As Health Care Gets More Bureaucratic, Will Doctors Go Galt?
” I am a general surgeon with more than three decades in private clinical practice. And I am fed up. Since the late 1970s, I have witnessed remarkable technological revolutions in medicine, from CT scans to robot-assisted surgery. But I have also watched as medicine slowly evolved into the domain of technicians, bookkeepers, and clerks.
Government interventions over the past four decades have yielded a cascade of perverse incentives, bureaucratic diktats, and economic pressures that together are forcing doctors to sacrifice their independent professional medical judgment, and their integrity. The consequence is clear: Many doctors from my generation are exiting the field. Others are seeing their private practices threatened with bankruptcy, or are giving up their autonomy for the life of a shift-working hospital employee. Governments and hospital administrators hold all the power, while doctors—and worse still, patients—hold none.”
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Tag Archive: Going Galt
” Oddly here, and this speaks to how silly the economic discussion has become, founder Mark
Zuckerberg is being lionized for the presumed $ 1 billion in capital gains taxes he’ll pay the feds.
Saverin’s avoidance plan means more capital for business growth while Zuckerberg’s non-
avoidance ensures more feeding of the beast, yet Saverin’s the bad guy? Yes, very odd. ”
Good for Eduardo , good for us all .
TAX AVOIDANCE : It’s everyone’s responsibility .
“The vast majority of tickets we see are for breaking one of these million rules they have: You’re a foot too close to the fire hydrant, a foot too close to the crosswalk,
the table is too long,” said Mr. Basinski, who has been lobbying to change the fine structure for several years. “You can very quickly be at that $1,000 level for every
ticket.”
As someone who spent thirty years trying to negotiate the byzantine maze of laws and regulation in the state of NY and show a profit , I can attest to the fact that the state seems bent on driving us all to ” go Galt ” . I know that’s what I did .
