Recently Dr. Daniel Craviotto published “A Doctor’s Declaration of Independence.” He has been a practicing physician for more than two decades and knows that the “only thing that matters is the doctor-patient relationship.”
He asks when doctors are going to stand up and reject the mandates and requirements made by bureaucrats who are not in the healing profession. He thinks it is time for the 880,000 licensed physicians to stand up and say they are not going to take it anymore.
For example, he talks about the requirement that doctors use electronic health records. Otherwise they will be penalized with lower reimbursements. He points out the doctors waste precious time filling in unnecessary electronic-record fields just to satisfy a regulatory measure. He says he spends two hours a day dictating and documenting electronic health records so he can be paid and avoid a government audit. He wonders if this is the best use of time for a specialized orthopedic surgeon.
He also laments the fact that Medicare and Medicaid reimbursements have significantly declined and not kept up with inflation. A total knee replacement surgery reimbursement decreased by 68% between 1992 and 2010, based on 1992 dollars.
He concludes that he is tired. He is “tired of the mandates, tired of outside interference, tired of anything that unnecessarily interferes with the way I practice medicine. No other profession would put up with this kind of scrutiny and coercion from outside forces.” It is hard to believe that lawyers and people in other professions would put up with all of this.
Dr. Craviotto guesses that he will probably retire in less than 10 years. Many other doctors have already retired or will retire early because of these bureaucratic headaches. Then where will we be, with few doctors and more Americans expecting treatment?
We shouldn’t be surprised that he and other doctors are ready to declare their independence.