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I listened recently to a brain surgeon on Alex Jones' show. He said that he was not able to trust his nurses or office staff to correctly do the paperwork involved in his practice.
Let's be honest, many of office staff and a good number of the people who first see the patient have to be bilingual. These people are from Mexico.
When you have complex forms that have to be filled out, who does the work? Even white office staff are mostly high school graduates. Some of them graduated from high school "balls to the wall".
The new health care reform has a lot of additional paperwork and regulations attached.