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February 15, 2010


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John Haresch

Another of the many ways that shifting funds into cognitive primary care would cut costs and improve access to care: Primary care doctors who have far-above-average income do so by running a diversified business of labs, tests, and procedures. If those services paid less well relative to cognitive services, some of those doctors could and would move back into using their education to care for patients rather than figuring out how to make more profit off of services that they now hire mid-levels to order so they can get their cut. When they return to caring for patients, the patients get higher-level care, there is less pressure to order needless tests, and there is improved access to care. Right now, the system is pushing expensively-trained medical doctors to become corporate managers. Is that really how we want to use that education?!

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