A good friend told me recently that he thought big healthcare institutions understood more than anyone what changes are needed in our system and what changes are coming. But they are still making money now so if doesn’t make sense to change. In essence they were going to “ride that horse until it dies.” Maybe then they would change. The incentive to stay the same is still higher than the incentive to change.
The same could be said for primary care in general. The rumors of primary cares’s demise have been around for years but there really are more and more reasons to be pessimistic and the future. Downward pressure of wages, increasingly mind numbing work, the insanity of EMRs and the rise of Advanced Practitioners all threaten the future existence of PCPs. And we haven’t even begun to see the effects of AI on simple medical issues.
The entrepreneurial space is fantastic for inventing the new ways we might seek healthcare in the future. Entrepreneurship allows one to dream big and set lofty goals. That’s not always an option for those of us with medical school loans and those entrepreneurial start ups eventually need the big giant healthcare institutions to succeed, the ones that really don’t want to change.
All of this may be true or none of it could be. But why not make a big gamble in that space between healthcare giants and rocket-propelled start ups? Why not shoot for the moon? Why not try? If you fail, well, the system is failing anyway. If you succeed even a little you will have made a difference. That is what I want to rededicate myself to. Let me know what you are doing. Would love to hear from and support anyone wanting to make a difference.