>>>model in which the physician is a customer of the hospital and can take business elsewhere if dissatisfied,
>You seem to point at the existing system with fondness.
>It's flawed and corrupt from top to bottom.
Was never in any need of doctors in the states (seldom enough here as well), but IMO the trend John speaks of will be very bad.
Here in Germany the best doctors to take my father to were the ones taking pride in their profession and job.
Doubtful if mere medical drone doctors will be better.
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