I have worked for other people, (a couple of Community Health Centers, not hospitals) who are less in tune with finances than hospitals. I now work for myself.

I trust hospitals less. If you have a hard time making money, how are they going to do it better? Hospitals are not as efficient as we are because we keep track of the bottom line more tightly than they do.

The way to cut costs is to decrease the most expensive item and that is YOUR salary. Rent, utilities and other salaries are mostly fixed expenses. Sure, they can get rid of an ancillary person but it they are more cost efficient to keep and have less of an effect on the bottom line. They can cut back on supplies or the quality of equipment and it will only effect YOU not them.

After a few years they change their mind, decide they cannot make money on this model and where are you left.

I have seen versions of the earlier posts in my friends who were working for hospitals, most of whom are now in private practice.


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them