I don't think this argument fully makes sense, because there are already separate charges for the services you describe. The physician who sees you will send you a bill, as will the facility.
> I charge clients similarly. I overbid projects that I don't really want to do. If you want me to setup Wordpress for you, I'll charge you out the nose. Granted, you get to accept my fees before I ever send you a bill. It's not a perfect analogy.
A more apt analogy might be you installing a Wordpress plugin that costs $10 for a client, then sending them a bill that looks like this:
$1,000 - Install fee
$1,000 - Plugin license
=========
$2,000 - Total
Then, when the client complains that you sold them a $10 plugin for $1,000, you say "Yeah, well, you weren't just paying for the plugin, you were paying for my time to install it" even though you had an additional charge for the time you spent installing it.
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