From a friend who has experience in several different venues, commenting on post citing the uneven playing field:
"I couldn't agree more.
The FQHC vs private practice debate has occupied my mind ever since Hurricane Katrina, when the FQHCs received all kinds of federal assistance and bonus payments, while private practitioners received nothing. Not "next to nothing"--I mean absolutely nothing. The Gulf Coast now has what is basically a two-tier system for primary care--community clinics for the poor, and private practices for the insured. It wasn't the most egalitarian system before the storm, but it's certainly far more stratified now (which, as we know, also utterly violates the equal-access provision which was part of Medicaid's original intent)."