“Are Doctors Choosing The Wrong
Ultimate Business Goal?”
there’s a time when your profession medical
choice shouldn’t be your ultimate goal?
The medical practice world is rapidly changing
before our eyes and will never return to what it
was like several decades ago.
Not only have the new generation of medical
students and young doctors radically departed
from the traditional views about medical
practice, but their personal life priorities now
supersede their professional choices.
These factors have created significant and
irresolvable career issues for nearly all
medical doctors... such as...
it too late for older physicians to make any
changes in their medical practices, or too late
to adapt to the changing healthcare mandates
after practicing all those years how they chose
the younger doctors and medical students on a
that will lead them to unhappy careers as
employees with no good alternatives available
for changes they might
want to make?
it possible for any physician of any age able to
attain a satisfying, happy and fulfilling life
living and practicing under the new healthcare
system—whatever it turns
out to be?
Evidently, the attrition of medical doctors and
the widespread frustration with medical practice
today requires a great deal of decision-making
no one cares to be cornered with.
If the present trend of increasing
disappointment with the private practice of
medicine continues to persist, as it likely
will, the storm of the century coming will leave
few alternatives for rigidly controlled medicine
by outside entities to permit medical freedom
for doctors to practice.
The greatest excitement in the past has been the
greatest motivation to enter private medical
practice and treat patients the way you always
thought you would love to do. In the process you
expected to be a high-income earner able to live
a high quality life with your family.
Well, that advantage is rapidly disappearing.
Fees are increasingly being restricted. Medical
malpractice continues to run rampant in our
society with no end in sight.
The joy and satisfaction is disappearing from
medical practice and is seriously affecting the
personal lives of private practice physicians as
well as other medical care providers.
Do you enjoy working hard in your private
medical office practice and not making enough
income to keep your practice open? It’s a common
happening in medical practice today.
Are you upset because you don’t make the level
of income necessary to send your children to the
college of your choice or to fund your
retirement plan? You should be!
If the right income level isn’t there, you will
never enjoy medical practice either. Have you
made plans to counter this
Some doctors think differently about methods and
styles of practice
All liberal arts colleges have a goal to prepare
their students to
a job. The core of graduating college
students going into medical school are already
brainwashed into visualizing their future as an
doctor. It fits their new cleverly
manipulated personality and mental behavior.
students who find themselves comfortable with a
more secure medical career as employees fall
into two main groups.
First group, one can easily understand
why so many doctors choose to follow a career
path in some form of academic medicine. Most are
employees of some medical institution. The pay
is reasonable. The business of medical practice
is all done for them—an important distinct
advantage and benefit over private practice.
But, they are, for the most part, required to
follow a set of practice rules that private
practice thinking doctors abhor.
It’s a very secure feeling to get that paycheck
The second group of doctors that function
well as employees includes doctors who work in a
specialty that requires a hospital environment.
These doctors often contract with hospitals to
do their medical professional work. The effect
is nearly the same as being an employee. Their
professional medical practice life is controlled
Both groups of doctors can be terminated at any
time for many acceptable and valid reasons. When
that happens, these doctors look for other
medical jobs in other medical facilities and
usually find them. It often does mean moving
family and everything to another area of the
country, a new state medical license possibly,
and may have to accept what’s available in
medical job opportunities for them at the time.
Discovery of one troublesome aspect with both of
these groups of “employed” physicians seems to
be a rather superficial regard for the serious
dilemma that private doctors are now facing
financially. I’ve found that fact to be true
when I approach my old classmates about that
That attitude is understandable when one
considers that a significant amount of their
incomes, in one way or another comes from
government sources passed down through their
hospital or medical facility. It makes for a
firm security factor in their work and jobs as
well as a mindset highly compatible with
socialized medicine when it comes.
Then again, these doctors have absolutely no
real degree of office management, hiring and
firing employees, as well as all the business
requirements necessary to run a private medical
office in addition to practicing medicine. That
benefit camouflages their attention to what’s
happening outside their medical
Face it, private practice inspired medical
doctors do not have an actively supportive ally
within these two groups beyond a superficial
understanding they derive from the media.
Now that I’ve rationalized all the issues for
the doctor employees on salaries, there are more
important factors that you should be
Options for private practice medical doctors to
remain in private practice in the future
Should our government reach a point where
bureaucrats seize total control of America’s
healthcare in the near future, then predictably
private practice will not exist. Additionally,
medical licensure control by the government will
wipe-out the possibility of “cash only” practice
of medicine and all other methods of private
If these thoughts are not winging through your
conscious mind today, then I advise you to make
it happen. Never assume that total control of
medical care by our government won’t happen.
