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A recent essay in Newsweek discusses the plight of pediatricians. They are the first primary care physician most people have, and good health care as a child is one of the best ways to improve adult outcomes.
Unfortunately, managed care has caused many pediatricians to quit their jobs. The stress of fighting with managed care health insurance for reimbursement of their services gets to be too much. Justifying essential care to corporate bureaucracy ruined the joy of their practice.
When HMO health insurance providers decide to cut their reimbursement rates, pediatricians are forced to fill their days with more patients, which leads to longer wait times. Health insurance reform, which adds more patients to the rolls, may make the situation even worse.