As in law, the field of medicine has shifted from being a high-status, well-paid profession to being a tough business. Obamacare has made it even tougher. In The New York Times, Abby Goodnough depicts a world in which it is increasingly difficult to be medical doctors in private practice, that is self employed. Goodnough reports, "The law is bringing new regulations and payment levels that ... squeeze self-employed doctors." More and more have made the choices to join exchanges. Here is that coverage.
It's palpable when I walk into the examining room of doctors in private practice. It's all business. Yes, it's the business involving the body and there's a human being attached to it. But the human being's place in it is shrinking. Intutively I knew not to bring up the grief I felt when my 18-year-old feline companion Jason died. The scene was not out of Norman Rockwell.
When I walk into the examining room of doctors who work for networks, it's not much different. The elephant in the room is the time that doctor will be spending with me. I understand not to veer from my "talking points" of symptoms.
So, what would we advise the next generation to pursue as a career path? I would recommend they study in their formal education what they can excel in, be it science or communications. They will have to be superior to navigate the relentless changes in the economy. In addition, they have to develop the mindset that job number-one is earning a living. Gone is the luxury of "loving" medicine or law. Emerging has been the pragmatic concern of being able to pay our bills from what we toil at.
I loved journalism and social media. But even dabbling in those part-time makes no economic sense. My focus has to be on the bottom line. That has meant that I have stayed in the ghostwriting and speechwriting box. Overall, I am grateful that I woke up early the game and smelled the dollars.