“Acquisition Syndrome” is the story of Bones Robertson and medical practice in Harvey County after the death of Dr. Henry”Indie” Jenkins. After Indie died things were about the same in Harvey County over the next decade. The doctors continued on in mom-and-pop type practices that financially floated from month to month. They made house calls, nursing home visits, and hospital rounds as well as office work.
Slowly things began to change. Change came to the cities first, and over time it made its way to rural areas. Bones recalled when the first managed care folks came to Harvey County. He was always suspicious of people from out-of-town who showed up in fancy cars and wore expensive watches who were here to “help.” Medicine became about money, power, and control. It became increasingly difficult for small entrepreneurs to stay in practice and became nearly impossible to recruit young doctors who were not inclined to join small organizations that did not have significant capital reserves. Bones began to realize without some changes in the way they did the business of medicine the practice he started, Harvey Family Practice, would not go on after his time. He and his partners decided their hand was forced and they would need to align with some larger entity to stay solvent. “Acquisition Syndrome” is the story of that transition.
As you might suspect, Bones gathered much of his intelligence from nontraditional sources; car dealers, his old buddy Snookers Molesby, and banjo pickers and other assorted bluegrass musicians.
A major subplot of the story and involves the development of Billy Spurgeon. Billy grew up and Harvey County and was the only student at Sandhills University Medical Center who gave consideration to rural primary care medicine, but Billy was concerned about the future. He trusted Bones to make the best decisions for the group he could and planned to come home as much own faith as anything else.
Bones never claimed to be a businessman. His goal was to align with an institution that would also allow him the latitude to practice medicine in the most patient friendly manner possible, and also not be taken advantage of. It was quite a struggle for him. I’d tell you how worked out but it would take a blog post of novel length, and besides it’d ruin the story for you so I guess I’ll wait till spring when we anticipate the book will be released. We are in the final edit and it still has to go through layout, graphic artists, test readers, line editor, etc. etc.
So, stay tuned. I will keep you posted as to the progress.