August 27, 2019

GOVERNMENT MEDICINE: I Was a Physician at a Federally Qualified Health Center. Here’s Why I No Longer Believe Government Health Care Can Work.

For example, one of the requirements for federally qualified health centers is that they must maintain a certain number of physician assistants and nurse practitioners. Rural health clinics were the first sites to receive a federal mandate to hire non-physician practitioners.

For me, this meant supervising a physician assistant from day one. And within a few months, a brand new nurse practitioner was added to my list of responsibilities. Despite this extra workload, there was no time allotted in my schedule to provide education, review charts or discuss cases—nor was I compensated for my extra duties.

Federal regulations also create massive amounts of paperwork. While the medical staff worked hard to move patients through the registration process, my schedule often ran hours behind as forms were signed and documents reviewed.

This bottleneck often led to me starting my day late and working into the evening. When I started coming in a bit later than my assigned start time, knowing that patients would not be ready for me, I was given a stern warning by administrators.

Medicine is going to get worse, as those best-qualified to become doctors decide the bureaucratic BS isn’t worth the bother.

And do read the whole thing.

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