My doc told me that WA physicians get less for a procedure than in other states. As such, he can't afford the patients.

He also said that, maybe a decade ago, it cost something like $100 an hour to keep the office open. What with nurses, receptionists, light, rent, and so on. The overhead was pretty steep.

I think now there are 3 physicians in the practice, at least 3 office people, and a couple of nurses/PAs.

Medicine now seems to take a lot of people to deliver the service.