Wow, what an article on the NEJM. I guess it's not anything we don't already know, but the authors (Stephen L. Isaacs, J.D., Paul S. Jellinek, Ph.D., and Walker L. Ray, M.D.) write about the reality of declining solo practices.
Medicine is a business and physicians are choosing options that provide them with flexibility and a reasonable work/life balance. After all, who wants to work more hours each week compared to residency? (and most of these physicians did not train in the era of the 80 hour work limit). More physicians are taking salaried positions to ensure financial security and shorter work hours (well, according to the authors they work shorter work hours but that may not always be the case with salaried positions).