When our government is able to shred our
Constitution like it has recently and get away
with it continually today, it’s a good reason to
abolish your positive thinking and begin to
entertain your “survival mode”.
When and if these things happen, physicians will
have no personal private medical career choices
or medical practice freedom if you want to
practice medicine outside of the government
dominated healthcare system.
However, should there continue to be the
existence of private medical practice, I would
like to encourage you to look at some
alternatives for financial income in addition to
your private medical practice.
The additional financial income alternatives
that make sense and are within reach of most
private practice doctors in a functional medical
practice are reasonable solutions. The idea is
to prevent being forced out of medical practice
for financial reasons. Also, these possibilities
are becoming much more important for you to
consider right now.
The reasons that should be influencing your
decision to remain in private medical practice
and should give you the urgency to prioritize
that decision today are...
know that the medical practice incomes have been
decreasing steadily over the past 2 decades. It
continue predictably into the future for
know that earning more income in private medical
practice will require working much harder,
seeing more patients each day, hiring more
office staff to help you, pushing the edges of
medical integrity, and having less
family relationships. The reward for these
before you have reached the career goals you
have set for doing all this.
know that medical malpractice risks for
physicians remain a significant threat and
concern for the majority
of medical doctors who
You also know that the trial lawyers who
dominate state legislatures will never allow
“caps” to be placed on medical malpractice
verdicts for “pain and suffering” beyond the
or 7 states that already have placed caps on
malpractice verdicts and awards.
In the majority of States that have not placed
caps on verdicts, your malpractice premiums will
know today that over 50% of graduating medical
students choose to join employed medical
positions primarily with managed care groups.
Having to pay off an average of $150,000
educational debt prevents them from starting a
private practice. In a real sense, young doctors
are being covertly forced by this debt issue to
the intended new government healthcare
The trend will create even more pressure on your
medical career path. When you are being
manipulated by the above factors, your intuition
tells you that you should quit medicine
completely, retire earlier than intended, or
start another non-medical career.
Like most doctors today losing their medical
practice for financial reasons, becoming an
employed medical doctor at a hospital or managed
care facility seems to be the only way to
continue practicing medicine.
know that the only financial path to a medical
career today is increasingly seeded with
government money, in one way or another. And it
isn’t all grant monies. If you are aware of the
Laws of Influence, then you understand how
today. It’s the glue that binds new doctors to
becoming employees, where you don’t control your
You are conditioned to accept what will lead you
to a unfulfilling and unhappy medical career.
The freedom to practice medicine just the way
you want is what makes your career full of
satisfaction, fulfillment, and success. This is
well documented in studies and medical
How to remain in private medical practice when
you are overwhelmed by external destructive
factors that increase your financial distress
and put you in monetary quicksand...
Cutting to the core;
You will need other sources of
income outside of medical practice to remain in
private medical practice, very soon.
New and old ideas of how to do that...
Your spouse may need to
work full time.
It may be necessary for
your kids to start a business to help.
Wealthy families often
provide you with financial support.
You choose a high
income medical specialty to practice.
You make smart
investments with your
You decide to live a
very frugal lifestyle for the
You may feel the
impulse to wade into criminal
You find a separate
additional rare executive business
the lottery... wishfully
Maybe you’ve already tried these financially
helpful methods. Did they work for you? Did they
turn out to be a bad idea? Did you wish that
there were other options that might be
compatible with keeping you out of financial
Some physicians are not risk takers and are
self-confined to their own comfort zone or
“box”. These doctors will never get any further
than they are today because of fear and inertia.
They can’t be helped.
Before we go any further, there are some
assumptions that have to be made concerning my
You have an open mind
for considering possibilities and are
willing to take an action step or
steps to get started on something you
believe can be helpful to you in your
An assumption that you
are a strong believer in your medical
freedom and desire to remain in
private medical practice as long as
An assumption that you
can believe what I say because of what
I have been reliably saying in my
newsletters for the past 4 + years and
have never led you astray. There's
no BS here.
An assumption by me
that what I tell you is factual,
accurate, and can be found on the
Internet and elsewhere anytime you
choose to check it out.
Considerations regarding extra income
Some female physicians already have two jobs,
practicing medicine and running a household with
kids. The fact that about 50% of medical school
students are now female is a strong indication
of more changes in medical practice that will
likely increase and do so rapidly.
doctors have spouses who earn full time salaries
either in medicine or outside of healthcare.
