No she didn't report it out of fear it would harm her career.
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The difference is when you pay a doctor or NP you are paying for their time and expertise and doing so because they had XXX years of med school and XXX years of training with an active practice
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Untrue. I'm paying for a service. If I consult with a doctor to evaluate a new problem, then I'm paying for the evaluation. If the doctor doesn't evaluate the problem or does it inadequately (eg not taking a history) they still get paid.