Probably just thanks to insurance companies yet again

Doctors don’t get to make their own decisions anymore, they’re paid more like car mechanics and get a “job rate”.

Change a tire? It’s billed at $28 bucks. Doesn’t matter if it takes you 10 minutes or an hour. Air and balancing is included. Anything extra you don’t get paid for.

Gotta put in an IUD? You get $500 for the job, included is one shot of pain meds, the IUD, and one set of sterile equipment. Pain meds not working so great on this patient? Insurance doesn’t pay for extra, outpatient center doesn’t get paid for it or has to fight insurance for it.

Same for novocaine in dental work.

Insurance is terrible.