Why are some specialists allowed to get away with re-charging patients for initial consults?

Dr Craig Lilienthal
Dr Craig Lilienthal.

I am very embarrassed — nay, pissed off — when I hear that some of the specialists to whom I refer patients often charge initial consultation fees when following up patients for established conditions.

The specialists do this when the patient’s referral has just been renewed and/ or they haven’t seen them in the previous 12 months.