“ There's an old saying in Tennessee — I know it's in Texas, probably in Tennessee — that says, fool me once, shame on — shame on you. Fool me — you can't get fooled again.”

I’d be more concerned about the number of payments versus the dollar amount. Counter-intuitive if you ask me. Doctor taking the $$$ is probably playing big pharma like prior comments have suggested; where as a high number of payments and low $$ has got me asking questions.