This week, the New York Times published an opinion piece (https://www.nytimes.com/…/shouldnt-doctors-control-hospital…) from Sandeep Jauhar, M.D., cardiologist and author of “Doctored: The Disillusionment of an American Physician.” Dr. Jauhar leads off with this question: “Who ultimately should be in charge of care at our nation’s hospitals — physicians or businesspeople?”
It is safe to assume that Dr. Jauhar has remained disillusioned. He has written previously that: “being a caring doctor has become practically cost-prohibitive. Insurance companies don’t pay enough for spending time with patients. But they do for CT scans and stress tests — whether they’re warranted or not.” And in his Times op-ed, he continues by showing how a hospital may use physicians to drive profits, writing that: “The board also passed new bylaws written without the input of the hospital’s physicians, including some stating that physicians’ ‘status’ at the hospital would depend on the number of patients they admitted — in other words, their economic value to the facility.” NICHE hastens to add that this is not true for all hospital systems, but if one watches and listens carefully, it is not difficult to recognize these “managed” experiences.