Anyone else notice how we never seem to talk about thedoctors?

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The uninsured, certainly, take up most of the chatter when wediscuss health care reform. They stand to reap the most from thelegislation – at least in the short term.

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We also talk about the carriers a lot, who’re left holding amixed bag with a larger risk pool, sure, but they almost certainlyface a costly uptick in utilization rates.

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The eager regulators, of course, get plenty of attention sincethey seem to be talking about some new phase of implementationevery week.

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And, brokers, whose futures are the cloudiest, and whose fatesremain the most closely tied to our own. We talk about them everyday.

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But we rarely discuss the medical professionals themselves. Youknow, the ones who’re actually providing our health care? Well, wemight want to start thinking about them a little bit more, or atleast giving them some love, because they’re disappearing fasterthan daily newspapers.

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A new survey of the sawbones themselves shows things could get alot worse. “A Survey of America’s Physicians: Practice Patterns andPerspectives,” conducted by the nonprofit The PhysiciansFoundation, is the largest study of its kind, polling more than13,000 doctors across the country.

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I mean, I know it’s only American to be down on your job, buthearing that 84 percent of doctors say their profession is indecline is a sobering statement on an epidemic-scale moraleproblem. Nearly 58 percent of them wouldn’t counsel their kids tofollow them into the profession and more than a third of them wouldpursue a different line of work entirely if they could hit thereset button on their careers. And here I thought journalists werethe only ones who felt that way.

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But the worst part is the looming provider drought we’re facing– and that no one is talking about. To wit:

  • Doctors are cutting back the number of patients they see everyday by nearly 20 percent.
  • Nearly a quarter of their time is spend on paperworkalready.
  • More than half of them have cut access to Medicare patientswhile more than a quarter of them have closed their doors to theMedicaid crowd entirely.

And, finally, more than half of the doctors surveyed plan cutback even more.

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We go back and forth of so many aspects of health care in thiscountry and we always seem to overlook those on the front lines.And we do so at our own peril.

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