I totally respect that viewpoint, but it doesn't work for society. I am not wanting to have a political discussion.
If you become a concierge doctor, you will see a lot less patients, take much more time with them, get rid of a lot of staff, enjoy yourself much more, have a lot less stress, and probably make the same amount of money. It's a good choice if you can get it.
But you're only taking care of the middle class and above with the disposable income to afford 1950s treatment. From society's viewpoint, half the population would have a much harder time getting healthcare.
I live in an area where a third are on Medicaid, and a fifth are below that, because they aren't citizens. We lose doctors all the time that leave to go where almost everyone has commercial insurance. Our problem is also that the best doctors won't take Medicare much less Medicaid, and half the population is going to county and church clinics.
I am totally conservative, and have always been to the right of Republicans. But, something is going to have to give. I am constantly dealing with poor patients who have end stage arthritis. It's like living in this mixture of first and third world. I could work 22 hours a day if I opened my practice to all the poor people who want help. I feel like I am being paid very well to help me ignore the suffering of the least amongst us. I don't have a political problem, but a moral problem.
Wouldn't it be the most amazing thing if every patient was equal in every way? I see the mediocrity of the service in England and Canada, so I don't want that either.
I understand your intent and I support your ideas, but it will cause anguish if we all go there. I hope we don't have to go there. We have to make it better from the inside.
