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How a small-town family doctor navigates a rocky insurance system

Despite adding a partner to his practice and joining a group of independent physicians, Dr. Scott Anzalone is still unsure about his own retirement.

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Dr. Scott Anzalone has been in private practice in Logan, Ohio, for decades. He finally added a partner to his practice in 2024 after years of searching.
Dr. Scott Anzalone has been in private practice in Logan, Ohio, for decades. He finally added a partner to his practice in 2024 after years of searching.
Scott Anzalone

For a long time, Dr. Scott Anzalone referred to himself as “the last physician standing in private practice” in his area of southeastern Ohio. But in 2024, after seven years of looking, he finally found a partner to join Stagecoach Family Medicine in his small town of Logan, Ohio.

Staunch in his commitment to not joining a hospital system, but wanting a little more leverage when negotiating with insurance companies, Dr. Anzalone also recently joined forces with several other independent physicians to form a group called Northern Ohio Medical Specialists.

But despite all these changes, he says he’s like many other Americans whose plans for the future revolve around health care and health insurance, which keeps getting more expensive.

“This sounds crazy, but one thing that’ll keep me from retiring is not having health insurance for myself,” Anzalone said. “And I hear that every day from all my patients, like, ‘Well, I want to retire, but I don’t have health insurance if I retire.‘“

“Marketplace” host Kai Ryssdal talked with Dr. Anzalone about life in private practice and the state of the American health insurance system.

To listen to their conversation, use the audio player above.

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