To the Editor:

I read with interest “Solo Practice: The Way of the Future,” as I am going out of business in my solo rural practice. I will be personally bankrupt as well. I have not had an income for two years, and I can’t keep it up anymore. Basically, I can’t see patients fast enough and still do a decent job if I only spend a few minutes with each. The PPO discounts are so low that I can’t keep the overhead paid. It’s more complex than that, but I have been in my current location a year, built a wonderful practice that I love and have a good reputation. I am going to try to reinvent myself as a mobile practice with little to no overhead. I will try to emulate the phoenix from the ashes and see if I can continue to take care of the people who are my friends and neighbors and who don’t have a lot of options in a rural area.