I was just looking something up for a friend, when I stumbled on this. I remember getting a similar letter from my PCP 5 or so years ago. My Doc is cash or check only.
Thought some of you might find it interesting.
Dear Patient: For over 30 years now, Medicare (aped by private insurance companies) has been increasingly interfering in the patient-doctor relationship, and increasingly meddling in my business, to the point that it is now virtually impossible for me to deliver quality, affordable healthcare, or to enjoy my cherished profession. The alleged purpose of this meddling is to "control costs." But because these efforts have been short-sighted, knee-jerk measures that ignore fundamental laws of economics and human behavior, the actual effect has been to cause healthcare costs to increase at TWICE the rate of inflation. These cost increases are not making doctors or hospitals rich -- average inflation-adjusted physician incomes have steadily declined, in sharp contrast to the wage trends for other professionals. I and a growing number of my fellow physicians are no longer willing to participate in this lunacy that is destroying our healthcare system, depriving many citizens of needed care, stifling medical innovation, and even driving patients overseas to obtain affordable treatment.
To accept your insurance, I and my clinic staff would be required to waste enormous time and other resources coping with numerous complicated requirements intended to limit your test and treatment options. Virtually everything I do as a physician would be subject to being second-guessed, micromanaged, or rejected as "not medically necessary." As a free American, I can no longer in good conscience tolerate this level of government interference in my business, nor should you.
I also read a bit on his blog, interesting stuff.