Systemic collusion: How big business and government herd physicians into traditional employment

KevinMD September 15, 2024
Tod Stillson, MD

As a physician, I spent years training to care for patients, only to realize by the time I completed my education that I wasn’t truly in control of my career. Like so many of us, I had been funneled into a rigid system that pushes physicians toward employment with large health care systems rather than allowing for independent practice or entrepreneurial ventures. It felt like I had been herded—herded by the very institutions that trained me, by the corporations that employed me, by a government that prefers high-income earners like us to be taxed as W-2 employees, and by the lack of business education that left me ill-prepared to explore other options.

This isn’t an accident. It’s systemic. The forces...

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