> It would really help for primary care doctors to start more private businesses - much like dentists. You're talking about reversing tidal currents that have

> It would really help for primary care doctors to start more private businesses - much like dentists. You're talking about reversing tidal currents that have been in effect for over 30 years. It isn't happening. The financials make it increasingly difficult for lone hospitals to stay independent of big health systems, let alone small group practices and partnerships. Medicine has been corporatized and commoditized. Next comes enshitification. For example, dropping the requirement for American doctors to complete their training in America.