David --
Thanks for your thoughtful post.
I don't disagree with a thing you have said.
Nevertheless, medicine has become a utility -- not a luxury, as in the "old" days. As such, it has become a regulated monopoly.
And for whatever reason, young doctors out of training want NOTHING to do with running a practice.
In my town there is virtually no one who isn't on Medicare or Medicaid or some HMO/PPO plan -- the few that there are have no money.
So, I'm stuck, regardless of my personal philosophy.
I take them all, and swallow my lumps. No one around here -- doctors included -- seems to care about "private" medicine. They want it cheap, and they want it now.


Tom Duncan
Family Practice
Astoria OR