Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

The fallacy of billable hours

Skeptical Scalpel, MD
Physician
November 6, 2013
Share
Tweet
Share

Lawyers are hardworking people. That’s for sure. Take this lawyer from Ohio who billed long hours for court-appointed cases. For instance, he billed for 21, 21.5, 23 and 29 hours of work for 4 different days. His lawyer said he did the work but was simply a poor record keeper.

Right.

Not to be outdone, a lawyer from Iowa billed for more than 24 hours of work in a day on 80 separate days. He is being charged with a felony for receiving $178,000 for what are being called improper payments for work as a public defender.

Four other lawyers were terminated from the program for similar issues.

And you thought doctors worked long hours?

The president of the Iowa State Bar Association called the findings of the audit that discovered the problems “an isolated aberration, involving five lawyers. Simply put, a few bad apples do not spoil the barrel.”

Are these isolated aberrations?

I’m not so sure. A lawyer friend of mine (yes, I do have friends and even relatives who are lawyers) tells me that this is not particularly uncommon.

He said that lawyers will often schedule 5 or 6 case conferences at a courthouse over a 2 hour period and bill each client for 2 hours worth of work.

At least one lawyer feels that the billable hour model should be scrapped because “the billable hour makes no sense, not even for lawyers. If you are successful and win a case early on, you put yourself out of work. If you get bogged down in a land war in Asia, you make more money. That is frankly nuts.”

This meshes nicely with a story my lawyer friend told me. Shortly after he became a lawyer, he proudly walked into his boss’ office to report that he had settled a case in record time. His boss then chastised him for doing so and pointed out that settling the case so quickly cost the firm a lot of money.

It’s too bad that legal services are a privilege instead of a right. Then maybe someone other than I would be upset about how much it costs.

“Skeptical Scalpel” is a surgeon blogs at his self-titled site, Skeptical Scalpel.

Prev

I felt abandoned by the system to which I had committed my career

November 5, 2013 Kevin 17
…
Next

JAMA removes cover art, and why that matters

November 6, 2013 Kevin 10
…

ADVERTISEMENT

Tagged as: Public Health & Policy

< Previous Post
I felt abandoned by the system to which I had committed my career
Next Post >
JAMA removes cover art, and why that matters

ADVERTISEMENT

More by Skeptical Scalpel, MD

  • The hospital CEO who made a surgical incision. What happened?

    Skeptical Scalpel, MD
  • Medical error is not the third leading cause of death

    Skeptical Scalpel, MD
  • Should speed-eating contests be banned?

    Skeptical Scalpel, MD

More in Physician

  • Moral injury in medicine: When silence becomes a survival strategy

    Timothy Lesaca, MD
  • Medical misinformation: Navigating vaccine hesitancy with empathy

    Christine J. Ko, MD
  • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

    Brian Hudes, MD
  • Physician weight loss strategy: Why willpower isn’t enough in 2026

    Archana Reddy Shrestha, MD
  • Demedicalize dying: Why end-of-life care needs a spiritual reset

    Kevin Haselhorst, MD
  • Physician due process: Surviving the court of public opinion

    Muhamad Aly Rifai, MD
  • Most Popular

  • Past Week

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • Breaking the silence: mental health and racism in medical school

      Michael F. Myers, MD | Physician
    • Health insurance waste: Why eliminating the middleman saves billions

      Edward Anselm, MD | Policy
    • Why AI in health care is the only fix for physician shortages

      John C. Hagan III, MD | Physician
    • High-protein diet risks: Why more isn’t always better

      Farid Sabet-Sharghi, MD | Conditions
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Filipino nurses faced higher COVID-19 mortality rates

      Joaquim Diego Santos | Policy
    • Frailty and functional decline: Why diagnosis is not enough

      Gerald Kuo | Conditions
    • Moral injury in medicine: When silence becomes a survival strategy

      Timothy Lesaca, MD | Physician
    • Iterative mindset versus AI and GLP-1s: Why shortcuts weaken the brain

      Martha Rosenberg | Tech
    • Autism comorbidities: the hidden link between POTS, GI issues, and hypermobility

      Carrie Friedman, NP | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 37 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • Breaking the silence: mental health and racism in medical school

      Michael F. Myers, MD | Physician
    • Health insurance waste: Why eliminating the middleman saves billions

      Edward Anselm, MD | Policy
    • Why AI in health care is the only fix for physician shortages

      John C. Hagan III, MD | Physician
    • High-protein diet risks: Why more isn’t always better

      Farid Sabet-Sharghi, MD | Conditions
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Filipino nurses faced higher COVID-19 mortality rates

      Joaquim Diego Santos | Policy
    • Frailty and functional decline: Why diagnosis is not enough

      Gerald Kuo | Conditions
    • Moral injury in medicine: When silence becomes a survival strategy

      Timothy Lesaca, MD | Physician
    • Iterative mindset versus AI and GLP-1s: Why shortcuts weaken the brain

      Martha Rosenberg | Tech
    • Autism comorbidities: the hidden link between POTS, GI issues, and hypermobility

      Carrie Friedman, NP | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The fallacy of billable hours
37 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...