I saw why What HWs and had a very hard choice to make. I could either sink in private practice and still be a quasi-.gov employee so I decided they had won and the fight was over. i quit my private practice and joined them.Only way to survive. i now work as a hospitalist for the hospital. I love medicine. I have to follow all the rules. Lean a new vocabulary and click the computer but at least they pay me to do this instead of me bearing the increased overhead that I could not do in semi-private practice. I actually get time off. I worked for 22 years and only took 2 weeks off. Now I work 7 days on 7 off yea they are 12 hour days but i am making over 2 times what I did in private practice. yes, i have a boss and yes I toe the line. and yes they could fire me but, it was the only way to survive. so they won.