.. Maybe it is time for me to move.
Don't just go West, go PNW! I live in an area that has 70,000 people and is one of the fastest growing boroughs in the nation. We have very good reimbursement rates with a low PPO/HMO penetration. We have an excellent hospital with nice scoping suites. And guess what, there are NO GI specialists within 40 miles. The closest GI clinic is in Anchorage. The surgeons are doing all of the scopes. I send GI specific problems 'into town'.
