From electronic medical records,
meaningful use, professional names, and now retail clinics, doctors
complain and whine about almost anything of late. Maybe it is time
for patients to complain about doctors. Maybe they are in the wrong
profession. Yet there are doctors that have found medicine very
rewarding and are not complaining, but setting examples of what works
for them. They have said goodbye to dealing with the insurance
companies and charge their patients a monthly fee ranging from very
reasonable to utterly unreasonable.
The American College of Physicians
(ACP) is trying to throttle the retail health clinics and control
them out of business. They want the retail clinics to be limited in
the scope of practice and all but demand that they reject patients
not associated with primary care providers. The ACP is calling for
research that proves the damage caused by retail health clinics and
antibiotics they are likely to over prescribed.
I feel this is an arrogance that shows
how doctors over rate their indispensability. Retail health clinics
(RHCs) serve a valuable segment of the population and should not be
regulated by other jealous doctors, but by the states if necessary.
Many young people use these retail health clinics occasionally
without the need for a primary care physician (PCP). They may only
see a doctor once in ten years and have no need for a PCP. Yet, the
PCPs see this as an opportunity to force these people to see them as
well.
It often makes more sense to visit a
retail health clinic than go to an emergency room at a greater cost,
especially for something that is not serious. I have blogged about
how state medical boards are trying to control urgent care centers
(UCCs) and RHCs may face the same roadblock in many states. I am
betting the job protection some medical professions are promoting may
well backfire on them when people have to wait up to six months for
an appointment.
Emergency rooms are now over worked and
this will only become worse if some state medical boards are not
limited in their powers. I cannot find the exact number, but some
states have taken a positive step toward the future by joining a
multi-state organization in physician licensing to support
telemedicine. More of this needs to be done and supported to help
blunt the coming physician shortage in the future.
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