Alan Weiss' The Uncomfortable Truth

• We’re seeing huge changes in healthcare. •  About 25% of patients used telehealth last year, far exceeding the 5% who accessed care this way before the pandemic. • Pharmacies with physicians present (like pet stores with vets present) • Physicians in private practice greatly reduced. • The share of doctors who worked in practices wholly owned by physicians fell from 60.1% to 46.7% from 2012 to 2022. • More people seeing nurse practitioners • From 2016 to 2021, the number of primary care physicians billing Medicare declined each year, from 142,000 physicians in 2016 to 135,000 physicians in 2021.  • Physicians tell me that the paperwork, reimbursement bureaucracy, and corporate demands are terrible. Example: 5-8 minutes allowed for patient questions during visits. • Some exceptions: dermatologists have modestly increased. There are no midnight emergencies for dermatologists. • Faith in the medical establishment has been undermined by the conflicting medical and political decisions during and after COVID. •