This is my problem as an academic doctor. Let's say I have a young cardiologist in front of me who's interested in pursuing a career in higher-end medicine. If he just goes and becomes a solo practitioner, and if you like, a jack of all trades, he has access to the small business deduction. If he joins my group, he loses it.
The problem faced by academic centres is that there's a selective impact. As the representative of an academic group, I cannot recruit those doctors on a level playing field with somebody in the community who can allow them to practice as a solo practitioner. Essentially, it makes it much harder for me to get doctors into the kind of practice that we have, and it's very important. It hurts us very badly.