There are no other source of income other than insurance plans, so if they decrease rates we have no choice but to decrease pay.

Im not sure where you are getting the ‘you ignored it’ comment, when the new rates were announced we adjusted pay according to the decrease in rates.

Concierge care/Direct primary care or start your own surgical center that takes cash. My company contracts directly with fixed price surgical centers for elective care and bypasses insurance completely.

Insurance is a scam on patients and providers.

you seem to imply that pay will go up the same moment rising rates are announced.