Might we see a doctors' strike?

By | June 20, 2008, 9:54am PDT

Summary: Despite America’s lack of labor protections, its doctors’ presumption that they are professionals, not workers, and a dispersed industry where no one has great market share, a slow motion strike may in fact be underway here.

Doctors strike in Poland, from libcom.orgIt’s not as far-fetched as it sounds.

Doctors have gone on strike in many countries. In Israel. In India. In Canada. In Zimbabwe. In Bulgaria. (Shown here is a doctors’ strike in Poland, from Libcom.org.)

The motivations differ. Sometimes it’s political, sometimes strictly economic. But it does happen.

Despite America’s lack of labor protections, its doctors’ presumption that they are professionals, not workers, and a dispersed industry where no one has great market share, a slow motion strike may in fact be underway here.

Doctors are quitting the profession in droves, often with a Johnny Paycheck attitude. Many trends I’ve covered here, like concierge medicine, are driven by doctors who can no longer stand the system.

But it goes beyond this. Aren’t doctors who abuse the payment system really committing a strike-like action for higher pay? Or those who skirt the law, making promises their medicines can’t meet, for private patients who will pay full freight. Might that be a form of protest?

Even some of the resistance to Electronic Medical Records (EMRs) is, in many ways, a temper tantrum, a strike action. Hating paperwork, knowing computers can reduce the load, but being unwilling to move forward — disgruntled labor.

One of the more controversial statements I write anywhere is that labor unions are inherently conservative. They resist automation, they resist change, they resist anything they say might threaten their members’ status quo.

Family doctors are an unorganized labor union, and if they ever get together we’re all in for a shock.

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Disclosure

Dana Blankenhorn

Dana Blankenhorn has been a journalist, writer and part-time futurist for over 30 years. At the present moment I run only a personal blog in addition to my ZDNet open source blog. DanaBlankenhorn.Com has the subtitle The War Against Oil. In the past I have used it to write about political history, e-commerce, personal matters, some ideas related to open source, and The World of Always On, which is the idea of using sensors, motes and RFID to turn WiFi links into platforms for applications which live in the air. My IRA account at Schwab holds a few tech shares, most notably some Intel and Applied Materials, but there are no open source companies in it. I don’t even own any CBS stock.

Biography

Dana Blankenhorn

Dana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994.
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Indeed
oncall 21st Jun 2008
That is a HUGE problem and contributes no small part to the practice of "defensive medicine". But since so many of our politician are also lawyers I don't expect reform to come any time soon.
Mercifully doctors getting sued out of house and home is exceedingly rare (desipte fantastic awards most plaintiffs settle for the malpractice limit), lawyers are milking the golden goose but being generally careful not to kill it outright. Still, it's a huge cloud all doctors live under.
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Because the system is so broken...
Linux User 147560 20th Jun 2008
I have seen a resurgence of homeopathic medical practices. My regular civilian physician is a homeopathic doctor.

My chiropractor only takes cash (or check) and keeps his patient records on 3x5 cards... still. He doesn't trust the system.

I think what is going to happen is the system will start to collapse under the weight of greed and a fair portion of doctors will start to revert to a more holistic approach. Then again... with all the negatives associated with modern insurance policies and the true lack of affordable care... the negative spin against the medical profession... we may see a complete collapse in our nations medical infrastructure... devil
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Sometimes I am still surprised
frgough 20th Jun 2008
by other people's stupidity.

Most doctors are self-employed. So, what are doctors going to
do? Strike and shut their businesses down until they reach an
agreement with themselves? Good grief.

What you are seeing with doctors' actions is the response that
happens in ANY business when socialism become prevalent.
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...
Linux User 147560 20th Jun 2008
I keep asking myself, can he really be that damn stupid? And you keep verifying that you are!

Most doctors are not self-employed, they happen to work for hospitals or clinics. There are very few solo practices in today's America. Get a clue already! It has nothing to do with politics you idiot, it's all about the abuses from the pharmas, and how they now seem to be driving the medical profession... instead of the doctors. devil
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Who's the boss?
Yagotta B. Kidding 20th Jun 2008
Most doctors are self-employed. So, what are doctors going to
do? Strike and shut their businesses down until they reach an
agreement with themselves? Good grief.


Most MDs work for an insurance company.

What, you say? How so?

Well, when someone is in control of your paycheck and can tell you, in detail, what to do on the job you can dance around the situation all you like but it sure looks like you work for them, doesn't it?
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RE: Might we see a doctors' strike?
dal2010@... 20th Jun 2008
It's weird that nobody (even docs) seem to remember that MDs already did strike a few years back. I think it was primarily OB/Gyns (in Pennsylvania I think?-- see, even I can't remember!); there was a lot of momentum among docs for further strike action-- particularly but not only among OBs-- and in even more states, but then it fizzled right around the time the Iraq war began. I think that there was reluctance to draw headlines to a doctors strike when the countries focus was on other badness.
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RE: Might we see a doctors' strike?
oncall Updated - 20th Jun 2008
I can say what I am seeing. Some primary care doctors are literally being forced into early retirement as they no longer make enough to pay their office staff. More practices are capping or refusing Medicare altogether. Local ER rooms are being flodded with visit growth rates in the double digits. The solo-practicioner or small group practice is vanishing as large multispecialty groups are forming to gain negotiating strength with the local insurance carriers. Regional super-groups are forming in many specialties, including specialties that traditionally have paid very will like Anesthesia.

You may not see a strike, but what you'll see is an deselection of poorly reimbursing insurances as well as Medicare. Routine office visits may very well be on the verge of becoming a "cash only" business.
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Other more prevelent factors
AllKnowingAllSeeing 20th Jun 2008
that being the soaring rate of insurance for themselves.

It's sad when someone in the IT field, or a CEO can cause a company to loose millions, recouped by laying off workers, and the worse they get is fired.

Now, let a doctor "misdiagnose" some rare, 1-in-a-million condition barely anyone's heard of, and they (and their families) are sued out of everything they own, and then some, because someone sees a way to "easy street".

Yaeh, I wouldn't blame them if they striked.
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Indeed
oncall 21st Jun 2008
That is a HUGE problem and contributes no small part to the practice of "defensive medicine". But since so many of our politician are also lawyers I don't expect reform to come any time soon.
Mercifully doctors getting sued out of house and home is exceedingly rare (desipte fantastic awards most plaintiffs settle for the malpractice limit), lawyers are milking the golden goose but being generally careful not to kill it outright. Still, it's a huge cloud all doctors live under.

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