I remember your letter when it was originally posted.
How are things in Saipan? I would think you might feel somewhat island-bound after the boundless expanses of Alaska, but all that might be an illusion. My sister lives in Fairbanks, a place that seems very isolated in the winter.
We are closing our practice this year. I'm 79 in August, my wife and partner is 69. We no llonger have the energy to deal with all the insurance company and government overhead, and of course it is impossible to compete with the hospital clinics. Especially in an area like Astoria which is "served" by two major hospital chains from Portland that compete heavily for market share in the provinces as well as in the Big City.
No one, of course, wants to take over the practice, let alone buy it. We might have an interested party for the building -- there are a couple of independent practitioners still in practice, but their numbers are dwindling, and their ability to capitalize a practice is in serious decline, so I don't know how that is going to work out.