Hands On Medicine says goodbye as independent clinics struggle to break even

Hands On Medicine says goodbye as independent clinics struggle to break even 
The Lund Report; by Jake Thomas; 10/29/24  
After 18 years of operating her northeast Portland primary care clinic, Shelda Holmes decided it would be better to close Hands on Medicine than prop up what she calls the “medical industrial health complex.” Her story shows the predicament faced by independent primary care clinics, and sheds light on why so many are shutting down or selling out to hospital systems or private equity owned chains — even passionate, devoted providers like Holmes. “You hear the anthem: ‘We need more primary care providers,’” Holmes, a nurse practitioner, told The Lund Report. “You feel it in your heart. But the obstacles are nearly unsurmountable. We can’t answer the call.” Research shows that robust primary care can reduce health care spending by treating patients' medical problems before they become more expensive. Holmes’ story spotlights what critics say are worrying trends that are eroding providers’ independence and clinical decision-making while increasingly putting primary care —a service that policymakers want more of — out of reach.