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[quote=Anonymous]Where we're headed is the industrialization of outpatient medicine: cheaper NPs and PAs in larger practices doing the majority of care with limited continuity and either physicians overseeing the midlevels while trying to maintain whatever continuity they have or going out of the system into smaller concierge practices. Psychiatry has already moved to not accepting insurance and people sort of just accept that that is how it is. Insurance does not reimburse non-procedure based specialties so there is not much incentive to play the insurance game.[/quote]
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