So I don't buy the expertise, reading labs, etc.

It's a big #badword#ing scam that gets perpetrated by people who think you guys are gods. You aren't You're glorified auto mechanics. Who get things wrong as many times as not.

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It is really as simple as that. Whether your problem was comicated or not, he had to slot time for you because he had no way of knowing and you were charged for that. Most of which you did not pay for anyway, and at a fee that the doctor did not determine, the government did.

Glorified auto mechanics? Great, then I will learn to be a mechanic. It is a hell of a lot easier to change someone's oil than it is to transplant their bone marrow. I doubt any mechanic has to spend their evening talking to a spouse about his dying wife. Or put up with so many who think his labor should be given for free.

You don't value the expertise you got from your urologist , then don't go next time. Reality is, you paid more out of pocket for that smartphone contract this month. Use that next time and don't waste the urologists time. I am sure he would rather see someone who appreciates him anyway. He didn't force you to make that appointment. And, as I said, the going rate for other professionals such as attorneys or accountants is much higher than what you were billed.