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How did we get here in healthcare? Through a series of small decisions, inadvertently leading to a disaster. Patients no longer matter: metrics do. Value is about metrics. Payment is about value. Value is about "metricable" value, not patient and physician and societl values. Dr Jonas your host will comment on this and refer to a blog post:The Devaluation of the Doctor http://drelainageorge.com/?p=1122 by Dr Elaine George, an ENT physician with pretty good insights.
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