The changing family practice office...I'll take one flu shot, one Botox and schedule me for a chemical peel next week...oh and perhaps I should take a look at my LDL while I'm here...as payment compensation continues to dwindle for most who take insurance, there has to be some way to survive and sill provide basic services at the same time..and the courses have waiting lists for enrollment according to the article. 

You can't blame the Docs here as they have to survive as well to be available for general health care and wellness that we all need...patients and doctors...caught in a Catch 22 and somewhat between a rock and a hard spot...will there ever be any balance in health care?  BD

Doctors have had enough. They're tired of insurance companies cutting how much they pay them to take care of us. They're fighting back with lasers, Botox and liposuction. The numbers aren't huge yet. But more and more family physicians, gynecologists and other specialists are performing cosmetic procedures to replace shrinking payments from HMOs and other insurers.

Need proof? Check out this month's annual meeting of the American Academy of Family Physicians. There, doctors who usually treat high blood pressure and diabetes will be able to choose from 10 continuing education courses in chemical peels, cosmetic fillers and Botox. "We've been doing it for four or five years," says Pamela Williams, assistant director of the academy's continuing medical education division. "But we're expanding the amount and frequency." The courses are so popular some have waiting lists. That's because doctors know what their patients want.

"In medicine today, everybody is looking for something to do where you don't have to deal with the insurance companies," says Dr. David Burkons, an Ohio gynecologist who added cosmetic procedures to his practice about eight years ago and has expanded the offerings since.

Health | Docs turn to Botox to make ends meet | Seattle Times Newspaper

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