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A Quiet Crisis is Getting Louder - Regulatory Capture and the Destruction of Private Practice Private practice medicine has been the backbone of personalized, community based care for decades. Physicians are leaving independent practice for employed positions, not by choice, but because they're forced financially or operationally. Autonomy is eroding. One of the less discussed but deeply impactful forces accelerating the consolidation of medicine is...REGULATORY CAPTURE. You may be thinking...regulatory capture only happens in "Startup land"? (Bryan Lord what do you think?) Or in banking? (where we have seen incredible consolidation into the BIG 10 banks, evaporation of regional banks, and zero new banks) But YES...we're seeing it in healthcare as well. Regulatory capture in medicine happens when large hospital systems, insurance companies and government influence policies to create an environment that benefits them at the expense of others. For example... 📎 Increasing administrative burdens...complex billing codes, expensive EMR requirments, preauthorization and documentation have made it difficult if not impossible for small practices to manage without significant infrastructure and staff investment. 💰 Reimbursement structures, declining professional fees and decreased bargaining power favor large institutions while squeezing independent practitioners. 🛒 Market consolidation allows hospital systems, insurance companies and local goverments to dictate terms to physicians which reduces decision making, reduces competition and drives up costs for patients. And PATIENTS are effected as well! 🎯 Less competition with higher healthcare costs. 😷 Decreased patient choice. 🙋♂️ Lack of personalized care. How do we change this? Policy makers need to ensure there is equity not monopoly. Physicians must advocate and challenge policies that put profit over care. Patients need to understand how regulatory capture effects their care and their choice. 🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆🏆 Private practice is not just a business model in healthcare...it is a safegaurd against a system that prioritizes bureaucracy over the patient-physician relationship. By watching the machine grow, we lose more than small businesses, we lose what makes healthcare human. #regulatorycapture #healthcare #hospital #doctors #burnout #leadership