It’s the indirect time that’s most at issue here, a friend of mine is happy to take a significant pay cut and work at the VA to avoid the hassle. It’s a govern

It’s the indirect time that’s most at issue here, a friend of mine is happy to take a significant pay cut and work at the VA to avoid the hassle. It’s a government institution and he still feels way more productive and less stressed. In private practice a physician now needs to handle extra employee(s), there’s often a range of software system issues etc. Even in a hospital setting where other people are handling most of this stuff that’s a long way from zero friction. The insidious issue is even a 1% drop on doctor efficiency gets magnified by everyone taking a cut of the transaction.