Showing posts with label The Practice of Medicine. Show all posts
Showing posts with label The Practice of Medicine. Show all posts

Friday, March 15, 2024

The Agrarian's Lament: A sort of Agrarian Manifesto. What's wrong with the world (and how to fix it). Part 5a. What would that look like, and why would it fix anything, other than limiting my choices and lightening my wallet? The Distributist Impact. The Professions.

The Agrarian's Lament: A sort of Agrarian Manifesto. What's wrong with th...:   
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We'll look at that a bit later.  Let's turn towards the agrarian element next.

So we said last time and now, well now we're not doing that.

The reason is that I didn't really dwell on this topic, and it matters.

In the era in which I was a kid, up through my kid's early years, if I needed to go to a physician or dentist, they were local, usually with individual practices.

With physicians, that's now radically changed.  My physician is the same one I had twenty years ago, but his practice is part of a larger practice that covers two cities.  They had to do that in order to continue to really keep operating, and there were other consolidations prior to that.

The local hospital was owned by the county. There's been complaints about it since I was a boy, but not like there are now. The County Commissioners sold it to a national company.* 

Thirty years ago, when I was first practicing law, all of the law firms were Wyoming firms, something that was reinforced by the fact that we had a state specific bar exam.  The Supreme Court sold us down the river on that, with there being a persistent rumor that this was to aid a struggling UW law school.  The admission was made "transportable" in that a person passing the Un-informed Bar Exam in another state could simply pay their toll and practice here.  That transported much of the work to Colorado.  Over time, that, and technology, have destroyed small town practice to the extent that many small towns and cities in the state no longer have lawyers in many significant areas of practice.  One major I80 city in Wyoming will soon lack any lawyers doing civil litigation or serious general civil work.  When I started, and I'll note at that time that city was in extreme economic distress, it had two major law firms doing that work within it.

So this is an aspect of Distributism that would change things as well, and which could very easily be implemented simply be restoring a state specific bar exam.  Better yet, residency requirements of some sort should be implemented. Beyond that, the corporate packing up of the professions, like the corporate packing up of retail, could and should be eliminated.

That would restore local professions.

And that restoration would be that professionals in this area would quite frankly make less, but have more stable practices, which would benefit their clients/patients for the good of all.

Last prior:

A sort of Agrarian Manifesto. What's wrong with the world (and how to fix it). Part 5. What would that look like, and why would it fix anything, other than limiting my choices and lightening my wallet? The Distributist Impact

Footnotes.

*The dissatisfaction is epic, and the County ought to file suit to get it back.  It won't, but it should.