Out of pocket expenses getting out of hand

Surely it’s time to look carefully at what they are supposed to cover — who generates them and how are they justified?

This seems to be an issue that is shrouded in mystery. Although doctors are expected to discuss these fees with a patient, it seems often left to the receptionist or nurse to have this conversation and then it is really just for information — do we really think a patient is going to refuse to pay or have a discussion about the fee when we are operating on them tomorrow?