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To: DMaA who wrote (284374)	12/15/2008 3:16:18 PM
From: LindyBill	Read Replies (1) \| Respond to of 793955

It is not going so well. If you can't get enough referrals on a "fee for service" basis, you are dead. Your friend will probably end up working for an HMO or other firm.

To: DMaA who wrote (284374)	12/15/2008 3:18:15 PM
From: skinowski	1 Recommendation Read Replies (1) \| Respond to of 793955

Remember reading an article - some time in the early 80's - about a young doctor - who went to good schools, was well trained, idealistic, hard working, seeing some 50 patients a day - and who was in the process of filing for personal bankruptcy. Why? - because he wanted to do the right thing and accepted Medicaid patients. Nowadays many insurers, including Medicare, pay relatively little for "cognitive" services - not enough to run a practice and to make a living. And that's the problem that Endocrinologists are facing - serious work involving lotsa thinking, and no well paid procedures.