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When you see a patient with dermatitis of the feet, how much can you charge for his initial visit? If you are a physician in Japan, it is predetermined nationwide and you cannot expect to receive more than $20, whether you are a board-certified dermatologist with more than 20 years' experience or a total novice. This amount is likely far less than the average American dermatologist charges for a physical examination. How about reimbursement for a KOH examination? No matter how much time you spend meticulously examining the preparations, you receive only $2. Again, this is five to 10 times less than American doctors receive. You cannot charge your patients more than $20 when you conduct patch testing against various substances when you suspect contact dermatitis. This is also the case for many other procedures such as surgery and phototherapy. The upper limits of all medical payment levels are set
Tagami H. Dermatology in Japan. Arch Dermatol. 1993;129(4):484-485. doi:10.1001/archderm.1993.01680250096015