At a recent strategic planning retreat of a 40 ­person multispecialty group, the administrator made a presentation that focused on the coming year’s plans to establish the organization’s first two primary care satel­lites, which would be located in the two growing sub­urbs of the community. These new additions would require the hiring of four family practitioners and other support staff. When the administrator finished her pre­sentation, one of the most senior physicians stood up and said, “This is a foolish expenditure. We’re so busy now in this group, we can’t even see another patient. Our revenue was up 14 percent according to the previous financial presentation we heard. There is no reason to change what we’re doing.” How might you respond to this physician?