An interesting essay by a physician looking at the changing landscape of the medical profession. She makes the case that self employed physicians have more incentive to treat the patient as opposed to employee physicians whose incentive is to please the boss. Of course politics gets involved as well. Worth reading.
When you are ill, do you go to your physician to receive a government (or industry) derived practice guideline? Or do you want your physician to be able to apply his independent judgment to your individual situation? Which kind of doctor is more likely to be willing to rely on his own judgment in service of your individual best interests? One steeped in the ethics of social justice, beholden to a third-party for payment? Or a physician whose livelihood is directly related to and primarily dependent upon the quality of care he provides to you, the patient?