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Rowden-Racette K - The sad state of the economy complicates things further. If your practice is seeing some softening as patients lose jobs and health insurance, you may be looking for ways to belt-tighten. And now would seem to be the time to save on staff costs: With jobs scarce, workers are less likely to bolt. But the economy won't be in recession forever, and when it returns to normalcy you don't want to be seen as the employer who took advantage of people when they were down.

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