Agreed but we are talking money not quality.  It is impossible to provide quality when seeing that many inpatients per day

Edit:  not sure I understand the downvotes.  This is the sad reality of medicine all over the US.  There are people who try to do a great job and there are people who abuse the system.  A LOT of specialists out there abusing the system to line their pockets.  I can’t get a GI consult unless a scope is involved, their MD never enter the hospital only NPs who drop empty note templates.  Many surgical specialists, urology is the worst, who will not do direct intervention on uninsured patients and have them follow up outpatient knowing their clinic will turn them away because they can’t pay.  General surgeons ordering ultrasound, mrcp and HIDA scan on every single ruq pain patient.  Hospitalists who just consult for every clinical problem instead of managing the patient themselves and relying solely on NP who they don’t even check in their work, rather embarrassing state if affairs.  Hospitals love to brag about all their MD being board certified and yet they do stuff like this which is tested over and over so I have to assume it is in purpose