This frequently permits female doctors certain
advantages. First, income is less of a concern
when you have two fulltime wage earners in a
household. Second, surveys indicate that 50% of
female doctors choose to work part time in
Nearly all male doctors spend full time in
medical practice, medical research, or medical
academic careers. Private medical practice has
some variables that are pertinent to both male
and female doctors.
Those variables are such issues as private or
group private practice, availability of having
other doctor’s cover their medical practice on
call or as needed for vacation or illness.
Working in a association type of group call
coverage, and working as a private medical
doctor within a medical facility are good
(Example; contracted to work in a military
hospital or facility, or Indian reservation
clinic while maintaining a private medical
practice. The rules governing these entities may
This leads to your discovering that you have a
serious medical practice income problem...
Most contracted and full time employed medical
doctors are restricted from other types of full
time medical practice elsewhere or outside jobs
that reduces their productivity under their
contract. When caught, their employment is
The choices for a medical doctor in private
medical practice are
Private practice doctors are in total control of
their medical practice business, their income,
their family life, and their career
modifications and goals.
doctor you might decide you want to quit doing
obstetrics and continue the gynecology part of
your practice. In that situation while in an
employed position you normally will not be
allowed to do so. You would have to quit
employment and find another facility to hire you
just for doing gynecology... not many positions
like that available in
Let’s say you’ve been in private medical solo
practice for over 5
or 6 years. That happens to
be about the time when your
medical practice is
going very well with lots of patients. You feel
great about how you are doing and expect it to
same or better.
Unexpectedly, you begin to notice that other
doctors have moved into your area and your load
of patients begin to decrease. Your income also
starts to go down.
At this stage, most doctors have no idea that
this is happening let alone why it is happening.
Within a year or two you may hear some grumbling
from your CPA or office manager that they are
having a tough time paying all your usual
overhead and salaries.
We all know that to earn money in medical
practice you have to see medical patients… the
more patients you see the more money you make.
The problem is that only one in 5 thousand
doctors ever keep track of the numbers of new
patients coming in and leaving their practice.
They slough off the warning and blame the drop
in income as just a seasonal cycle and will come
back up in a couple months.
this familiar to you?
Then comes a day when there isn’t enough money
to pay the office overhead and it’s
“temporarily” necessary to dock
take home pay
pay all the bills of the practice.
Once your spouse discovers what’s happening,
it’s the time you become seriously worried. But
you still don’t recognize the reason for the
continuing drop in income, because all you have
been checking out is how much gross income you
earning monthly and trust that financial
a medical practice business consultant to
out your office business manual and use
check out all the
causes listed that might
the cause yourself, before hiring help?
with all your friends and medical peers
to be doing
quite well in order to
they are doing to stay afloat?
that it’s a good time to quit medical
a job as an employed physician
your practice to the nearby hospital and
continue the practice
under constant demands
Well, it’ll cost you about $10,000.00 to hire a
business consultant just to help you set up a
new medical practice business plan and
follow-up. Your "peer friends" will likely not
disclose the tactics they are really using to
Digging deeply into your practice financial
works well because you have never been trained
to recognize what is wrong and how to get to the
solutions, even if you
Retirement so early in your career is a death
sentence because the boredom is not tolerable.
You can take a job as an employed physician and
With the governmental restrictions on hospitals
being enforced, including the new ratings
surveys, as an employed doctor who sold your
medical practice to the hospital your job will
be at risk.
Now, the biggest decision of your medical career
to this time almost every medical practice
financial problem can or could be promptly
resolved if you had been educated in
It wasn’t your fault. No medical school
(supposedly 170 of them in the USA) in the USA
teaches medical students anything about running
a medical practice business. You are
thrown out there amongst your patients to do the
best you can with your bare minimum of business
knowledge you picked up from discussions with
your dad, mom or friends. You have to know
how to run a successful business to survive
Rarely do you come into contact with a doctor
who is willing to go back and get a business
education—first, because they at this point are
out of money to pay for the education—second,
because taking the time off (about 2 years) from
your practice would dump you into bankruptcy.
Of course, now there are online business
courses, abbreviated business courses over 6
months, and libraries to learn from.
What’s left to get you out of medical practice
financial distress and keep your private
You probably already know that I am quite
knowledgeable in the field of medical practice
business and marketing which I have been
persistently increasing my learning over the
past 10 years…after my 35 years practicing.
