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prevents them it basically handcuffs them because when you figure out the pay the economic model of medicine once you make a diagnosis now you've got a diagnosible disease to which you have a
finite number of responses right if you make this diagnosis that's called an ICD10 code which is reimburseable and that's how you get paid so once you make a diagnosis you only have a finite list
of things you can do you can't ask that question and go well what's really causing this and spend you know 90 minutes with that patient because most physicians have to see 60 70 80 patients a day to
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