For the third time in three months, I find myself looking for a new primary care practitioner.
When I moved to Western Massachusetts five years ago, I found a wonderful family practitioner who was in a solo practice; an astute diagnostician and a wise clinician. She has guided me well through some annoying and frustrating medical challenges, although thankfully none of which were serious or life threatening. In August, I received a letter from her stating that she had decided, after much soul-searching, to close her practice. I naturally scheduled a visit to discuss my options with her and to better understand her thinking in this matter. She made several good suggestions for local practitioners that she thought I would feel comfortable with. Then she shared that her solo practice had simply become too burdensome with increased expectations of communication with multiple payers and other providers, significantly more paperwork (much of it redundant), and projection of capital expenditure for technology to support the electronic health record that would need to be able to interface with a variety of local entities.