Ever wondered why stools were once only three-legged? Why would one use a stool that has only three legs when they could have one with four? If you frequent a furniture store nowadays, your chances of coming across a section for three-legged stools is about as likely as having a 100% annual contact lens purchase conversion rate on a day of operation. The reason for use of a three-legged stool is quite simple: they can be used on any surface, regardless of how smooth or rough, and the seated person maintains complete stability.
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I’m certainly not in favor of a $40 exam fee. Nonetheless, a $40 exam fee generates an annual gross of $332,800 for services only. Whether we like it or not, the people reimbursing us for our services, the insurers, know this.