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I am aware of the concerning exclusive contract trends occuring at Kettering Health Network and around the country. This is very alarming and every OSMA member should be following this issue closely.
When hospital administration can enter into a special deal with a group or individual physician to terminate the competition, quality of care suffers, not to mention the unfair practice of banning a physician from practicing at a hospital who may have worked for years building a practice.
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Exclusion of Trust

                 Competition and consumer sovereignty are the two main pillars of clinical medical practices. While the non-clinical practices have long been subject to exclusive contracts, recent trend of such monopolies in clinical fields like Cardio-thoracic surgery is quite disturbing. While such contracts may be unfair to excluded physicians, the ultimate brunt is borne by our trusting patients. [more]


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   How does a country founded on the freedom of choice succumb to Exclusive Contracts. The Exclusive contract is a covenant between a hospital and a group of physicians that allows the group to provide exclusive service in a particular field thereby preventing other physicians from practicing in that hospital. The excluded physicians are not allowed to practice their own specialty in the given hospital.  The qualifications, skill levels or reputation of the physicians are not taken into consideration. This is solely based on economic credentialing. In some cases exclusive contracts are negotiated by influential but ageing surgeons with declining surgical skills in order to eliminate their competition. While the lawyers dwell only on the legality, the Exclusive Contracts defile the sacred ground of patient –doctor relation.                              
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Teleconference Tuesday, 13 March 2012, 8 P. M.

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