I’ve heard what the article describes about specializing being the way to go. In the US, insurance is also a huge pain in the ass; doctors have to fight to get paid as often as we have to fight to have things covered. There’s also the overhead of insurance for their practice, the costs of running a clinic or being part of a clinic group, maintaining compliance with everything, paying Epic’s extortionate fees, etc.

The last two doctors I’ve had have gone to “concierge” services to help mitigate this. They stabilize their income with annual membership fees that sidestep the insurance company horseshit. They constrain their roster a bit. They can see people more quickly. But you have to be a member.

It’s sad for me, but I get it from their perspective. “Retail” healthcare in the US is by all accounts a nightmare.