Surgeon's Record October 1, 2024
Ben Schwartz, MD

Presented by Commons Clinic

Hospitals and health systems don’t treat patients. Pharmaceutical companies don’t prescribe medications. Device manufacturers don’t perform operations. CMS is a payer, not a provider. Though all these are necessary components of our health care system, they aren’t sufficient to make it run. Front-line health care workers are the engines that power the machine. And, for now, physicians sit atop the care delivery hierarchy. With a strong nod to allied health professionals — without whom we could not do our jobs — docs still run the show.

Despite our frustrations, criticisms, and critiques, physicians seem unable to shift the balance of power in our favor. Autonomy is rapidly declining (more docs employed than...

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