Notes About Health

One doctor with a thriving medical practice in California, suddenly accepted a position in a corporation; he traded his shingle for a corporate name plate. He states that his job was no longer thrilling. Talking and listening had become the extent of his job as a doctor. Pricey insurance for malpractice coverage gave his group practice no choice but to ditch a lot of the medicinal aspects he relished in, such as obstetrics, surgery and the complicated process of treating medical conditions. His practice had become nothing more than a required stop for patients to reach a specialist.

He now has a challenging position for a New Jersey pharmaceutical manufacturer, as their assistant medical development director. He isn’t alone either; there are many doctors who have decided to make the transition into the corporate world. A modern private practice deals with insurance company and government interference in academic politics, medicine and the fierce competition for research grants; a tiring battle for doctors. One city that was under pressure to make the employee health and products safety standards higher is anticipating their being hired. Almost all of them still operate in the medical setting, whether it is in drug research or occupational health; however, business has come to reveal a more durable appeal for others instead of medicine.

The compensation offered by the municipality can rival that of private practice. Physicians employed by corporate entities generally work 8-hour days, are provided with paid malpractice coverage, receive time off for educational purposes, and are compensated at levels that are comparable to those who remain in private practice.

Based on statistics provided by trade and professional advocates, thousands of corporate-employed physicians work in America, a number which represents a mere 2 percent of the population of doctors. Thousands of occupational medicine physicians are in charge of not only employee health but also industrial and product safety. There are another 10,000 physicians who work part time in roles such as these. Other doctors are working in pharmaceuticals, while many thousands choose to work as underwriters and claims consultants for insurance companies.

Today, a common corporate position for a doctor is the chief medical director for a major insurance company. Presently recognized in private practice, he found some part-time work in a restaurant chain since it was open to him and because it was a way to earn money. Sometimes examining up to 60 food handlers in an hour, the doctor worked at an exhausting pace. Later on, he became a medical director for several film studios and, with hesitance, he surrendered his medical practice. This position offered him greater opportunities; the patient wasn’t responsible for paying so he could treat them without limit and he could practice preventative medicine.

Many private physicians see themselves as automatons faced with ever-increasing obstacles in their quest for a viable business. Their role was perceived as being limited to the treatment of minor injuries, writing prescriptions and performing check-ups for otherwise healthy patients. However, a shift in opinion and regulations regarding occupational and product safety have rendered corporate doctors newly powerful and worthy of admiration. The director of medicine at a large New York telecommunications firm states that achieving a new level of respect has been gratifying.

Starting out able to do as well or better than anywhere else, younger doctors are seeking these corporate positions. The more experienced doctors typically compromise their gross and net income, but they can afford it without a problem. There are certainly those corporate doctors who say that their revenue and quality of life is what gives them the last laugh. Many of my peers in private practice, in the early years of this phenomenon, looked on a change to occupational medicine as a foolish action. Now it seems that these people who thought this way are becoming envious.

The biggest incomes belong to the doctors who left their stethoscopes behind for corporate positions. A 78-year-old multi-millionaire, who never had a private practice, is possibly the most well-known corporate physician; setting an example for other doctors. That doctor’s first million dollars, which he generated while he was still a medical student, was the direct result of the revival of his father’s laid up drug business. As soon as he graduated medical school, he purchased an army field hospital in order to aid people in the Soviet Union, where famine had set in. He discovered that food, not medicine, was most needed; in the process of importing grain, he established the trade contacts that became the stepping stones for his future business career.

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