Milt Siefert was running a bit late.  His patient’s appointment was for 10:30.  It was noon.  But folks in Excelsior, Minnesota, have a way to correct poor service.  Dr. Siefert formed a patient advisory council in 1974 and has been meeting regularly with the members ever since.  They do more than gripe.  His patients help set his fees.  Even his salary.  One year, he made less than a school teacher.  But, that’s improving because patients now help him collect his bills.