Yah, tell that to CMS (Center for Medicare); the reimbursement for primary care is bad. We don't get pay to do preventive care most of the time. You have 20 minutes, you have a obese patients with coronary heart disease, COPD, congestive heart failure, hypertension, and they come in to your office and bitch for about give or take 15 minutes about how miserable everything is..then now you have 5 minutes to teach them about low salt diet, prescribe medication, teach calorie count, stop smoking, take your meds, exercise..... they stop you every 5 minute asking you to repeat or write stuff down because its too "overwhelming", then your nurse saids... "doctor, your 10:30 is waiting".."i am sorry about you will have to come back and we will go over just 1 problem next time in depth"...then "well my insurance won't cover that many visits, and I can't pay the 20 dollar co-pay".
Oh..ok.
Being a doctor in the primary care setting is getting tough, most doctors are bailing, and doing other specialiteis or hospital based medicine instead.
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