This pressure comes on ER and CCU doctors from the hospital administration--doctors are not so on board with this as you might imagine. The CCU and ER doctors do not profit from this--the hospital does. The hospital is now the *boss* of most doctors.
“Hope Obamacare hasn’t made your neurologist retire...”
Luckily, I don’t have a neurologist yet, but I’m glad I have some less serious specialists that I see, because sometimes, some physicians will at least keep their current patients, if the insurance is not good, but not take any new patients.