Got admit, I didn’t realize I was talking to somebody from Canada.

I was more concerned with the fact that he had a serious case of prostate cancer and appeared to only be working with the urologist.

I went to the same building my urologist was in to have a nurse give me a Lupron shot. I Didn’t see the urologist for years and I know he didn’t make any money off of it. But some doctors offices are different. In the last year or two they’ve opened up injection Centers, so the nurses no longer do Lupron shots at the previous location.

It appears that Medicare advantage does sort of the same thing that Canada is doing with the management of patient bills. I’ve been told that Medicare pays the medical service a fixed fee for each patient. The fee is based on the severity of the patient’s condition. In this case, there’s no additional money to be earned by doing extra services. This is one of those things that’s hard to find the details out about.