![GSWNH_SallyPipes_032522 Sally C. Pipes](https://southwestregionalpublishing.com/wp-content/uploads/2022/03/GSWNH_SallyPipes_032522.jpg)
Sally C. Pipes
Are independent medical practices becoming extinct?
By Sally C. Pipes
Facing declining revenue prospects, physicians are shuttering their private, independent practices to join larger hospitals that have near-monopolies on care in the regions they serve.
This trend is depressing news for Americans. Further concentration of market power in these health systems ultimately results in less personalized care for patients — and higher overall costs.
Over the past 20 years, Medicare physician pay has increased 11%. The overhead costs of operating an independent medical practice, on the other hand, has jumped nearly 40%. Factoring in inflation, Medicare physician pay has dropped roughly 20% in the past two decades. Clearly, those who remain in the sector aren’t in it for the money.
![Are independent medical practices becoming extinct? 1 GSWNH SallyPipes 032522](https://www.southwestregionalpublishing.com/wp-content/uploads/2022/03/GSWNH_SallyPipes_032522.jpg)
Sally C. Pipes
For many independent physicians, not even a miracle could make this business model sustainable. Perhaps that’s why 2020 marked the first year independent physicians accounted for fewer than half of all practicing doctors in the U.S., according to a survey from the American Medical Association.
Physicians closing up shop short of retirement typically go to work at larger hospital systems, many of which enjoy a monopoly on healthcare services in their catchment area. According to the AMA report, the number of physicians employed at hospitals increased roughly 50% between 2012 and 2020.
In addition to poaching physicians, hospital systems are acquiring private practices outright. AMA data show that between 2012 and 2020, the share of doctors working at a private practice that was at least partially owned by a larger hospital system grew nearly 40%.
As the AMA survey notes, the majority of doctors employed by hospitals are under the age of 40. That suggests this trend “will continue over the long term.”
Many younger doctors prefer the more regular hours that hospitals offer, as well as a fixed salary. Private practice may be less predictable — in terms of both workload and pay.
Nevertheless, the shift away from private, independent care towards corporate mega-providers should alarm patients and policymakers.
For starters, care will become more expensive as hospitals expand their regional monopolies. As health systems grow, they gain undue leverage with insurance providers to propose service-price hikes. One study in the Journal of Health Economics found that prices for physician services rose nearly 15% at practices acquired by hospitals between 2007 and 2013.
Without competition from independent practices, hospitals have little need to keep a lid on prices. They can charge patients and their insurers effectively whatever they want to.
Diminishing quality of care is another concern. Physician pay within a hospital system is determined in part by how many patients each doctor can treat, assembly-line style. So much for patient-centered care.
We’re witnessing a historic shift in the practice of medicine in the United States. And it isn’t an edifying spectacle, especially if you’re a patient in need of medical care that is humane, attentive, and not delivered on a conveyor belt.
Sally C. Pipes is president, CEO, and Thomas W. Smith fellow in healthcare policy at the Pacific Research Institute. Her latest book is False Premise, False Promise: The Disastrous Reality of Medicare for All (Encounter 2020). Follow her on Twitter @sallypipes.
Local News
![dvn lyons mountain climber mask Stephan Alheim wears a mask that helps him prepare for the high altitudes during his climb of Mount Kilimanjaro. (Photos by Steve Metsch)](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/dvn-lyons-mountain-climber-mask-996x1024.jpg)
Lyons man is climbing Mount Kilimanjaro
Spread the loveBy Steve Metsch While you’re reading this story, Lyons resident Stephan Alheim will be busy climbing the tallest mountain in Africa. Alheim is one of 10 adventurers who this week are climbing to the top of Mount Kilimanjaro, which is 19,341 feet tall. They started climbing Jan. 23 and are expected to reach…
![dvn ryan grace willow admin Ryan Grace](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/dvn-ryan-grace-willow-admin-932x1024.jpg)
Willow Springs expected to hire Lyons official as village administrator
Spread the loveBy Steve Metsch Ryan Grace, public works director in Lyons for the past four years, is expected to be hired as the Willow Springs village administrator tonight. The village board is expected to approve his hiring during its 7 p.m. meeting. Grace, 38, said he was offered the job by Willow Springs Mayor…
