It's become clear that when I retire it will mainly be due to government regulations. Overall I like my patients and make a good living but the government is making things worse and worse for solo doctors. A large group or hospital-owned practice can hire people to figure all this out. There is no one on my staff that can manage this so it comes down to do I want to spend the time figuring out and implementing these programs or just call it quits. I work in a small town and concierge practice is not an option.
