US regional health care

[tyler2016]

I'm not planning on staying in my current location forever, maybe another few years at most. I have become increasingly frustrated with medical providers in my area.  It seems like all providers are getting swallowed up by big companies. I am getting more and more jaded with medical offices to the point where I find myself getting irritated or even angry much easier than I normally do. For example, when I recently signed in for an appointment recently, they wanted me to sign something without seeing it, didn't have a copy printed out, and had to jump through hoops to print it just so I could see what I am signing. The person at the desk acted like nobody else insists on reading it first and was annoyed when I pointed out it's backwards to read something after signing it. It wasn't a huge deal, but it gives me the impression that these places are disorganized and have poor processes. 

Is it me? Does anyone live in an area in the US with a decent health care market?

[SimpleCycle]

Consolidation of providers/vertical integration is a nationwide trend in healthcare and currently heavily incentivized by the government.  There are some good reasons for this - better coordination of care, more resources to invest in technology that makes care better - and poor reasons - hospitals want to consolidate market power to achieve a better negotiating position for contracting.

I live in a fantastic health care market, but quality still varies widely and it's very hard to know what you are getting other than trying it out.  I've had some fantastic experiences here and some not so great ones.  It really depends what you are looking for.  Quality of care?  Patient experience?  Responsive office staff?  Good referral networks?  You can't always have it all.  I get most of my medical care at a big teaching hospital and their administrative side is a mess but the care is excellent.  I used to go to two different smaller concierge practices, but one only took one type of insurance, and the other charged an annual fee.

[PKate]

My sister and her family moved to the Phoenix AZ area for the climate and the fact it had a lot of medical specialists they needed.   The need access to lots of hard to find specialists and Phoenix is a reasonable distance to most of them.