Sorry, Bert. I really have little else to say. Remember, I have been at this for well over 30 years. When I started in IM over 20 years ago I did it all and it was wonderful. But, I have been witness to physicians giving away our domain, be that good or not I know not. But, if 80% of what I do can be done by Wal-Mart then so be it. We will continue to see the decline in Medical School applicants, graduates and generalists. Why spend 12 years learning a trade that, according to many, can be performed by someone with a high school diploma and a book of protocols. When I went to Physician Assistant School (a whopping 24 months and a high school diploma was all that was required) they taught us medicine using protocol. When I went to work as a P.A. (back in the 70's) I realized I was too poorly prepared and that the protocol book was ridiculous. I got scared. I got mad. I got smart...I went to Medical School. Or so I thought it was smart. Now I wonder. Do you know why we don't see lawyers or paralegals working for Wal-Mart? Because most politicians are lawyers and they would never give up their domain, their status, their credentials to Wal-Mart. Doctors have been stupid and now with Obamacare on the horizon, we have no ammunition left. Sorry, Bert. I used to think I could change things but my days as a sign-toting, sit-inning, go to jail for the cause days are long-gone. I just want to make it through the next 8 years. We gave it away. We have no one to blame but ourselves.
Leslie
