About a third of our practice in Medicare. Many young people have fled the rust belt and don't return after college while their parents are haning on where their houses are paid off. We have a whole lot of elderly here. This is just insane. Funny how when this law was being put together no less passed, that none of the "societies", boards or the AMA that are supposed to be watching out for our tails and interests caught this, flagged it or brought it to the forefront.

But still they want about $1K a year for us to all join as they have better cushier jobs than we all do. That's it, now that I have learned so much about the business side of medicine, I'm going to go down to Washington and get a job working inside for one of the major speciality societies like AAFP or one of the many others. My wife can retire, I'll get a nice benefits package with health and retirement, and we can finally have the upper middle class life we were supposedly promised so long ago when we started this journey called Med School and Residency, after all these years of sacrific and doing without.
And here we sit owning our own struggling family practice, while I competing on-line with 25 year olds, trying to buy a 10 year old Jeep for a few grand to replace our old one that is rusting out from years of long commuting during Residency and the like. These guys are looking for a duel purpose, daily driver that they can also beat on and wheel at the same time while I as the spouse of a doctor am simply looking for our next "new" car. Nancy and I have simply come full circle here. I'm back to driving 10-15 year old Dodge Darts that I must fix in the driveway myself because this is all we can afford!!! Simply Amazing.

Good Night and Good Luck,
Paul