In today’s era, speedy change in healthcare system arises because of collaboration of medicine from a small scale informally organized business firm, price govern by fee-for-service, fee based systems for physicians and hospitals, increasing competition among physicians as well as between physician and non-physician work force (4). IN this changing environment, there are some causative factors for inequality among primary care and speciality care physicians. Low remuneration for primary care provider compare to speciality care physicians cause imbalance. This income difference occurred due to some federal rule in Medicare compensation technique which offer less repayment to primary care physician compare to the specialists because compensation is concern with entire work effort and historically regulated, projected practice costs (2,3). Some private insurance system follows Medicare’s payment plan (2) Some insurance company gives coverage benefits in some diagnostic and invasive procedures which is done by using advanced technology (3). In 1992, the median net income for physicians (after expenses but before taxes) was $148 00017,18. A quarter of physicians, most of them primary care physicians, had incomes of $100000 or less. A quarter, primarily specialists, had incomes of $223 000 or more (3). …show more content…
New technology enhances diagnostic and therapeutic options. Desire for latest and sophisticated treatment rise demand for speciality treatment (2). Fee-for-service payment system become favorable for speciality care because of more use of costly and advanced technology in the treatment (3). Anticipated time of work and comparatively more job satisfaction and good reputation among the coworkers and in the society associated with speciality field.