Drug injections, declining reimbursement and patient inconvenience

Doctors with any business sense know that giving injections at a loss is not sustainable:

Like many Americans who rely on medications that are injected or infused, Leonida Mattioli, an 81-year-old New York-area anemia patient on Medicare, used to get his injections from his doctor. But this year, he has had to get them at a hospital because his doctor can no longer afford to supply the drugs. Mr. Mattioli says he liked the old way better. At his doctor’s office he had “a feeling of being helped,” he says. In the hospital, “there’s a feeling of waiting. It’s not as convenient, and you don’t feel as comfortable.”