Time to say, “No more mandates, enough is enough!”

By Herbert L. Kunkle Jr, MD

As physicians, we are highly skilled professionals and key stakeholders in arguably the most important sector of our country’s economy—health care. So why then do we complain and feel helpless, frustrated by a bureaucracy that impedes and controls the care we deliver and creates endless regulations and paperwork that have little to do with clinical situations or improving outcomes?

In talking with my colleagues, I hear four themes of woe: loss of autonomy, increasing regulations and paperwork, decreasing reimbursement, and a caustic tort system. But these problems are allowed to continue through our choices—our apathy; our lack of collegiality, professionalism, and support for those trying to make a difference; the fragmentation within medicine; the reluctance to “get involved.”

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