Braindrain

 Several years ago likely about 5 I predicted a massive brain drain on American medicine . Well it seems now it is coming to pass, you see all the news about family practitioners leaving the field with 99% dissatisfaction. The next generation has specific lifestyle goals and lowered expectations for success that send them toward different career paths. I find it interesting that it is reported these folks are choosing specialties because of higher pay while in the specialties there are decreasing numbers of qualified or interested candidates. The point here is the workforce is changing wether we like it or not and the consumer better learn to be a better purchaser of healthcare if he wants to survive both financially and physically! I think over time the specialties will prosper in the larger referral centers and the era of small community hospitals will pass. Preventive programs will be key to employers and their survival in the future,these include nutritional, genetic,exercise and importantly mental health. I do believe third part payers will have to go away or evolve and as with all our expenses we will have to be prudent shoppers.  The Movie Doc