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December 03, 2010


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Robert Watkins

Thank you for these two excellent posts.

The fundamental unit of value in family medicine is a one-on-one relationship of doctor and patient based on respect and trust developed over time.

This relationship can develop in any medical practice, regardless of size. Unfortunately, this relationship cannot be turned into a simple statistic, and it is therefore of no value in the PCMH/NCQA/ACO world.

It is heartbreaking to see the AAFP unthinkingly accept this way of thinking. It is infuriating to see them advocate for policies that are becoming increasingly hostile towards small practices.

I would strongly encourage you to send these two posts to all the officers and board members of the AAFP. Thanks again.

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