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I have no idea how - the system is entrenched and regulatory bodies will shut down anything that tries to work outside that "system"

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There are some direct pay only surgery centers that have started popping up. Similar to your direct pay practice, the key is simply to remove the third-party payer system. Easier said than done as these crooks have taken greater control over medicine incrementally over the years (i.e. Medicare, Obamacare, etc).

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