Quote:
Originally Posted by Truenorth00
Slightly off-topic but I've always wondered why doctors have always wanted to be contractors and not state employees with pensions and benefits.
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Freedom, pure and simple.
Freedom to practice medicine as you see fit, as long as it is accordance with professional standards.
Freedom to work as hard as you want, as long as you fulfill your professional obligations (hospital and group on call responsibilities). Some physicians (mostly female GPs) only want to work part time. Others (mainly male surgeons) want to have 80 hour work weeks.
Freedom to retire when you want. Some physicians like Freedom 55 (again mainly female GPs), while other want to die with their boots on. I have one male colleague in my group who is still going strong at 80. He does good quality work too.
Freedom to organize your work day, and to concentrate on the areas of your specialty that you enjoy the most, or the procedures that you prefer doing, again ensuring through agreements with your colleagues that all areas under your department's jurisdiction are covered. This is usually easier to arrange internally than it is by a managerial edict from above.
Freedom to act as a patient advocate regardless of what official government policies and directives are. The government's chief goal is to provide minimal health care services at the lowest possible cost. Physicians advocate for their patients to receive somewhat better service than what the government wants. Sometimes we are successful. Sometimes not.
Above all, the infinite desire to distance ourselves from any form of government bureaucracy whatsoever. We know what a horror show most regional health authorities are. We have to deal with them every day during the course of our hospital work. We have no desire to be any further under the government's thumb than we already are.