My enthusiasm for this e book began at the start. To be extra particular, it began earlier than the start, as I used to be hooked by the point I completed the introduction! Within the intro, Dr. Vonnegut remembers working in a pediatric main care workplace early in his profession (within the Seventies-80s) the place he charged his sufferers $20 for every go to. He states, “we offered accessible, inexpensive, very high-quality care and we made a dwelling at it.” He says that many individuals suppose there was one thing mistaken with that method of working towards as a result of main care places of work have modified their billing practices so dramatically since then. (These days, as an alternative of immediately charging a affected person earlier than they go away the workplace, most main care places of work file a medical health insurance declare and the affected person might not obtain a invoice, and the workplace will not be paid for months or years!). Dr. Vonnegut makes use of many examples on this e book to refute the general public’s notion, together with the next personally significant reflection. “Again when sufferers paid money, they’d extra energy. Medical care value a fraction of what it does now. And medical doctors had a significantly better time. We labored more durable and there was no burnout.” Actually, it feels like he’s describing a modern-day Direct Major Care workplace!