I arrive back to clinic from vacation. The office manager and my nurse are trying to tell me something and avoiding my eyes. They are indirect. I realize that something has happened while I was gone and that the other providers and administration are getting rid of me. I go call up the clinic that I worked at previously and they agree over the phone to hire me back. But then, I think about that job and having to try to do ethical medicine at a killing pace in the time allotted and I think, no, I will not do that. I think about talking to the other providers where I am and trying to figure out what they are upset about. But I know that it does not have either logic or reason.

I realize that I will have to leave and move away. And I wake up, sweating, nightmare, horrified....

....but it is true. The plans by the new administration will shut down my clinic. They say insurance sold across state lines to make it competitive. Which it won't. Ok, now imagine trying to collect from insurance companies all over the US. Right.

Ironically the final straw will be that I will not be able to afford my own health insurance...

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