Well the one thing was the change in family medicine and we started seeing

family physicians being pushed out of the hospital systems in place of

hospitalists and you had a decision to make whether you want to stay inpatient or

you want to stay outpatient and I chose to do outpatient and that was fine that was good

I felt I could make my biggest impact that way but where we really started seeing the

change is what it was taking more and more effort just to keep your head above water financially. You had to see more people.

You had more paperwork to do associate with that. More coding, more procedure coding, more

regulations, more control of the insurance industry that was requiring you to do more and more to do the same job.

And so I started seeing there's going to be a critical mass here.

There's going to be a point where I cannot physically see as many people as I need to see and keep my head above water as it would be and then there started to be a breakdown in care where I was was not able to spend the time I wanted I was habitually running an hour to an hour

and half late because I was trying to give that care and the system was not allowing me to do that.

You're listening to episode number 111 with Dr. Ken Richter.

Welcome to pursuing health.

I'm Julie Fushe, family medicine resident, and former Cross-Vit Games athlete. Here I bring to you

information and inspiration from experts and everyday individuals for how to use

lifestyle to maximize health. Thank you so much for joining me. Now let's get started with

this week's episode. Hey there everyone and welcome back to pursuing health. In

this episode I had the pleasure of sitting down with Dr. Ken Richter who is a

family physician and who has been running his own private primary care practice

in Scotland Pennsylvania for the past 30 years.

Ken initially graduated with honors from the University of Maryland Medical School in 1985,

and he completed his

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