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What percentage of orthopedic surgeons have lost enthusiasm for their careers, have developed feelings of deep cynicism or have a low feeling of personal accomplishment — or, in HR parlance, are "burnt out?"

Tom Joseph, MD, a Dunwoody, Ga.-based orthopedic surgeon, recently opened a new type of practice, one that pledges a simpler way for patients to pay, by offering one fixed price to everyone.

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