Finding "on call" specialists is always problematic when you don't have teaching hospitals (hospitals with interns and residents). As the insurance companies pushed for more and more day surgery, the rationale for doctors to maintain privileges at hospitals (and the required on call days that come with it as well as costs) led docs to stop doing surgery in hospitals and do it in their own clinics instead. If you look at the local ophthalmologists, all do surgeries in their own offices/clinics. And the hospitals don't want docs who don't bring them business working at their hospital.
I knew an oral surgeon whose wife got fed up with the unpaid bills (over 90%) of "after hours patients" who started going in with her hubby and collaring the patients family to pay while her husband worked on the person. Still collected less than 50% of bills due.
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