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January 11, 2011


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L Gordon Moore

Get the word out by writing to journals, give a talk to health policy folks, speak to your local medical society.
We need colleagues and the public to understand our willingness to engage in meaningful change, but that our good intentions are thwarted by an unresponsive and largely toxic policy and payment environment.

Robert Watkins

' "Help" that stipulates "do this extra work and we'll consider maybe paying you in the future if you get those pigs to fly" is a non-starter.'

Bravo! That's the fundamental flaw so many practicing physicians saw right for the start in the PCMH concept. Building a medical home on the hope of becoming enrolled in a "demonstration project" is not financially viable. Any thoughts on how we can generate more discussion on this point?

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