RE: Primary care as a common good

Thanks Dr G Thanks other letter writers
More good talk that will not be followed by walk.There will be no action;we are up against powerful forces. Our own trade organizations do not go after what we really need
And most importantly the culture of family physicians is to be nice ,and be silent. Employment has sheltered docs from issues not just menial tasks.
There are some things that would help us . None happen: One Emr .One with tickers and natural language processing(I had one). Elimination of paperwork referrals that make ME get XRT and ophthalmology paid ( I must stop care to write referrals for things I cannot gatekeep .Just what would happen if specialists stood up for us?? Vaccines sold in unit doses Simplified payment- without spending more money,we can earn more and increase access if less time is spent on billing .I could go on . Noone listens. Wrote all this out -noone will publish. The real solution we have left ,all we have left ,is to strike or otherwise flat out disappear And see if anyone notices..