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Do you want the risks and benefits of independence? If not, employment
is for you. You may want to read an article by Jack Anderson. Employment has its advantages and disadvantages, largely a function
of the contract and the character of the employer.
If you want independence and incentive (extra
pay for extra work, extra responsibility, extra liability), you may have to select a state, or even another country, which
meets your stipulations. Hospitals are theoretically locally-governed under the law, but many are part of corporate chains.
You want By-laws and Contracts which protect you and your patients. Remember, most hospitals are supported with public funds
to a significant degree: Such hospitals are public utilities, and there is little reason to pay any manager with an MBA more
than $400,000/year of tax money...it is, after all, money that belongs to all of us. Some hospital managers make millions
with money which should be spent on uninsured people. This is an ethical issue. These managers will claim they are mission-essential;
such managers should be sent to medical school, internship, residency, and fellowship before they are allowed to be paid more
than $400,000 taxpayer-dollars/year.
Always consult an attorney to explain the risks and
benefits of a particular contract.
Consider joining or forming a group of ~5 specialists staggered ~8 years by
age, to encourage cooperation and to avoid competition.
'Dans le pays des aveugles, les bornes sont rois.'
In
the Land of the Blind, the One-Eyed Man is King.
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