"Primary care is dying in this country, largely because the the government which sets both the amount that doctors are reimbursed for their time as well as pattern by which private insurance reimburses, has decided that cognitive skills are less valuable than throwing a lot of procedures at the patient."
"If anyone is to blame for moving from a professional contract to a jump-through-the-hoops contract it is the government. All this comes, of course, from listening to management consultants who seem to think that people will work only for money and have no concept of professionalism. Professionalism is under threat. It is very sad."
"As people who are disconnected from the cost spend more and more, suddenly there has to be cuts. Since it is not your money, the people whose money it is (Government) will then decide on how its spent and will have to limit it."