It seems, going back to the original question, that we are saying that the best way to improve primary care is to improve the reimbursement, which is true.
Much of the bureaurocratic side of our jobs (much of referrals and such) is a waste of time. I should be able to bill every time I have to call Caremark and spend 15 minutes on the phone for a common medicine, then the insurance company would think twice about the SAVINGS that they are acheiving.