Originally Posted by HighandDry
Hey, I'm not saying Kaiser is a bad system. There are definite perks. I know my buddy gets an astronomical time off (I think 3 months) and then there's that pension when you retire.
Everybody has to figure out what they want. It's just not for me. Like I said, I love the autonomy and having nobody to answer to other than the bottom line. You may be right that the private practice model will die out and probably it will die out for the solo group/private practitioner. Currently, our group is within a larger group. We are made up of many different individual practices and number 170 or so orthopods, ENT, and general surgeons. The advantage of this is that it gives you the bargaining power of a big group, but still allows your group to operate autonomously.
I think what we should all realize is that there is no one practice model that is best. So much of it depends on the dynamics and variables of one's specialty, one's geographic region, and with the hospital or system itself.