You quote University of California-Berkeley health economics Professor James Robinson as blaming the meltdown in the physician practice management industry on "some greed, some lust and some stupidity" but not poor management. I can't tell if his being flat wrong is due to his academic base or just reading all the wrong media coverage of the subject. PPMs were doomed from the beginning because they could not deliver any benefit to their clients worthy of the enormous fees they charge. Capitalist economics allows predators to victimize fools in the short run only. Experience neutralizes these unhealthy relationships at some point.
Jeffrey Denning Management consultant Practice Performance Group Long Beach, Calif.