He blows right by this as unimportant, but over half the time of medical office staff is spent processing forms or talking to HMOs on the phone. Some offices now give a 50%+ discount to those who pay cash.
This undoubtedly increases medicals costs by 1/3 (?).
He blows right by this as unimportant, - -
I agree that's important, but I suspect the author assumed it was not something the doctor could directly affect, whereas "mass production" (if accepted by patients) is within the doctor's control.