It used to be that a medical degree was a ticket to a relatively secure life: in exchange for spending years achieving at school and amassing formidable learning, and just showing up at your practice for 50 or more hours a week, a doctor could be guaranteed a comfortable income, if not outright wealth.  No longer.

On the left, regulation hampers their free exercise of their business and practice.  On the right, insurance companies lower their income by cutting benefits. The general practitioner, like Marcus Welby, is a relic from another time and place: fierce competition among medical providers leads to ever-narrower specializations, while some segments of society become more skeptical about the benefits of empirically-based western medicine.  Medical professionals who focus only on the practice of medicine, and ignore the business climate, get trampled by more nimble actors.  And they are filing for bankruptcy protection.

I enjoy helping doctors and medical professionals to wind down their practices, file for bankruptcy, or otherwise handle their crushing debts.  I feel a kinship, because there are a lot of similarities to a law practice and a medical practice: lots of education, a profession focused on helping people, and a changing economic scene that requires thinking outside the boxes we learned in graduate school for a successful practice.