A Risky Transition

During his residency in emergency medicine for the Medical College of Pennsylvania back in the early 1980s, Richard MacKenzie, M.D., got a piece of memorable advice from his mentor on the topic of physician independence. "He told me to just give it up. He said, 'you'll always work for the man; it's just a question of who the man is.' Physicians are never totally independent. Even in private practice, you have to follow the rules of the federal government or you won't be in practice long. For most traditional group practices, independence is more of a mindset than a financial benefit."

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