Even Surgeons Aren't Cutting It Anymore

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It's pretty obvious the "fee for service" systems doctors have enjoyed for decades, making many of them well-to-do and Republican in the process, is just about done in.Not that health care is going to be cheaper thanks to the greedheads running both the hospitals and health insurance companies, but private practice doctors are going the way of home visits.Another thing that will certainly happen is medical schools will no longer have limited spaces, which helped drive up doctors' annual salaries because the supply of doctors had been artificially limited, thus creating an artificial demand.In other countries, there are still plenty of physicians, but they don't make the big bucks so many of them do here. American physicians, worried about changes in the health care market, are streaming into salaried jobs with hospitals. Though the shift from private practice has been most pronounced in primary care, specialists are following.Last year, 64 percent of job offers filled through Merritt Hawkins, one of the nation’s leading physician placement firms, involved hospital employment, compared with only 11 percent in 2004. . . .

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