&gt; Have we established that doctors in the US have to deal with more documentation than doctors in other industrialized healthcare systems?<p>Yes. <i>The authors cite data showing that physicians in Canada spend far less time on administration than do U.S. doctors, </i>  <a href="http:&#x2F;&#x2F;www.eurekalert.org&#x2F;pub_releases&#x2F;2014-10&#x2F;pfan-pco102314.php" rel="nofollow">http:&#x2F;&#x2F;www.eurekalert.org&#x2F;pub_releases&#x2F;2014-10&#x2F;pfan-pco10231...</a>  <i>Administrative work consumes one-sixth of U.S. physicians&#x27; working hours</i> Note, this is non patient related Administrative work.<p>Now what?  IMO, the simplest solution is for doctors to bill based on administrative requirements.