Do you do the exam? Do you take and interpret the X-ray, lab work and EKG? No... you walk into a room, spend 5 minutes with the patient. Order a bunch of tests. Get the interpreted results and choose the best differential diagnosis. $50 for 10 minutes work. That is $300/hour... and I would seriously doubt most ER docs only see 6 patients/hour. I'd much rather see 10 GPS keeping patients out of the ER than 2 getting paid to tell a patient they have the flu.