Priceless: The Integrity of Your Doctor's Medical Career

Corporate Hospital-Control v. Patient-Protection and Career-Safety

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Ethics

Senator Grassley thinks 31% for administration is too much for the charity-care given: Which "Nonprofit" Hospitals Will Survive Ethics-Audits Required To Justify A Federal Tax-Exemption? Ask Your Doctors To Use Hospitals Meeting A Higher Ethical Standard Ideally Required For Medicare-Funding. See this article:
 
"A Critique of the Standards for Proving
Deservedness of Federal Tax Exemptions"

Decide where to practice--by country, by federal court circuit, by state, by hospital.  All politics is local; the situation at your preferred hospital can change:  Always practice at two hospitals.  See these articles by Steve Twedt and Dr. Huntoon:

 
"Skepticism is the chastity of the intellect, and it is shameful to surrender it too soon or to the first comer: there is nobility in preserving it coolly and proudly through long youth, until at last, in the ripeness of instinct and discretion,
it can be safely exchanged for fidelity and happiness." -- Santayana

 
 
What is a good contract?  Recall that a surgeon on average stays at his first position for only 3 years. The personal and professional costs of this career-dissatisfaction and relocation are considerable, for patients and doctors. 
 

Safe

The Hospital Is Your Friend:  "A Hospital War Reflects a Bind for Doctors in the U.S."

Surgery

Liability/Administrative Excesses Like $6,900,000 Pay To A "NonProfit" Medicare Hospital-Chain Administrator When "Charity-Disparity" Is Alleged To Exist Among The Hospital's Medicare/Medicaid-Taxpayer-Patients. Do you want to work in a hospital which claims to be non-profit and which nonetheless pays its administrator millions of taxpayer-dollars? It's up to you, it's up to us, Doctor.

ALWAYS consult an attorney with respect to the contract and the by-laws. In the case of surgery, remember that the average practice "half-life" of a surgeon starting practice after residency is just 36 months. Learn about RVU's and meeting a minimum before earning a bonus, and learn about the requirement to "build your own practice."

Unsafe

The Hospital Is Not Your Friend:  "A Hospital War Reflects a Bind for Doctors in the U.S."

Sham Peer-Review

Sham Peer Review: Could This Bad Faith Practice Contribute to the Silence About Healthcare IT Problems?

Medicine/Internal Medicine/General Medicine

'Dans le pays des aveugles, les bornes sont rois.'
In the Land of the Blind, the One-Eyed Man is King.

"In the 'Land of The Free' the J.D. and the M.B.A. have controlled the M.D. since 1986, the year Congress omitted due process of law from the Health Care Quality Improvement Act of 1986."

Nonprofit-Hospital Profit: High Administrator-Salary & Low Charity-Care:  Unethical.