they do. One might be motivated to ask, how do contract medical groups(CMGs) and other corporations get around this pesky law? They use physicians ripe for the picking–those high-end escorts(aka Ho’s) who are willing to sell their soul and our profession for a piece of the financial pie and other perks provided by the Pimps who employ them. These doctors are figureheads for dummy businesses which they appear to own…on paper. However, these powerless, emasculated bobbleheads are being manipulated by the puppetmaster, the Pimp who tells them what, when, how and where, but not why–because it doesn’t matter. They all understand that the end result is to make bank. The Ho’s also understand that neither their opinion nor input are needed nor wanted by the Pimps or the Cartel. The only thing the Ho’s need to do is what Daddy tells them to do–MAKE IT RAIN and to STFU because loose lips sink ships. If anyone(ie: ”THE LAW”) discovers that these docs are enabling the CPOM, the entire illegal Whorehouse of Medicine will collapse. They simply cannot allow that to happen. These indoctrinated high-end Ho’s have been trained well, their integrity willingly and comfortably relinquished.
In the meantime, the Pimps have something all docs need–work and pay. But we possess something they need more–our assets. Our medical licenses and expertise. There are not enough Ho’s available to be owned for their purposes, so the Pimps either have to use substandard, degree mill Ho’s or seek out the independent, more highly-qualified Ho-No’s(as in, Ho-No you don’t!) to incur the liability. The Pimps lose money on the tail end(no pun intended) using substandard Ho’s–they greatly dislike losing money. Guess what else results in net financial loss? Lawsuits. The risks must be mitigated….somehow.
To Ho or not to Ho, that is the question. In the current “hellcare” system, many times we physicians have no choice. We have to make a living. In such circumstances, I suggest that if one is going to be a Ho, be your own Ho. A free-agent. Become an independent contractor. Work for yourself and contract out your services to the Pimps. Although you may have to work for them, they don’t own you. You possess the power to negotiate your demands and they don’t get to dictate all the conditions. And you pocket most of your money. At this point, because the Pimps are between a rock and a hard place(also, no pun intended), they eventually acquiesce and grudgingly negotiate with the Ho-No’s. In the end, everybody gets paid and the Ho-No’s go home and take a shower to wash off the filth of the “hellcare” cesspool.
Ultimately, what the Ho-No’s really desire is to get the Pimps and Cartel the hell out of the Whorehouse of Medicine so we can clean it up. Hence the lawsuit initiated by the AAEM-PG Ho-No’s. Ho yessss…..👍🏾
“JUST HOLD ON A BIT LONGER…WE WILL ONE DAY RETURN HOME TO OUR RESPECTED HOUSE OF MEDICINE”
–N. NEWMAN, MD
Natalie, home run after home run after home run. You go!
Just a word of caution: as F’d up as Hellcare is, our Justice system is at least as bad. Judges can be biased, corrupt, politicized, influenced, etc. I learned this through personal experience and 6 years of litigation against the Pimps for terminating my employment in an obvious and blatantly illegal manner. Judges at both the district and appellate level where clearly influenced by government officials with backroom deals, rubberstamping my case and preventing me from seeing a jury in the most corrupt, egregious manner.
So let us not count our chickens before they hatch in this case. When we are talking about big, big money they may not want to set a precedent that will turn off that faucet of cash. After all that may piss off the biggest pimp daddy, Uncle Sam.
I agree. I was in a group practice and always felt I was paid fairly. I retired as I saved up enough money to retire. My lovely wife passed away (long story) before me and I was responsible for a mentally handicapped son thereafter. I worked for a year after her death and my son was able to exist that year although I came home at noon to see how he was doing at lunch.
I paid the Cobra insurance from age 64 (when I exited practice) to age 65 when I got on Medicare. Arranged for a Medicare supplement before I retired. So glad I’m retired from primary care medicine. I had to do office, hospital practice and take call. It got to be too much for me and I’m glad I lasted long enough to retire from this type of practice.
Allen “Kurt” Savegnago, M.D. (retired)
Wow, why dont you tell us what you really think! Dont hold back now. Totally agree and well said. US Healthcare today is a shit show and we must take our profession back, this is a step in the right direction, the time is right and the time is now.