Consider the following list of methods of
can easily do and make a lot of money without
interfering with your practice functions. You
don’t have to believe it, but I have so many
contacts in the business world who are doing it
and making a great deal more money than you ever
will in medical practice, one would be foolish
to deny the truth.
These options are not related to the stock
market, real estate investing, or any other
quick “get rich” schemes and are
At least I want you to know what good options
are open to you and that are compatible with
full medical practice. They require time,
energy, commitment, and persistence. They all
relate to Internet online efforts which you can
do at home on the couch, Feet up on the coffee
table, sip on a cold drink, and work with your
Come to think of it, your own teenagers are well
qualified to do this business activity for you.
The necessary learning is easy, quick, and the
passive income “work” can be continued remotely
while on your Caribbean or
idea below has to be the one at the top of your
list of outside income sources.
Selling other people’s products online:
You, your spouse, and/or your computer elite
easily able to create an ongoing resource of
passive income quicker than most other money
making efforts. In today’s
world the online income ventures offer an
of other jobs, careers, or income
You don’t have to create the products you sell
your website or blog. You can
find them listed on such websites as…
there are thousands of done-for-you products
waiting to be sold.
provides very easy detailed instructions that
any 12 year
old can follow.
You sign up as an “affiliate” (free) to sell the
product for the vendor online (creator of the
product and who is already selling their product
online) and receive a commission of over 50% of
the sale price. You become a “reseller”.
There are literally hundreds of articles on the
Internet that are available (free) to rapidly
learn how to function as an affiliate
and make a
good income... even millions of dollars as some
have already done.
There are now teen age and college age
affiliates who are making a million dollars a
year online... not my impression, but is a fact
that's well documented.
Presently online there are over 300,000,000
(million) customers now buying products they
want or need while surfing the Internet on their
laptop or mobile device (now at exponential
growth rate) day and night across the globe.
The basic advantages of the affiliate process...
You can become
proficient in the affiliate process in
than a week. Keywords like
in Google brings
million listed websites on that topic
to help you.
The products you choose
to sell online usually are sold
through your mini-website you create
for the product online. There are
templates (most are free)
available to use to do this.
Your affiliate product
or one you create yourself is visible
on a website online to anyone around
the world surfing the web to buy
The numbers of customers
online is increasing exponentially
now. It’s an incredible opportunity
Once a product (eBook,
eCourse, videos, washing machines,
dental products, anything at all) is
online for sale, people will continue
to be buying even years later, thus
providing passive income forever.
Imagine creating a
hundred mini-sites each with a
different $100 product
for sale, where
you get a 50% commission on the sale
price. If you make one sale each day
on each product doing the math you
would earn $5,000.00 per day in
commissions. You get the idea here.
Use your own data and discover what
income you can earn each year on
products you could sell.
You don’t ever have to
create a product to sell.
You don’t have to do
all the paperwork business associated
with selling products, all done for
you by ClickBank at very minimal cost.
You can leave that
website sit on the Internet
indefinitely for someone
to find and
buy that product even years later.
You can sell the
product on a blog or a website or
Basic sequence of the affiliate sale process:
a product you
are interested in selling.
your affiliate account
to sell the product.
(Clickbank tells you how to do that.)
offer and sell the product on.
(Google the keywords,
a “web hosting account” for your
customers can find your site on the
your mini-site so
the site will be seen by
customers on the
2 pages of
listings. The customer uses a
Internet search engine to find your website
(Google the keywords,
my websites” to
learn the process.)
Recommendations for study and use--
they mean and how to use them.
it’s about and how to do it.
to convince customers that this product is
exactly what they
want and need.
for someone to do it for you—better to do it
yourself because it’s fun and
a lot less costly.
to start right and earn more... is not hard to
on spending some time for continuous learning about problems you need to
avoid and overcome as you progress.
as many free email newsletters as you can find online that focus on the
areas you need to know
I’m 12 years into this stuff and continue to
learn something new every day without
fail... exactly like you learn daily in medical
Feel free to contact me about the best
resources, books to read, places to find
Trust me, you will in the near future need to
streams of passive income
above and beyond your medical practice income in
order to maintain the standard of living you
have worked so hard for, invested so much money
in, and absolutely deserve. For most physicians
medical practice will
not enable the lifestyle you expected.
