Some MDs and medical groups have figured out how to manipulate the system to their financial advantage. My oldest friend, an OB/GYN, absolutely hated the pressure she was under by her employer to see as many patients and do as many procedures as possible. She worked for a hospital system and reported not to another MD, but to a business type who was only interested in her "productivity metrics". She ended up taking early retirement to save her sanity. The Mayo Clinic model, which rewards MDs based on outcomes instead of "productivity metrics", is so much better. I would like to see it everywhere.
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