[Number 6]

For a number of years I managed a very successful medical practice back North. Let me wade in on some of these issues.
- $70 for a flu shot is simply outrageous. Explain to the office manager that this greatly exceeds the “reasonable and customary” charge for this procedure. Tell them that you will be glad to pay Blue Shield rates. It is a deal I always took.
- A Physician Assistant works under the direct supervision of a physician. The Physician Assistant, by law, does not have a practice of his/her own. Ask the office manager about the Physician Assistant scope of practice. Heck, I understand that in Florida the PA does not carry their own malpractice insurance.
- “I will only see the doctor!” is very short sighted. Many mid levels that I know far exceed the physician on simple, every day ailments. Most times, I contacted the PA or NP when I had something wrong nights or weekends. The use of “physician extenders” allows the physician to see more patients. You may think that this is a bad thing, but it prevents a worse physician shortage than we currently have.
- I have also heard horror stories of the practices of physician staffs. All I know is that the office culture comes from the top. You are being treated as the physician wants you to. I know that I couldn’t get away with that stuff.
- A lawyer successfully suing a physician for his time waiting has to be an urban legend. I just don’t see the statute that would support it.