In 1994, I was offered a family practice position in a small, - TopicsExpress

In 1994, I was offered a family practice position in a small, rural farming community in eastern Iowa. Medicine has changed in so many ways over the last 20 yrs ( no way Im that old!), both good and bad. The nightmare of red tape, paperwork, prior authorizations, insurance, government and organizational regulations have made many of my classmates and colleagues leave medicine. I myself have thought of switching to academic medicine. Then something happens to reaffirm the decision I made 20 yrs ago. Yesterday a family member of a patient made a special trip to my office to give me a hug and thank me for the care I gave their loved one. That makes all that hassle worthwhile.

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