Well, I live in Florida in Tampa Bay area. It is my opinion that the biggest problem in doctor's offices is not the doctors, but the office staff who can't get the codes right which will then totally louse up the insurance process. That aside, I have wonderful doctors--PCP, cardio, GYN. I agree with Steve that there could be varous types of declines, but it is certainly not unique to Florida. Of course, we get a lot of winter visitors, and it is very hard for doctors and their staff to provide consistent treatment with that which they may have obtained elsewhere for the remainder of the year. Many offices put on extra help for the seasonal influx. The doctor who gets the praise is the one who tells them what they want to hear, or if it is different from what they heard back home, it can't be right. And it's true that some of these "visitors" just don't find anything up to snuff in FL like it is "back home", except for the absense of snow and cold weather. It can be a restaurant, movie house, highway, hospital--the list goes on. While there could be some underlying issues, I think most of this stuff regarding the medical care is just hype and highly blown out of perspective. Elderly members of my family have the best care one could imagine. When I visit my cardiologist office for my coumadin clinic, I am surrounded by very elderly people. When my name is called, I have gotten withering and annoyed looks from these other patients because I surely must be a salesperson taking up their doctor time (I'm dressed for work and on my way...).
Perception can become reality to many, and no one likes waiting for long in a doctors office. Insurance is a problem everywhere and the insurance companies "encourage" doctor offices in the codings they use for visits which can then turn one type of visit into another, thus reducing the incident coverge, and cause the problems you mention. That has happened to me even. If there is a problem here (although I have never read it in our papers), it is caused by the insurance companies, not the medical professionals. So ya'll come on down! The water is fine (uh--as long as it's not generated by a hurricane!)!! Susan