Taking full advantage of what is possible to
earn online now enables you to
use the Internet
to compete on an even level with the big boys,
been impossible in the past for any
person or small business like medical practice
The usual excuses I hear from doctors today
about why they
retire too soon, change careers,
are so frustrated with medical practice (AMA
survey—over 50% of doctors), and are fed up with
their career in medical practice
all be resolved if your income was adequate to
lifestyle expectations as a professional.
Why is that so hard to understand?
Why doctors won’t make an effort to get the
required business knowledge needed for maximum
It’s obvious that physicians
in practice will
rarely ever make the efforts necessary to create
high incomes in their medical practice or to
even to stabilize their income to prevent
from dropping. They simply find it easier to
deal with the consequences, like losing their
medical practice for
The singular effort that would be most helpful
would be for doctors to spend concentrated time
learning business principles and marketing
strategies. That effort would involve time away
from medical practice and a significant cost for
like obtaining an MBA (about $50,000 for a two
at a top University). In both instances they
lose money from
There are many shortened MBA programs, costing
much less available and even some online that
would be very beneficial. Would most doctors who
recognize their practice is shrinking get the
business education to rescue their medical
practice? Most won’t do it for a couple reasons.
are so skeptical that getting a business
education would not cure their financial
problems with their medical practice that no
business consultant can get them to
believe it will work.
segment of doctors are willing to listen to a
consultant and what they recommend, and then
refuse to alter their practice to create the
recommended business structure and organization
necessary to accomplish their objectives and
Far more disappointing are the doctors who go
ahead and give the whole process a try,
determine that it isn’t
working for them, and go back to
the old income
Doctors commonly react this way because they
want to see results immediately resulting from
the changes they’ve made. It always takes
several months to see significant increases in
income. Most will not wait.
The barriers that have persistently prevented
physicians from rescuing their financially
disabled private practices seem to be their
inertia, lack of
business knowledge, and an
arrogant disbelief of the proven business
Why I outlined above the easiest and most
practical method for a practicing medical doctor
today to attract income:
as an affiliate)
There is no need to
interrupt medical practice to get a
No need to fork out a
lot of money for an MBA or other
No need to change the
way you or they are now practicing.
No reason to pay for
huge business consulting fees.
No long waits to see
Because the process is
one a 12 year old can easily do.
Anyone in the family or
an employee can do for the doctor.
There is no
interference with the medical practice
Because there is no
need to see lots more patients to earn
more in the medical practice and
burnout as the result.
The level of affiliate
income is totally determined by you
and what you
need to have.
The affiliate work
process is one that any doctor has
time to do if he
or she chooses.
Affiliate business is
done completely on a computer,
beginning to end.
online is the least expensive income
producing business available, other
than carrying a hungry sign standing
at an intersection.
Affiliate business is
perfect for young kids to start a
business of their
own, as so many of
Once someone in the
family learns the affiliate business,
most of the
others want to do the
same. Teenagers can
earn their own way
It’s a way to insure
your grownup kids won’t have to come
back home to
live later on. Not that
your kids would ever do such a thing.
Ideas and strategies for successfully producing
income is dependent on determination,
persistence, and goal setting.
There many other businesses outside of medical
practice and online today that have high
potential for wealth. You would be surprised at
the number of simple online businesses started
in high school or college that earn enough
income for the
students to quit college and expand the
(Google “Russell Brunson” for example, as
well as the
Remember, there is not a shortage of money out
there among the masses in spite of what you
hear. People still buy very expensive season
tickets to professional sports games, still go
to expensive restaurants, always have enough
money for booze and cigarettes, still buy
expensive jewelry, and etc.
You just have to learn how to send some of it
your way. There are millions of ways to do that
if you are smart about it. It’s true in any
economy anywhere, good or bad.
This is just one idea. There are many more I can
you. You are not obligated to do any of what I
However, where else do other doctors discover
new reliable income ideas
that are free?
“The trick is to make sure you don’t die
waiting for prosperity to come to you.”
The author, Curt Graham, is
a recognized author,
physician, and entrepreneur
with a passion for bringing
reality to unacceptable
issues about medical
practice that demand
attention, alternatives, and
debate. His desire to make
doctors think beyond the
boundaries of usual thought
is secondary only to his
mission to reveal the
consequences of having a
fixed mind unable to benefit
from experience, knowledge,
Learn from his medical
publications what isn’t
taught in medical schools
and that you must know today
to maximize your potential
Click here now
learn how to reach your
maximum medical practice
©Copyright Curtis Graham,
M.D., All Rights Reserved.