From community to corporation: the transformation of primary care

<p>In this podcast episode, we have Michael Fine, a family physician and author of On Medicine as Colonialism, sharing his insights on the changing landscape of primary care. He reflects on his experience of practicing in a time when family doctors lived in and supported the communities they served. However, today, primary care has become a huge economic engine generating profits for corporations, and it has led to what he calls "primary care colonialism." Michael discusses how this kind of colonialism removes the relationships that are essential for sustaining communities, leading to a denuded society devoid of its unique identity and history. He questions whether this is the primary care and medicine we want and suggests the need to change it from the bottom up.</p> <p><a href="https://www.michaelfinemd.com/bio" target="_blank" rel= "noopener noreferrer nofollow external" data-wpel-link= "external">Michael Fine</a> is a family physician and author of <a href="https://amzn.to/3wa4nxO" target="_blank" rel= "nofollow external noopener noreferrer" data-wpel-link= "external">On Medicine as Colonialism</a>.</p> <p>He shares his story and discusses his KevinMD article, "<a href= "https://www.kevinmd.com/2023/01/primary-care-colonialism-the-impact-of-profit-driven-health-care-on-communities.html">Primary care colonialism: the impact of profit-driven health care on communities</a>."</p> <p><a href="https://nuance.com/daxinaction"><img class= "alignnone wp-image-424286 size-medium" src= "https://www.kevinmd.com/wp-content/uploads/NuanceLogo_Horz_k-2-300x62.jpg" alt="" width="300" height="62" /></a></p> <p><em>The Podcast by KevinMD is brought to you by the <a href= "https://nuance.com/daxinaction">Nuance Dragon Ambient eXperience</a>.</em></p> <p><em>With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by