Physicians trading autonomy ‘for the big bucks,’ orthopedic surgeon says

Joel Cleary, MD, an orthopedic surgeon at Grangeville, Idaho-based Memphis Veterans Affairs Medical Center, joined Becker’s to discuss the biggest threats to physicians and reimbursement issues. 

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Editor’s note: Responses were edited lightly for brevity and clarity. 

Question: What are physicians’ biggest threats right now?

Dr. Joel Cleary: Themselves. … When the organization appears to be more important than the historical mission, the organization has become dysfunctional. And their greed. The American Academy of Orthopedic Surgeons is a good example. I find it amazing that the starting salary for an ortho surgeon is less than $500,000 a year. They gave up autonomy to insurance companies, politicians and bureaucrats for the big bucks.

Q: What are your biggest concerns regarding reimbursements right now?

JC: Perceptions by politicians that doctors make too much. As I used to say at Montana medical organization meetings, legislators have little sympathy for “poor” doctors when they make five to 10 times what a legislator makes.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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