It's 10 p.m. Seven days before Christmas. I'm sitting at work "finishing" up some charts. I am suddenly overcome with anger. What am I doing here right now at this minute? I am helping no one. This work I'm typing away at — trying so hard not to scream — it's hoops. Fucki*g hoops ... for insurance companies. So I can beg them to pay me. Pay me pennies for the hard, good, compassionate, humanitarian ...

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Fifteen minutes. This is the typical amount of time allotted for any single follow-up or acute type appointment in Primary Care. 30-minute spots are reserved for new or complicated appointments. Now, I just want that to sink in for a minute. I want everyone to sit down and think real hard for a moment, about how much they can get done in 15 minutes. How long does it take you to ...

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