With insurance companies calling the shots, doctors are seeing their workload increase, their profit margins shrink, their autonomy disappear, and their medical knowledge challenged by corporate attempts to control costs. If a patient belongs to an HMO where clinic visits are the rule, each visit may feel as impersonal as a trip to McDonalds.Some physicians have become so irate with the way medicine is now dominated by an administrative (rather than a hands-on healing) approach to the patient's needs, that they are closing up shop.
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