Medical Mergers, Hospital Takeovers and the Changing Face of Medicine: Does Solo and Small Dermatology Practice Have a Future?

by Noah Scheinfeld, M.D., J.D. Full Article: Medical Mergers, Hospital Takeovers and the Changing Face of Medicine Abstract and Introduction: The trend toward business consolidation, which has affected industries as diverse as car manufacture, advertising, and banks, has been accelerating among entities that provide medical care.  That is, there are fewer and fewer entities that provide medical care, although the ranks of these larger medical entities have swollen.   The Great Recession of 2008, and the “The Patient Protection and Affordable Care Act” (PPACA of 2010 (commonly called the “Affordable Care Act” (ACA) or, colloquially, “ObamaCare”) have hastened this consolidation.  More and more residents (including dermatology residents) completing their training after … Continue reading


Brooding Over the Changes to Come in Dermatology

Keywords:  Adrienne Rich, dermatology, ICD-10, solo practice, death, middle age, Maya, provision of medical care, Obamacare, doctor patient relationship Adrienne Cecile Rich (May 16, 1929 – March 27, 2012), an American poet, essayist and feminist, was one of the most widely read and influential poets of the second half of the 20th century. She was put on the map by her early poems written while she was an undergraduate at Radcliffe College. In 1951, her last year at college, Rich’s first collection of poetry, “A Change of World,” was selected by W. H. Auden for the Yale Series of Younger Poets Award. He went on to write the introduction to … Continue reading

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