Group Culture Manage Your Practice The Business of Healthcare

Grand Theft Auto


When I was 14, my friend Steve and I were stopped by the police for breaking into a car.

We didn’t actually break into a car. We just walked past it in the parking lot on our way into a store. The cop just decided to hassle us. His idea of fun, maybe. At least he became a cop and not a criminal.

The other day, I heard a potential client tell me that his future was being stopped.

The hospital administrator had told him that if he doesn’t stop pushing to expand the scope of his group’s exclusive contract, the group would be “fired.”

No one’s future is really dependent upon the approval of someone else. This guy I’m talking about, this doctor, may have painted himself and his group into a corner: the hospital might be the only facility at which they work. But that was his doing, not someone else’s.

And, even if they are painted into a corner, they can always bust out through the wall. Take their show on the road, so to speak. But no one ever really thinks of that. If you structure your group correctly, it’s entirely possible. Of course, it would be better to be working at multiple facilities so that if one is no longer desirable to you, you can tell them to take a hike.

This guy’s group really has no future at that place. The reality is that the hospital administrator really has no place to go. He’s just got a job and when he’s fired he’ll have a harder time finding a new position than you anyway. Or, maybe he won’t be fired. Maybe he’ll get some award for cutting costs. Maybe. But who wants to work with a jerk like him, anyway?

Back when I was 14, I thought that that cop was a criminal. A child abuser. Maybe he was.

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