At a recent strategic planning retreat of a 40-person multispecialty group, the administrator made a presentation that

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At a recent strategic planning retreat of a 40-person multispecialty group, the administrator made a presentation that focused on the coming year's plans to establish the organization's first two primary care satellites, which would be i located in two of the community's growing suburbs. These satellites would require the hiring of four family practitioners and other support staff. When the administra- tor finished her presentation, one of the most senior physicians stood up and said, "This is a foolish expenditure. We're so busy now in this group, we can't even see another patient. Our revenue was up 14% according to the previous financial presen- tation we heard. There is no reason to change what we're doing." How might you respond to this physician?

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