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Letter to the Editor

The Fiscal Incentive of Pull Till Pull

doi: 10.1097/01.EEM.0000552812.65843.6a
Letter to the Editor


Dr. Edwin Leap's great article illustrates the way nurses and EPs have been pitted against one another, at the detriment of the patient, of course. (“‘Pull Till Full’ Pits Nurses against Physicians,” EMN 2018;40[11]:1;

Dr. Leap neglected, however, to address the elephant in the room: the fiscal incentive (AKA the bean counter's incentive).

The patient is certainly billed differently once he is out of the waiting room. Not to address this part of the calculus is a serious error, although I still applaud him for getting the conversation started!

Glenn Saperstein, DO

Commerce Township, MI

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