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<p>There is a difference between revenue and profit. And since many overhead costs are fixed, increasing volume may very well help.</p>
<p>In any event, the article you link to supports my earlier position. The doctor who (apparently) wrote it cannot set his fees and as a result he feels resentful towards doing the work that he loves. That really sucks.</p>
<p>By contrast, I have a family member who is a plastic surgeon. Since he does mostly cosmetic surgery, he can set his own fees. (Insurance usually doesn’t cover the work he does.) He makes a lot of dollars per hour. A year or two ago, he went to China for a few weeks to do free surgery on Chinese peasants who were disfigured and obviously couldn’t afford to hire anyone to help them. He regularly travels to seminars to hone his skills as well as schmooze with other doctors. In short, the power to set fees gives him the freedom to provide excellent service, to help other people, to enjoy himself, and to make a good living.</p>