Why did I decide to open a private medical practice?

The only certainty in the German health care system is: Every year there is a new health care reform!

I want my patients to not be prescribed what is medically necessary by the statutory health insurance, but rather a customized approach based on the latest standards of science, optimized for each patient’s diagnosis and treatment. I cannot be objective and limited only to the medically necessary when trying to achieve the best possible treatment.

Through a high degree of independence of the statutory health insurance and their instantaneous power spectrum, I as a doctor can have my own expectations and those of my patients. The legislature, or statutory health insurance companies, gives their catalog on what treatment, diagnosis and therapy seems to be sufficient for you as a patient. I cannot accept this approach as a free and independent thinker nor as a specialist with appropriate experience, nor can I with my conscience. I want to use the best medicine based on the latest medical knowledge for my patients.

 

An essential factor of modern medicine and health management should be to put our focus on health optimization and disease prevention. It is also crucial to integrate the long-term development and prognosis in the treatment regimen. Unfortunately, health insurance doesn’t find it worthwhile to reimburse costs for prevention of diseases, but rather only for the treatment costs of diseases. However, most errors are made by both the doctor and the patient in the advancement of a disease. This includes, for example, an injury or an unhealthy lifestyle, such as lack of exercise, poor nutrition, smoking, alcohol abuse, etc. My working and thinking were always medically inspired and influenced by my medical supervisor, Lyle J. Micheli, professor at the Harvard Medical School and chief physician at the Children’s Hospital in Boston MA, USA; former President of the American College of Sports Medicine; Team Physician of the Boston Red Sox, Boston Ballet and American Olympic team; and Health Officer of the U.S. government, etc. His “recipe” for being a good doctor is:

“Work hard at your education and yourself! Lose with the passage of time, but never the humanity and the feeling for the needs of your patients!”

I am also very grateful to my former director at the University Hospital in Heidelberg, Professor Dr. med. Volker Ewerbeck. Despite the immense amount of work hours, the pressure to research, and non-medical tasks, he always said:

“Mr. Lösel, my place is at the patient’s bedside.”

This impressed me then, and still impresses me today.