The proceduralists dominate the RUC committee, and have formed an alliance, thus is slowly killing off primary care:
In a self-serving game of “you scratch my back,” the proceduralists support the inflated work values of one another’s new procedures, and as the values float higher and higher over time, and as the number of procedures grows, the value of office-based or cognitive services diminishes in relation. And as there is only one pie to split up, the slice of the pie that goes to primary care shrinks and shrinks
