The tides of healthcare ebb and flow like the width of men’s ties and the political affiliation of Michael Bloomberg.

Seemingly set with a huge population of baby boomers needing their wares to remain healthy or, metaphorically speaking, to “come in for a soft landing,” and spurred on by politicians who thought they were anointed to nudge us, hospital systems grew rapaciously.

There are many factors that make your practice an attractive candidate for private equity investment, but that’s not what this post focuses on.

A few weeks ago, Walgreens, the giant drug store chain, announced that it was planning to close the 157 in-store health clinics that it owns. It will continue to keep those clinics run by third parties.

Arguably, a Southern California ophthalmology group should have had its compliance eyes checked a few years ago.

Actors scramble to audition for a part, but stars choose from offered scripts. So why are you responding to that RFP?

The layers of bureaucracy that were supposedly meant to insulate the doctors from the “hassles of running a medical practice” out hassled the actual “hassles of running a medical practice.” Go figure.

At first I couldn’t believe my eyes.

It seemed like a plot from the old Divorce Court TV show. But no, it wasn’t a battle of the spouses over the failure of a marriage, it was a battle of a hospital and a medical group over what appears to be the failure of an exclusive anesthesia contract.

An investigation gone bad, or bad decisions made during and after a proper investigation, have an impact far beyond that on the accuser and the alleged.

We’re living in a time of fast-paced change. Sure. But, I think people have been saying that since the Enlightenment. Maybe it’s the one thing that’s remained constant. But maybe it’s not. Some things have certainly remained the same.

Perhaps it’s only anecdotal, but the several hospital executives and well-connected hospital-affiliated physician group leaders I’ve spoken within the past few weeks tell the same story: a spate of resignations by hospital-employed physicians.