I'm interested to read how many people seem to be anxious to turn to TVHS after they've made the choice to leave (or "have been booted out", as they like to see.
My wife and I were both in TVHS and left. We both loved our primaries and it was an extremely difficult decision for us to go (although fortunately we have found another wonderful primary outside TVHS). I would not go back to TVHS, however, and it's not because it wasn't a wonderful system. It's because they've already demonstrated that they have the right, and will exercise the right, to change the rules at any time without warning regardless of the consequences to their patients. What's to keep them from changing their minds again and shutting the whole system down? And if you're in TVHS system and they shut it down, where are you going to go for a primary when tens of thousands of people are facing the problem the same time you are?
A major factor in satisfactory health care is trust. They earned that when they gathered together a group of primary physicians that I think most people have found to be uniformly excellent--but then they threw that all away with the curveball last year. I, for one, am out of the system for good. I could never trust TVHS again.
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