Isn't it curious how they aren't cracking down on the explosive growth of these clinics?
You are witnessing the emerging social safety net in health care.
Picture this scenario: A 55-year old patient presents with chronic lower back pain and intermittent radiculopathy. He's 100 lbs overwieght and suffering from type II diabetes.
Case 1: Treat the patient with bracing and anti-inflammatories. Also discuss stretching and strengthening exercises for him. Tell him to lose 100 lbs. He won't do the exercises or lose the weight, so of course his condition worsens. He's going to bounce between chiropractors, FP's, neuro and ortho guys. Eventually he'll find a guy dying to cut him and he'll get a one or two-level fusion. The fusion will have less than a 50% success rate, so he'll keep bouncing between doctors forever when all he really needed to do was lose 100 lbs and exercise.
Case 2: He runs to his neighborhood pain clinic and picks-up a $200/month prescription for Oxycontin. He spends the next 20 years stoned and happy sitting on his couch drinking beer and snorting oxy's every evening.
Not only can you implement Case 2 at a dramatically lower cost -- it also produces a more satisfied patient.
Welcome to the new Medicare/Medicaid.