Can Independent Primary Care Doctors Survive Dominance of Hospital Health Systems?

Every day, Dr. Leslie Miller of Fairfield thinks about selling her practice to a hospital health system. “Everybody who is in this environment thinks every day of throwing in the towel and joining a hospital,” said Miller, a sole practitioner in primary care for 20 years. “The business side is the problem,” she said, referring to expensive and time-consuming requirements of medical insurance and government regulations. Dr. Khuram Ghumman took the unusual route of working in a hospital system first, then going into private primary care practice because he objects to the “corporatization” of health care. He said conflicts of interest can arise if an owner and its employed physicians have different objectives.

Filling The Primary Care Gap: Nurse Practitioners

Alison McGrory-Watson, a private cook who lives in Deep River, had serious medical problems, including Hepatitis C and post-traumatic stress disorder (PTSD), when she was assigned Nichole Mitchell as her primary care provider at Community Health Center Inc. (CHC) in Middletown. McCrory-Watson was uninsured, and Mitchell went to great lengths to get financial assistance for two new drugs aimed at addressing her medical problems. As a result, McGrory-Watson is now Hep C-free, and she hopes a drug she’s taking for PTSD will quell the lingering effects of being gang-raped as a teenager and witnessing a brutal stabbing as an adult.

There’s something about Mitchell that might surprise you. She’s not a doctor; she’s a nurse. A nurse practitioner (NP), to be precise. But McGrory-Watson insists that the care Mitchell provides is every bit as good as she would get from a physician.

Reproductive Care At Risk In Proposed Yale, Community Clinics Merger

Bit by bit, regulation by regulation, the Trump administration – followed by a notable list of states — has been shrinking women’s access to birth control and abortion services. From packing the courts with anti-choice judges to repeated (failed) attempts to defund Planned Parenthood, the White House has done its best to push reproductive freedom off the table. So, when a Connecticut hospital and two neighborhood health centers announced plans to collaborate and become the New Haven Primary Care Consortium, the conversation quickly turned to women’s reproductive health—as it should. Yale New Haven Hospital and two local federally qualified health centers proposed to merge services recently, with the clinics that serve adults, women’s reproductive needs and children moving to 150 Sargent Drive (Long Wharf). This is a big deal for the state’s health care landscape.