Clearly the price of remaining autonomous will not be insignificant, and many private practitioners will be unwilling to pay it. Only 36% of physicians remained in independent practice at the end of 2013, a decrease from 57% in 2000.2 Does that mean that private practice is doomed, as the “experts” predict? Absolutely not. Those of us who remain committed to it will find a new strategy. As always, we will adjust and adapt as the playing field changes. In medicine, as in life, those who are the most responsive to change will survive and flourish.