We get the health care we pay for. Lots of people in specialty care, not enough in primary care and twice as much money going toward specialty vs primary care.
Funny how specialists say the opposite (or at least my dad says that) Sounds like all physicians are getting screwed. Fees are going up, but none of that money going to the physician.
Doctors can't unionize, but everyone is aiming at them. Insurance companies, hospitals, the government, etc.
The RVU scale started out as the "California Relative Value Scale (CRVS) and it was a handy book to have, back in the day when every doctor set his or her own fees. That was before "accepting assignment" and all the other dreadful banes of our "insurance" system.
However, for a few years in the early 1980's it was declared by the Feds to be "restraint of trade" if a doctor made reference to the book, and it disappeared from view -- everyone kept a secret copy, but they stopped publishing it.
Then along came Medicare with DRG's and the whole E&M scam based on "RVU's" -- in turn, based on guess what -- the CRVS!!
Go figure.
Tom
