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06/25/2013 Mark S. Davids, DPM
The Bell Tolls for Us
Today, I received a letter from my alarm monitoring company and our pest control company telling me that, due to rising business costs (incurred with supply costs, employee healthcare, regulatory compliance, employee training, etc), they will be implementing price increases. Of course, they want me to continue to use them to service my office; and I have no reason to change because everyone is likely handling the financial matters the same way….except for us.
Faced with the escalating costs of maintaining a practice and providing the best medical care possible, I am met with ever decreasing reimbursement for my time and effort and the inability to raise my fees. And please don't tell me that I can charge whatever I want for my services since we all know that fee-for-service does not exist except in the rarest of podiatry and medical practices.
Today's practice of medicine follows a bad business model. It is a model that would force the closure of any other type of business. A "widget" company faced with increasing costs and decreasing revenues (and nothing on the horizon that would lead them to believe that the trend would reverse) would shut down.
I know that I am preaching to the choir, but this dialogue must take place at all levels and especially between our podiatric leadership and our state and national legislatures. I believe that the time may be at hand to have this dialogue with our patients before the only remaining dialogue is the one telling them that they will need to seek podiatric care elsewhere.
I welcome the academic discussions on this site and I am sympathetic to our recent graduates who still await residencies; but a bell is tolling and we cannot passively wonder for whom it tolls. It tolls for us.
Mark S. Davids, DPM, DeLand, FL, dr.davids@cfl.rr.com
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