Beware of a Career in Medicine

Roy Blackburn, MD
Article Type: 
January/February 2000
Volume Number: 
Issue Number: 

Dear Dr. Weaver,
Thank you for your article in the September/October 1999 issue of the Medical Sentinel. I fully agree with you. I am 41 years old and have completed two residencies. I don't know if I would do it again.

We are in an Orwellian System where 1 + 1 = 3. Party A (3rd party controllers/payers) is in charge of processes 1, 2 and 3, but Party B (physicians) is held accountable for Party A's management of processes 1, 2 and 3. This arrangement is insane. The only situation that I can think of where it is acceptable is that of sadistic despotism.

It would be far more rational if the government stopped forcing employers to provide health care to employees. A more logical approach would be to allow individuals (not just those who are self-employed) to fully deduct their health insurance premiums and have Medical Savings Accounts (MSAs). Additionally, the floor for medical deductions (now at 2 percent of adjusted gross income) should be lowered if not eliminated.

Unfortunately, I have learned common sense is not so common. However, I am still hopeful reason will win the day.

Roy Blackburn, MD
Elizabethtown, KY

Correspondence originally published in the Medical Sentinel 2000;5(1);1-3. Copyright©2000 Association of American Physicians and Surgeons (AAPS).

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