The Ethics of Facility Fees for Dermatology Clinics

As dermatologists who work at an academic institution that has established the dermatology clinic as a free-standing hospital-based clinic that charges a hospital facility fee for each visit, we are conflicted with the ethics of this scenario. Our services could obviously be provided in outpatient setting without this additional fee. What are the ethical pros and con of facility fee dermatology clinics (Table 1)?
Source: Clinics in Dermatology - Category: Dermatology Authors: Tags: Correspondence Source Type: research