Administrative Update  |   March 2016
Put On Your Seatbelts – It’s Going to Be a Bumpy Ride
Author Affiliations
  • J.P. Abenstein, M.S.E.E., M.D.
    ASA Immediate Past President
Article Information
Airway Management / Critical Care / Education / CPD / Practice Management / Quality Improvement / Administrative Update
Administrative Update   |   March 2016
Put On Your Seatbelts – It’s Going to Be a Bumpy Ride
ASA Monitor 03 2016, Vol.80, 6-7.
ASA Monitor 03 2016, Vol.80, 6-7.
Over the last few years I have attended many state component and subspecialty society meetings, sitting through presentations while waiting for my turn to speak. This has introduced me to new science, ideas and clinical strategies that I have brought back to my practice. However, I have been struck by talks regarding the challenges facing anesthesiology and extrapolating them to a dystopian future. The basis of these concerns are what you would expect: government regulation becoming so complex and restrictive that it will be impossible to fulfill their requirements (e.g., MACRA); private insurance companies rushing to the bottom and our fees will crater; the advent of large group practices destroying professionalism in anesthesiology; bundled payments edging out adequate payment to anesthesiologists; hospital systems replacing physician anesthesiologists with less-qualified individuals, and so on.
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