That happens a fair amount, and I wouldn't fault anyone other than the system on that one. In psychiatry we're blessed—or unlucky, depending—that we're time-based in terms of the remuneration to psychiatrists in a fee-for-service system. You get paid for the amount of time you spend, and we don't overspend because of a lot of demand. In family medicine at times—and not in all the models, but it's fee-for-service—you really have to get through a lot of people, so I really feel bad for the primary care physicians who sometimes cannot spend the time they would like. That's where you can get into very good shared care models that could help both sides.
On March 12th, 2015. See this statement in context.