So this issue does not pertain only to my community. I'll see if I can present a resolution for our state's medical society to bring this into awareness. There's only a handful of solopractices in our county.
If it's good for the goose, it's good for the gander.
Self-referral practices such as this should fall under Stark anti-self referral laws. Predatory practices are legal for large entities but illegal for solo/small/independent practices.
Federally qualified facilities in our communities recieve huge grants to build palaces (which they call "clinics" and "administrative buildings") and recieve inflated reimbursement rates, whereas my small practice has had to close to Medicare/Medicaid to stave off famine conditions for my family!
The "Have-nots" are getting it all, and the "Haves" are being stripped of their material posessions and dignity. Only in America!?