I am in the middle of the biggest cost study because we need to reevaluate the 
cost of our work. We have no expectation of keeping any derm clients after the 
change in the 88305. They will go elsewhere to get a slightly better price than 
here in California.
This is depressing on many levels.

1.       Lay-offs

2.       Inferior quality (we are VERY proud of our work)

3.       TAT nightmares.

4.       Where does that leave our true client ( THE PATIENT)?
Furthermore I may be out of a job (last 35 years) and the pathologists may farm 
out our surgical work too.  How does this impact your Histology laboratory?
Respectfully,
Bruce Gapinski


Bruce Gapinsk HT (ASCP)
Chief Histologist
Marin Medical Laboratories
PathGroup SF


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