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Gold, incentives and meh

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'If you want to vent, don't do it in front of a trainee'


"...we know the pendulum will swing back again." No, we don't. This is where I fundamentally disagree with HSL. Yes, patients will still need to be seen, but it won't be GPs as we know them seeing them. Think I'm wrong? Look at OOH: most of the work is now being done by ANPs and paramedics where I am, and GPs are very thin on the ground. Our profession is disappearing. I also don't think GPs are going to be allowed to be in the driving seat for the new corporate-style superpractices. There's too many powerful vested interests waiting in the wings, and they have very skilled commercial lawyers. There's no way we'll be able to stand against that. Think I'm wrong? I know of situations in the US where lucrative healthcare contracts were fought over, and passed backwards and forwards on repeated appeals, for so long that the whole process had to be scrapped and restarted. I've also got direct experience of a US style healthcare company. I was bullied and harassed, on both clinical and non-clinical issues, by several levels of managers. They blatantly had no idea about a physician's professional obligations, and did not put patient care first. And PAs are a gift to those people: cheaper, less experienced, easier to replace... To think that somehow we will magically bounce back from this ever-deteriorating situation is painfully naive. While you're trying to engage with government and their proxies, the ones really in charge of this nightmare (the ones with powerful friends and promised rewards) are laughing at how gullible we all are.

Posted date

04 Aug 2017

Posted time