Date: 2014-02-07 04:07 am (UTC)
That's not true, at least not with Kaiser and at least not with my doctor. When I see specialists for my chronic conditions, I go directly to them. When I have a new problem, I can discuss it over email or phone with my generalist and he'll either see me or send me straight to a specialist. My husband and child both go to a different location/doctor in the same system and have similar experiences. And believe me, we see a shitlot of specialists.
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