![2 Rhone Talsma (right), Chicago Ridge Public Library's Multimedia Librarian, today defeated 40-day champion, Amy Schneider, in Final Jeopardy, walking away with $29,600. He's standing next to host Ken Jennings. (Supplied photos)](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/2-2-1024x576.jpg)
Chicago Ridge librarian knocks off ‘Jeopardy’ champion
Spread the loveBy Kelly White Rhone Talsma grew up watching “Jeopardy!” – the classic game show with a twist where the answers are given first, and the contestants supply the questions. On Wednesday, Talsma knocked off 40-day champion Amy Schneider and won almost $30,000 in the process of becoming the new champion. Locally, the show…
![SRP-IMAGE-Logo SRP-IMAGE-Logo](https://southwestregionalpublishing.com/wp-content/uploads/2021/05/SRP-IMAGE-Logo-1024x560.png)
Seven Mt. Carmel wrestlers win titles, help Caravan to Chicago Catholic League crown; Brother Rice takes 3rd
Spread the loveBy Steve Millar Correspondent Ryan Boersma did not get the opportunity to become a four-time Catholic League champion because the COVID-19 pandemic caused to the cancellation of the conference tournament. But winning three Catholic League championships at two schools, and wrapping it up by winning a Lawless Award for the league’s best senior…
![SRP-IMAGE-Logo SRP-IMAGE-Logo](https://southwestregionalpublishing.com/wp-content/uploads/2021/05/SRP-IMAGE-Logo-1024x560.png)
Davion Lawrence’s double-double leads Oak Lawn over Richards
Spread the loveBy Steve Millar Correspondent When they were growing up, Johnny McGowan had the upper hand when squaring off on the court against Davion Lawrence. “Me and him go way back,” said McGowan, a senior guard at Oak Lawn. “He used to sleep over at my house when we were younger. We went to…
![GSWNH_PlantChicagoMarket_012822 Plant Chicago is a non-profit that encourages the growth neighborhood-based start-up businesses and which promotes what it calls a circular economy. It promotes a community-wide adoption of business models designed to recycle and reuse materials, money, expertise and more. Initially headquartered in a century-old warehouse in Back of the Yards, Plant Chicago has relocated to what was a vacant firehouse at 45th and Marshfield. Its indoor farmers markets are possibly its best-known and most popular events. The next market is set for 11 a.m. to 3 p.m. Saturday, Jan. 29 at its headquarters. For details, visit plantchicago.org. --Supplied photo](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/GSWNH_PlantChicagoMarket_012822-1024x768.jpg)
Funds flow to Back of the Yards
Spread the loveFour groups get grants; millions more available By Tim Hadac Four organizations in Back of the Yards—three businesses and a non-profit—are among 31 awarded more than $14.4 million in small business grants being allocated through the Chicago Recovery Plan. They are: Diaz Group Office Space, 5100 S. Damen, $250,000. El Nuevo Guadalajara, 4350…
![GSWNH_TamikoTalbertFlemming_012822 Talbert Fleming](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/GSWNH_TamikoTalbertFlemming_012822-1020x1024.jpg)
Offer reward in grandma’s slaying
Spread the loveWas shot on 71st Street By Tim Hadac A $15,500 reward is offered for information leading to the arrest and conviction of whoever shot and killed a 49-year-old grandmother in the Chicago Lawn neighborhood. Tamiko L. Talbert Fleming, of south suburban Dolton, was in the driver’s seat of her vehicle at 71st…
![GSWNH_GirlScoutCookies_012822 GSWNH_GirlScoutCookies_012822](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/GSWNH_GirlScoutCookies_012822.jpg)
A sweet salesgirl
Spread the love Alessandra Valentina Paredes, a Daisy Scout with Girl Scout Troop 20637 (sponsored by St. Nicholas of Tolentine Parish), shows a sweet smile as she begins her first-ever time selling Girl Scout Cookies. The daughter of West Lawn residents Jose Antonio and Lorena Paredes, Alessandra, age 5, joined the Daisies just four months…
![CRRNH_FrontierJet_012622 CRRNH_FrontierJet_012622](https://southwestregionalpublishing.com/wp-content/uploads/2022/01/CRRNH_FrontierJet_012622.jpeg)
Midway is new for Frontier
Spread the loveLow-fare airline coming in April By Tim Hadac Low-fare passenger airline options are set to increase at Midway International Airport this spring, with the arrival of Frontier Airlines. The expansion of air travel options was announced at a press conference last week at the airport. With 10 new nonstop routes taking off starting…
Neighbors
![CRRNH_NiegoStory_062624 Thanks to Niego Real Estate, block after block in Clearing and Garfield Ridge are decked out each year in red, white and blue. Residents are asked to volunteer to pick up flags and decorate their whole block—or even additional blocks. --Supplied photo](https://southwestregionalpublishing.com/wp-content/uploads/2024/06/CRRNH_NiegoStory_062624-768x1024.jpg)
Niego Real Estate salutes America again
