Reading these posts is like seeing the news. Every evening I go home and breathe a small silent prayer of thanks that I do not live in Somalia. And another one that I do not have to deal with many of the issues the rest of you do. It angers me on your behalf.

But, Jon, I will say that one of the reasons I opted out was that it gives me much more freedom to writeoff what a patient cannot pay. I feel much better about myself if I charge $500 and writeoff $400 than if I just charge $100 in the first place and pretend that is what I am worth.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands