KevinMD May 14, 2024
Ross L. Fisher, MD

Primary care outpatient general internal medicine is dead. Following a lengthy decline over years of languishing, it finally succumbed to terminal underappreciation and fiscal neglect. We shall never see the likes of it again. As with most good things taken for granted, it won’t be missed until it is far too late and the extinction is complete.

Our current health care system has morphed into a bloated bureaucracy that has lost sight of what and who matters, blinded by self-serving fiscal dictates trenched in corporate greed and married to governmental incompetence. Professional ethics and common sense have been replaced by unreasonable expectations, amorality, and total disregard for the primary stakeholders of health care services. This metastatic cancer, allowed for years...

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