I'm sure the issue is money. To participate, you must agree to send data.

By participating, you either get better rates or more patients. If you get neither of these, why do it.?

If you do get benefit, is it worth the hassle? Are you still making a profit when the time considerations are factored in?

Is the carrot worth the beating by the stick?

Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them