Option 3 is not very glamorous.
I think that was Mil's point- if you are not willing to sack up and walk then don't make the ultimatum.
We recently had an orthopod at our place do just that.
One of our orthopods announced he was leaving for greener pastures, so this guy thought it was a prime opportunity to stick it to the hospital and come up with all these crazy demands- and made it well known to the BOD, admin, medical and RN staff that if he didn't get everything he wanted, he would leave at the same time as the other orthopod.
BOD met, and decided to politely decline his offer and relay to him to not let the door hit him in the a$$ on his way out.
That was one year ago- and he is still here with no plans to leave.
Now he looks like a total tool to all of us and has lost the all the respect and credibility he once had.
Also his practice is drying up b/c people don't want to go to him, and the PCPs don't refer to him for fear that he is going to pick up and go at a moment's notice.
I live in a pretty rural area and I know of patients who are travelling 40+ miles away to have their knee scopes done.
And the hospital is not lifting a finger to help this guy out.