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I am wondering how many of you have seen a change in your practice with the advent of the Affordable Care Act? Am I the only one who has noticed that more and more patients are coming in saying, “Doc, I can’t afford for you to [fill in the blank with any procedure].” Patients can’t afford debridement charges, advanced therapy charges, the copays on their off-loading boots or their wound dressings.
I am thinking this might need to be called the “Unaffordable Care Act,” but maybe you are not seeing this? What do you see in your clinic?

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