I came across this excellent article tonight while doing some reading. It’s a close look into how physicians are working more and making less these days. It’s an excellent read and I highly recommend that you all check it out.
Now, announces the New England Journal of Medicine, “many American doctors are unhappy with the quality of their professional lives.” The literature on this reads like the intake form at a depression clinic: “increasing marginalization,” “discontent,” “confused,” “angry,” “insulted.” (Is it any wonder med-school applications are down again this year?) Yes, the doctor is in, but in case you haven’t noticed, there’s a good chance he’s seething. “It’s no fun being a doctor anymore,” is the way one puts it.
At one time, most physicians were their own bosses, entrepreneurs who set up their own small businesses. That was part of the fun. “Now,” says Fox, who is just such an entrepreneur, “I’m a dinosaur.” There has been a vast, largely unnoticed change in the organization of the medical labor force. The solo practitioner, the one most of us grew up trusting, is nearly out of business. From now on, doctors will be employees like everyone else.