u/Crafty_Astronaut9372

I am a Psychiatrist and I have a curiosity about a theme I am seeing in the community. I have noticed it is not uncommon for a pharmacist to block a legitimate prescription for someone that is suffering with a primary focus condition. I have noticed the shortages and medications and the random events where the medication will no longer be working. I have noticed the DEA not allowing enough medications to be produced. I have noticed the difficult task of finding a prescriber that people are having. 

Are many of you experiencing what I am describing?

I would like to start a discussion with you all to see how many of you are concerned about the current circumstances of how Healthcare is going in the United States especially in the psychiatric realm. It appears that reimbursement rates are going down according to the government and also certain insurance carriers despite rapid increases in costs. Personally I've seen no alternative route other than removing myself from the circumstance of starting my own clinic in effort to start cutting out the administrative burdens and administrative cost. 

I have additional concerns about the consolidation of various Healthcare entities being purchased by insurance. Optum Health is a good example of that. I suspect that they will lower reimbursement for their physicians in order to have profit for the administrators and for anyone invested in the company.

 The American Medical Association and the Psychiatric Associations have all been fairly ineffective in their advocacy.

It appears that everything has started to unravel after everyone started going W-2 employee. I'm wondering if you all are seeing what I am seeing and are also having similar concerns. I do not see any effective way for any physician pushback other than becoming individual companies ourselves.