The problem with reimbursement for primary care is that you have difficult outcomes to measure. They take changes in lifestyle. They take months if not years. They take a decision from the patient. How can we expect a centralized third party entity to reward something as personal as patient influence?
Over a lifetime, a medical student who specializes can expect to earn $3.5 million more than a medical student who chooses primary care.
When boomers retire from the doctor profession, primary care dies. And that quote up there is by far the number one reason why. An extra $3.5 million is hard to turn down.
(via jayparkinsonmd)
(Source: nevver)