“I make the same hourly rate I made in 1990 when I left the military. Save your lecture.”
Why do you think this is? Doesn’t it bother you?
What if you could make a lot more doing another job somewhere else, would you do it?
I’m not lecturing - you just aren’t very inquisitive about this - and are blaming your customers who are voting with their feet and their wallets.
I blame the government and people who think they have a “right” to my services. And “customers” are people who pay me, as opposed to a goodly number of my patients.
I would LOVE to be able to set my own prices with patients. I can’t. The government dictates what Medicaid and Medicare deigns to pay me. The insurance companies do likewise. The hospital dictates what insurance companies we HAVE to have a negotiated rate with. Other insurers will just pay us what ever they feel like if we don’t have a negotiated rate.
If I knew in Med school what I know now I would be an ophthalmologist or a plastic surgeon. People seem perfectly willing to pay cash for their services.