Hi DRM,

I been reluctant to post in this thread, my views are somewhere between dinosaur and lunatic fringe. I am a solo family physician, with one physician's assistant, in rural Western Maryland, basically Appalachia. We have a shortage of primary care physicians, which is worsening as busy solo physicians retire. Reimbursements are not very good, patients are older, sicker, with multiple problems, and lots and lots of psychosocial issues. Given all of this, I've tried to keep costs as low as possible. I started this practice in 2005, at that time it was with Amazing Charts, version 2.

Gene Nallin MD solo family practice with one PA Cumberland, Md