The last post on the Boston Globe's coverage of payment reform generated a number of responses, but one seemed to capture the sentiments most accurately. With permission of the author, here it is for your consideration:
"You should know that if Massachusetts does try to balance the health care budget on the backs of the primary care physicians (which this ultimately amounts to), I, for one, will be out. I submit that many of my colleagues will do the same.
Try to institute a similar payment system for attorneys, accountants, dentists and/or other similarly trained professionals and see what happens. Although the health care payment system certainly has socialist leanings, we're not quite at the point that they can mandate where I do business.
Let the hospital executives, insurance executives, the office of HHS, professors of health policy, patient advocacy groups and anyone else that feels empowered to infringe upon my rights as a small business owner find someone else to use as slave labor or provide the patient care themselves."
- A Massachusetts PCP