The citizen physician: governance principles make the difference.
Until recently, medicine was one of the few areas in which an individual could practice a profession as a citizen member of the organization. However, in the last 15 years as dramatic reductions have occurred in outpatient reimbursement, physicians have moved from self-governing organizations with the rights of citizen participation to autocratic, centrally controlled organizations with little offered to physicians other than to provide high-quality manual labor. The principles of prosperity and choice espoused in The Federalist Papers are governance principles that can reestablish citizenship in medical groups no matter who owns them.
Alaska Heart Institute, Anchorage, AK, USA. bfisher@alaskaheart.com
Brent A
BA
Fisher
D006801:Humans; D021661:Management Service Organizations / Q000639:trends*; D011216:Practice Management, Medical / Q000639:trends*; D017009:Professional Autonomy; D024382:Professional Role; D014481:United States