RE: Amen!

Having been employed by multiple health systems as a career FM faculty member, Associate Program Director, and now Program Director of a FM Residency, I applaud your article and insight into the plight of the FM physician over the last 30 years. Health systems decry the narrative the primary care physician practices do not make money. We do not when they run them because of the very issues you have elucidated. Large corporations do not understand nor care about the individual physician nor the needs, intricacies, or singularities of a specific community of patients. Everything becomes a one-size-fits-all mantra with no room for flexibility of purpose, vision, or service. This truth has been applicable to every system I have worked in and is only getting worse.
To quote Ecclesiastes, "there is nothing new under the sun" and "everything that has been will be again" which gives me hope for the renaissance of primary care that you speak of and the day that young physicians once again see their role as needing to be driven by them and, others like them, putting service to their community as the primary motivating factor and not the perceived "easy way" of employment which promises much, but delivers little as doctors find out very quickly. Physicians are self-motivated and indepedent by nature and need to return to those roots; thus, the Biblical truth of the aforementioned book and your essay serve as a beacon of what can be again.