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Crain’s New York Business : Doctors find it’s not easy to stay independent

To stave off the pressures prompting many physicians to sell their practices to hospital systems, Manhattan internist Peter Bruno has tried a number of creative solutions. They have ranged from forming a now-disbanded group practice with 60 colleagues to his ongoing strategy of working at a nursing home one day a week to supplement his income in his current solo practice.

“It’s more and more difficult for doctors to make ends meet,” explained Dr. Bruno, who began practicing in 1979 and, thanks to his expertise in sports medicine, has treated professional athletes on teams including the Yankees, the Knicks and the Rangers.

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