Internal medicine, circa 2007

This is what the profession has come down to today:

In the current milieu, volume and procedures are rewarded. My game plan, short of early retirement, will be to refer patients to specialists as often as possible without using valuable time to do the evaluations myself. They can evaluate, precertify tests, authorize appropriate medications, and treat accordingly. Then, I will be able to increase my patient volume and decrease the endless hours spent on the phone with insurance companies.

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