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Lets remember the fees that are collected for consultations are not going directly to the doctors. The practice gets the income. Out of that they pay the doctors salaries and support staff. There are building costs, new equipment, ongoing training and the golves cotton wool and the like. I have to set a budget for the business I work for and the first thing we do is find out what it will cost to run. As the cost of equipment rises so will the fees. The doctors will not be sitting there rubbing their hands together saying how much can we squeeze out of our cleints today! I accept that some of the doctors are shareholders or partners in the business and will get a profit share. This is no different to other people in business.