Ah, you've just highlighted the problem with socialized medicine. Without responsibility and accountability, there is no sense of doing the right thing. The system I fear the most with Obamacare. While in principle, socialized medicine sounds great. In practice, not so much. Ask those in Canada, the UK, Australia, Russia. How's that working for you? If you don't have a vested interest in the financial outcome, then the less work the better. My two cents. Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS Ophthalmic Diagnostic Center CPMC Department of Ophthalmology 2100 Webster Street Suite 212 San Francisco CA 94115 (415) 600-3937 FAX (415) 600-6563 From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Anton Drew Sent: Tuesday, March 27, 2012 2:23 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: The other side of the gripe from Denice Barsness THAT, Denice is the crux of the problem here, I work in a government hospital where THEY DON'T value your expertise and skills. ALL of our docs INCLUDING the Director are private Consultants who just come in once a week or fortnight for a 3 hour session and then they're gone. They treat the staff as though they were their own private practice staff. HOW can a unit be run by a Director who is only there for one 3 hour session every 2 weeks AND during the busiest Retinal Clinic when their is no time to grab him to discuss udgrading equipment/software, or talk about staffing issues, workload etc.. It is like speaking to a brickwall. They just don't get it !!! Just don't want to "play their game anymore". Anton On 28/03/2012, at 2:34 AM, CPMC Ophthalmic Diagnostic Center wrote: Having the good fortune of working in a great institution that actually values our work, we in turn can reflect those feelings of good will onto our patients. They are truly the lucky ones to be the benefit of all of this great technology. My two cents. D.