"A few years ago I realized that my bonus, based on my "quality" management of diabetes, was compromised by the poor quality of my patients. I then dismissed many of the alcoholics and non-compliant (more correctly, I maneuvered them to dismiss me -- much less hassle); and my bonus scores have greatly improved. I thought I was clever, but I've come to believe that this is exactly what the the network, the insurance companies, and the gov't, wants me to do."
"Teile der Politik haben gesagt, die Budgets seien weg - aber die Ärzte stellen fest, dass es Regelleistungsvolumen gibt. Das ist natürlich ein Budget."