Paul,
I am in full support. I have had several editorials published over the years in Medical Economics Magazine. I was a very vocal member of our hospital staff until I got fed up with the poor support there. I do not belong to my county, state or American Medical societies any more because I have beat my head against too many walls in the past and I am tired. I am now just a black sheep. I wish I knew how one could light the needed fires but I do not. When managed care first became the trend, I begged my 4 partners not to fall into their lair but I failed and the group subsequently failed. I have basically resigned myself now to just being a grumpy, old fogey doctor who would rather be on my tractor cutting hay or talking to my mammoth donkeys than practicing medicine. Unfortunately, neither of those pay the bills. I have adjusted to raising jackasses rather than battling them. But, if you formulate a plan, I might find the energy to throw myself back into the manure pile.
Leslie