| What gets published | Pages built only from facts your clinic approved | Whatever there is time for that month | Generalist content, written to a brief |
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| Proof it reached your site | The live page is read back and compared | Assumed, because nobody checks | Reported as delivered |
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| Crawler access | Checked on every read, and it is a one line fix | Blocked by a template nobody has opened | Sometimes checked, often not |
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| What is promised | A rate that is measured, never a position promised | Nothing is promised to anyone | Some sell ChatGPT rankings nobody can deliver |
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| How progress is measured | The same score, re-run after you publish | A feeling that it must be working | A screenshot of one good answer |
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| Your team’s time each month | Reading and approving, nothing else | Several hours, never billed to anyone | Briefing calls and report meetings |
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| What it costs | One fixed subscription, whatever the volume | Nothing on paper, paid in staff hours | A retainer, usually the largest of the three |
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