Is this a temporary or permanent position? <a href=" http://www.ashr.edu.au/viagra-originale-costo.pdf#berth ">otc viagra cvs</a> A: Doctor&rsquo;s have a real public relations problem. Patient care is where the rubber hits the road, and doctors are often blamed when a patient doesn&rsquo;t get exactly what they want. The previous entitlement system allowed the patient to get an MRI or other expensive test on demand, but in this new system a test or medicine may not add value enough to justify the cost. The cost of care I provide is constantly being measured by metrics in electronic medical records and I&rsquo;m tiered against my peers. It&rsquo;s frustrating, because sometimes I feel as though I don&rsquo;t have a patient&rsquo;s best interests at heart and discussions on value and cost breaks down patient trust.