It's a for-profit corporate juggernaut apparatus with some variability based on the local CEO. Many take public aid so they are providing a needed service. One of our docs used to see 50+ IPs a day and they actually had to throttle her down despite it helping the bottom line related to liability concerns. If you are looking to crash through patients in 5 minutes and get out to a second job to clear 600k or golf most days, it likely can support that lifestyle.