Spread the love. Popular flag program underway . By Tim Hadac Clearing and Garfield Ridge residents who want to decorate their blocks in red, white and blue this Independence Day are encouraged to contact Niego Real Estate and reserve a supply of U.S. flags at no charge. The popular program to promote patriotism and community…
![dvn 6-24-24 Alan_Morales Alan Morales](https://southwestregionalpublishing.com/wp-content/uploads/2024/06/dvn-6-24-24-Alan_Morales.jpg)
Lyons Mental Health Commission pulls LeaderShop funding
Spread the loveExecutive director accused of harassment From staff reports The local nonprofit service community was jolted when nearly $300,000 in mental health funds was withdrawn by a Lyons Township agency from the Western Springs LeaderShop, a social service agency that has provided youth programs for nearly 40 years. The Lyons Township Mental Health Commission…
![SRP-IMAGE-Logo SRP-IMAGE-Logo](https://southwestregionalpublishing.com/wp-content/uploads/2021/05/SRP-IMAGE-Logo-1024x560.png)
Mount Carmel, Marist and Oak Lawn among 84 teams at Riverside-Brookfield shootout
Spread the loveBy Xavier Sanchez Correspondent High school boys basketball does not stop in March and pick back up in late autumn. For many players, playing hoops is a year-round commitment. AAU ball is a big reason for, that there are summer camps, shootouts or other events at most schools during the summer. The…
![PeggyZabicki Peggy Zabicki](https://southwestregionalpublishing.com/wp-content/uploads/2023/10/PeggyZabicki-1024x768.jpg)
Dog lovers to celebrate ‘Fur of July’
Spread the love. By Peggy Zabicki Your correspondent in West Lawn 3633 W. 60th Place • (773) 504-9327 . I’m starting out with some fun news. The West Lawn Dog Park Advisory Council will be hosting a Fur of July Pet Parade on Saturday, June 29 from 10:30 a.m. to 12:30 p.m. at West Lawn…
![MaryStanek Mary Stanek](https://southwestregionalpublishing.com/wp-content/uploads/2023/10/MaryStanek-768x1024.jpg)
Fourth of July not happy for everyone
Spread the love. By Mary Stanek Your correspondent in Archer Heights and West Elsdon 3808 W. 57th Place • (773) 517-7796 . Happy Fourth of July. Cannot believe I am already saying that, time sure goes. Hope it is safe and quiet for everyone and especially all of our house pets. For us its shutting…
![kathyheadley2021 Kathy Headley](https://southwestregionalpublishing.com/wp-content/uploads/2023/10/kathyheadley2021-869x1024.jpg)
St. Rita’s transformation is worth a look
Spread the love. Kathy Headley Your correspondent in Chicago Lawn and Marquette Manor 6610 S. Francisco • (773) 776-7778 . St. Rita of Cascia Church, 63rd and Fairfield, continues to undergo its transformation from the sunflowery/harvest golds and browns of the 1960s and 1970s to the calming pastels of the 2000s. Since the basilica-style church…
![NAEHER Alyssa Naeher clears a ball at North Carolina on June 23 in a 3-1 Red Stars loss. IMAGN photo](https://southwestregionalpublishing.com/wp-content/uploads/2024/06/NAEHER-1024x712.jpg)
Loss to Courage brings Red Stars’ winless streak to five games
Spread the loveBy Jeff Vorva Correspondent The Chicago Red Stars historic start to the season is all but forgotten. In the last five matches, the Red Stars have failed to win, with the latest setback being a 3-1 loss on the road to North Carolina on June 23 in an NWSL battle. The Red Stars…
![SRP-IMAGE-Logo SRP-IMAGE-Logo](https://southwestregionalpublishing.com/wp-content/uploads/2021/05/SRP-IMAGE-Logo-1024x560.png)
Summer League Basketball | Illinois powers compete at Riverside-Brookfield Shootout
Spread the loveBy Xavier Sanchez Correspondent School’s out for the summer, but high school athletes across Illinois are remaining active during the summer sports season. This includes basketball players, who can be found at camps, open gyms, camps and even weekend tournaments. Among the more high profile hoops action in the area was the Riverside-Brookfield…
![Dana RETTKE Dana Rettke, a graduate of Riverside-Brookfield High School, will play on the U.S. women's volleyball team at the upcoming Summer Olympic Games in Paris.](https://southwestregionalpublishing.com/wp-content/uploads/2024/06/RETTKE.jpg)
Dana Rettke and Ryan Murphy heading to Paris Summer Games
Spread the loveBy Jeff Vorva Correspondent Area fans of the Summer Olympics will have extra reasons to cheer athletes from the United States in the upcoming Paris Games. Dana Rettke of Riverside is a member of the U.S. women’s volleyball team and Palos Heights native Ryan Murphy will represent the country in swimming. Rettke, a…
![kathyheadley2021 Kathy Headley](https://southwestregionalpublishing.com/wp-content/uploads/2023/10/kathyheadley2021-869x1024.jpg)
Hope Church feeds the hungry at Marquette Park
Spread the love. Kathy Headley Your correspondent in Chicago Lawn and Marquette Manor 6610 S. Francisco • (773) 776-7778 . Last week on the way to our CAPS meeting at the Marquette Park Fieldhouse, I stopped in at the Tuesday Community Dinner hosted by Hope Church every week in the auditorium. Pastors Ben and Jordyn…