"Eine Arztpraxis ist ein Unternehmen, das nicht dazu bestimmt ist, der Befriedigung persönlicher Neigungen zu dienen. Das ausschließliche Interesse an einer optimalen Hilfe für die Patienten stellt eine private Veranlassung für die Hinnahme von Verlusten dar, welche steuerlich unbeachtlich ist."
"In truth, the physician reimbursement system is not meant to be understood by mortal man. And that’s the point. It turns out that this incomprehensible physician reimbursement system was set on its current path by one simple desire: to force doctors to covertly ration healthcare."
"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."