It's way worse than when you did it 25 years ago. The reason is the harder it is for us to bill insurers, the less they have to pay. We're only willing to spend

It's way worse than when you did it 25 years ago. The reason is the harder it is for us to bill insurers, the less they have to pay. We're only willing to spend so much money in order to get a certain amount. It also discourages patients from seeking care, which keeps costs down. Some doctors are, but not most. Doctors are bad business men, as are lawyers. It's part of their training, they spend years learning how to avoid risks for their patients and clients. Business is risk management, not risk avoidance. So most doctors just try to struggle along as best they can with the current environment rather than rocking the boat. Don't get me wrong, they're not struggling to pay the rent, but running a health care provider is not easy.